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Chemical Peels Cont.


Who is a candidate for Chemical Peels?

Generally light-haired and fair skinned people (Fitzpatrick I - III) are the best candidates for chemical peel. If prepared correctly, darker-skinned people (Fitzpatrick IV - VI) can achieve excellent result with chemical peels. The procedure is not recommended for individuals with infections, active skin disease, cut or broken skin, sunburns or active Herpes simplex 1 sores. Other counter-indications include patients who are:
• Nursing or pregnant.
• Have used Accutane in last six months.
• Have psoriasis, eczema, dermatitis or rosacea.
• Have used Retin-A, Renova, prescription skin care products, products that contain ascorbic acid, bleaching or skin-lightening agents or other acid-based products in the last 48 hours.

I have dark skin - can I have a chemical peel?

In people with darker skin complexion, chemical peels can be very useful. However, you should be cautioned about the higher risk of skin pigmentation. These patients should be prescribed pre and post procedural pigmentation programs to control the incidence and severity of post-inflammatory hyperpigmentation. Be very careful of a TCA peel above 10% and STAY AWAY from deep Phenol peels. Mandelic acid and other AHA would be the best option for a darker skin type.

Are chemical peels painful?

Chemicals peels sting but do not cause a great deal of pain - unless your pain threshold is exceptionally low. The light to medium peels use alpha-hydroxy, glycolic, lactic or fruit acids. They may cause stinging, redness, irritation and crusting but as the skin begins to adjust all these problems will lessen. As well as AHA's and BHA's, Trichloroacetic acids are used for medium to deep peelings. They remove wrinkles, superficial blemishes and help with pigment problems. Phenol is the strongest of all treatments and removes deep lines and wrinkles on the face. These type of treatments are done by a medical practitioner. After the treatment there will be redness, swelling and irritation. The skin may blister and crust. Also the doctor may prescribe medicines that will help relieve these problems after the peel.

What are the complications or potential side effects of a chemical peel?

Temporary or permanent change in skin colour, particularly for women on birth control pills.
Reactivation of cold sores

What can I expect after having a chemical peel?

All peels require some follow-up care. Is is best to consult with the therapist, doctor or dermatologist who performed the procedure and follow their after care protocols

Is there any "downtime" involved?

Depending on the strength of the peel you've had, the downtime may be anywhere from 24 hours to 30 days.

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