Chemical Peels

Chemical peels can improve the look and feel of your skin. They are used to treat fine lines, wrinkles, mild scars, sun damage, age spots, freckles and dark patches (melasma). Chemical peels can be on the face, chest, neck and hands. You can treat the whole face or treat a localized area, such as under the eyes or around the mouth.

There are superficial, medium grade and deep peels. The superficial peels focus on treating the top layer of skin or stratum corneum.   A medium peel goes deeper, penetrating through all five layers of the epidermis to the top layer of the dermis. A deep peel goes past the papillary layer in the dermis, to the reticular layer and possibly to the subcutaneous tissue, depending on the patient’s needs.  The recovery will vary depending on the type of peel you and Dr. Sabini choose.

Who is a good candidate for a chemical peel?

Before you have any type of chemical peel, schedule a consult with one of our aestheticians or Dr. Sabini first. Make them aware of your medical history such as scarring or history of cold sores. Certain topical treatments like Retin-A, Renova or glycolic creams will need to be discontinued prior to a peel. They will review any necessary medications and instructions needed prior to the peel.

There are many different peels to treat specific skin types. Fair-skinned and light-haired patients are generally better candidates for medium to deep peels. If your skin is darker or tanned, you may require a lighter type of peel or a test spot prior to any treatment to make sure not to cause hypo- or hyper-pigmentation.

Following your peel, you will be given instructions on post-peel skin care.  You will be required to wash the treated area a few times a day and then cover with Aquaphor™ or a thick moisturizer.  Your initial recovery can take three to seven days.  After the first week you may still experience peeling, inflammation or redness; this will taper off.  If you are having a TCA peel or Phenol peel you could be pink for four to twelve weeks following your treatment.

After a peel, your skin is temporarily more sensitive to the sun. It is very important to wear sunscreen every day. We recommend a “broad-spectrum” sunscreen since it will protect against the sun’s UVA and UVB rays.

Types of Peels

Jessner’s

One of the most effective light chemical peels available.  It helps treat mild to severe acne, discoloration, fine lines and sun damage. The Jessner’s peel is customizable for your skin type and desired results.  We recommend a series of 6 peels to achieve maximum benefits.

Gloss Peel

A gloss peel is a painless way of improving the appearance of sun damaged skin with very minimal downtime.  If you do not have the downtime to do a TCA peel, we recommend three peels, one month apart, to achieve similar results. It takes about 30 minutes and afterward you are given a take home skin care regimen to help extend the benefits.

VI Peel

The VI peel will help improve the tone, texture and clarity of skin, reduce or eliminate age spots, freckles and hyperpigmentation, soften fine lines and wrinkles, and clear acne conditions. This peel can be used on all skin types. We recommend at least two to four peels depending on desired results.  This peel contains TCA, tretinoic acid, salicylic acid, phenol, Vitamin C and a mineral blend.  One to two days after your treatment you will start to experience peeling which can last three to five days. It is very important to remember to use sunscreen after these treatments to prevent future sun damage.

TCA Peel

A TCA peel is considered a medium (15%-35%) to deep (40%) chemical peel.  The main ingredient is trichloroactic acid.  It helps improve the appearance and texture of the skin and evens out skin tone.  If you are considering a full face TCA peel, Dr. Sabini sometimes recommends having twilight sedation to make this more comfortable.  Treatment to the lower eyelids or small age spots can be done in the office.  We recommend a one week initial recovery.  You will be cleansing the area a few times a day and placing Aquaphor™ on the treated area(s).  You will be able to apply makeup after one week.  Most people will experience pinkness for 4-6 weeks following the treatment.

Phenol Peel

A phenol peel is the strongest of the chemical peels.  It is recommended for deep wrinkles usually around the mouth and chin area. You can treat the full face but it would require twilight sedation and can take 1-2 hours to perform.  A small area like the upper lip lines can be done in the office.  You may experience discomfort and puffiness after the peel which can be controlled by medication.  A few days after the treatment the skin will look like you had a sunburn, but this will fade to pink over time.  An individual can hold this pinkness for 3-4 months.  It can be covered with makeup after the first week. The skin will remain sensitive. You should avoid sun exposure after medium to deep peels and always use sunscreen. Most people will wait until the fall and winter months to have this treatment.

 
View Before and After Photos