The PharmaCompoundia can make a variety of chemical peels using individual peeling agents or a combination of ingredients based on the needs of a doctor for their patient. We can even customize one for your office!

What is a chemical peel?

A chemical peel is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is also temporarily more sensitive to the sun. There are three basic types of chemical peels:

Superficial or lunchtime peel: Alpha-hydroxy acid or another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. The treatment is used to improve the appearance of mild skin discoloration and rough skin as well as to refresh the face, neck, chest or hands. Medium peel: Glycolic or trichloroacetic acid is applied to penetrate the out and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration. It also can be used to smooth rough skin and treat some precancerous skin growths, i.e. actinic keratosis. Deep peel: Tricholoracetic acid or phenol is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. Patients will see a dramatic improvement in skin appearance. The procedure is used on the face and only can be performed once.

What should first be done before considering a chemical peel?

A thorough evaluation by a dermatologic surgeon is imperative before embarking upon a chemical peel.

When is a chemical peel appropriate?

Chemical peels are used to treat a number of conditions including:

Are chemical peels painful?Chemicals peels sting but do not cause a great deal of pain. The gentlest peels use alpha-hydroxy, glycolic, lactic or fruit acids are also gentle. They may cause stinging, redness, irritation and crusting but as the skin begins to adjust all these problems will lessen.

Trichloroacetic acids are used for stronger peelings. They remove wrinkles, superficial blemishes and pigment problems. Phenol is the strongest of all treatments and removes deep lines and wrinkles on the face. These type of treatments sting more than those with the gentler acids. After the treatment there may be redness, swelling and irritation but the use of creams and gels will reduce these effects. Also the doctor may prescribe medicines that will help relieve the problems after the peel.

What can I expect after having a chemical peel?All peels require some follow-up care:

  • Superficial peels require one to seven days to heal. Treated skin will initially be red and may scale. Lotion or cream should be applied until the skin heals, followed by daily use of sunscreen. Makeup can usually be worn the next day.
  • Medium peels require seven to 14 days to heal. Treated skin will initially be red and swollen. Swelling worsens for the first 48 hours. Eyelids may swell shut. Blisters may form and break. Skin crusts and peels off in seven to 14 days. Skin must be soaked daily for a specified period, followed by ointment application. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure until healing is complete. Camouflage makeup may be worn after five to seven days. A follow-up appointment will be necessary to monitor progress.
  • Deep peels require 14 to 21 days to heal. The treated area will be bandaged. Skin must be soaked four to six times daily, followed by ointment application for the first 14 days. Afterwards a thick moisturizer is applied for the next 14 days. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure for three to six months. Camouflage makeup may be worn after 14 days. Several follow-up appointments will be necessary to monitor progress.

Sun exposure and smoking after a chemical peel must be avoided because they can cause unwanted side effects, including infection and scarring.

Peeling Agents

Glycolic acid is the most common peeling agent. It comes in different strengths (30% – 90%) and different pH levels (levels of acidity) which will determine how deep it penetrates and how much peeling you get. It can be used to treat fine lines and wrinkles, sun damage, improvement of skin texture, skin brightening.

Salicylic acid is unique amongst the hydroxy acids in that it can penetrate deeper into the oil glands causing exfoliation even in the oily areas of the face and scalp, making it ideal for treating acne and oily skin.

Lactic acid occurs naturally in human skin and is also found in milk. It is less irritating than other AHAs and has a natural moisturising effect on the skin. It is ideal for skin brightening. It can be used to treat pigmentation, dry or dehydrated skin, sensitive skin, rosacea.

Fruit enzymes can also be used as peeling agents. Commonly used fruit enzymes come from fruits such as papaya, pineapple, pumpkin and cranberry. They are anti?bacterial, promote cell renewal and can digest oil from spots (sebum) and dead skin. They can be used to treat acne, rosacea, dehydrated skin, hyper?reactive and sensitive skin.

Tartaric acid comes from grapes and is a less irritating alternative to glycolic acid for a milder exfoliation of the skin. It can also help increase hydration. It can be used to treat acne, photo damage, rosacea, superficial pigmentation, eczema.

Malic acid comes from apples and pears and like tartaric acid is a weaker AHA than glycolic acid. It can be used to treat acne, photo damage, rosacea, superficial pigmentation, eczema. Citric acid comes from lemons and oranges and works in the same way as tartaric and malic acids. It can be used to treat acne, photo damage, rosacea, superficial pigmentation, eczema.

TCA or trichloroacetic acid is a stronger acid than glycolic. It penetrates deeper into the skin and is usually used for medium depth or deep peels although it can be used at a lower concentration in combination with other acids for a milder peel. It can be used to treat skin tightening, fine lines and wrinkles, acne scars, large pores, hyperpigmentation.

Carbolic acid is found in Phenol peels and is the strongest type of peeling agent available. It is used for very deep peels. It can be used to treat deep lines and wrinkles, scarring, severe sun damage.

For more information and a list of our chemical peels, please contact us today at: 972-473-6867, or email us.

Sources:

https://www.asds.net/ChemicalPeelsInformation.aspx

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