Medium-depth Chemical Peel
Dr. Roy offers a medium-depth chemical peel that is performed under IV sedation for patients with significant sun damage (sun spots, patchy irregular pigmentation and rough texture) and prominent wrinkling. A chemical peel activates cell turnover and removes damaged and dead surface cells to reveal new, healthy skin. Patients experience a significant improvement in the overall quality of their skin which has a dramatic rejuvenation effect, making for an excellent complementary procedure for those undergoing face-lifting and lipocontouring (fat transfer) procedures.
The peeling agents utilized are Jessner’s solution and 35% trichloroacetic acid, or TCA. This peel is appropriate for patients with light to medium skin tones who desire a greater level of improvement in the overall clarity and texture of the skin than what lighter, more superficial peels or non-ablative lasers can provide. A medium-depth chemical peel is performed in the office or outpatient surgical center under IV sedation, and generally takes about 1 hour to perform.
Given the higher depth of penetration of the peeling agents, recovery from a medium-depth chemical peel is longer (typically 10-14 days), similar to fractionated CO2 laser peels. Post-treatment, patients require application of ointment, which must remain on the face continuously for ten days. A gentle cleanser will be used during this time. The patient must stay makeup-free for 14 days. After this time, a mineral-based makeup can be used to cover any remaining redness, which could last between 6 weeks to 3 months. Proper application of sunscreen after three weeks is paramount to protect the new skin from increased pigmentation. Roy Facial Plastics at Refined Dermatology provides all of the necessary care items for each patient and the staff will see the patient frequently during the recovery process to guide them through the healing stages.
Frequently asked questions:
1.Can a medium-depth chemical peel be performed under local anesthesia?
Although possible, a medium-depth chemical peel is best performed under IV sedation to reduce discomfort for the patient and allow the physician to be thorough and meticulous to ensure comprehensive coverage of the peeling agent. Depending on what other treatments are performed on the same day, the procedure can be done either in the office or at the hospital/outpatient surgical center.
2.What is the difference between a chemical peel and laser skin resurfacing?
There are many different types of chemical peels and lasers for skin resurfacing. The major difference between the two is the mechanism of action. Chemical peels utilize one or more products that when applied to the skin cause a chemical reaction that aid in removing damaged and aged upper layers of the skin, making way for a newer, more youthful skin. Different chemical peels have different depths of penetration (i.e. how deep they affect the skin), and the choice of chemical peel depends on the skin type and color of the patient as well as the degree of skin aging and damage present. The deeper the peel, the more effective the treatment, but also the longer the recovery. Lasers use highly energized and focused light to heat various layers of the skin to produce a controlled “burn” to achieve a similar overall outcome as a chemical peel.