Chemical exfoliation is a procedure where a chemical acidic agent of defined strength is applied to the skin to cause a controlled mild reaction up to a desired depth. The healing process which follows causes increased turnover of epidermal cells called keratinocytes, and stimulates the fibroblasts in the dermis to produce new collagen. These two effects lead to reduction of pigmentation due to rapid shedding of epidermal keratinocytes [called exfoliation], improvement of skin texture, colour, reduction of scars, improving the firmness of the skin and smoothening of fine wrinkles.
The depth of penetration and the destruction of upper layers of the skin caused by the peel depends on the composition of the chemical, concentration and the duration of time the peel is applied. The depth of penetration also depends on the thickness of the skin, especially the outermost dead horny layer and amount of sebum (oil secretion) on the skin. Clients with thinner skin are usually more sensitive to peels.
The benefits that are desired can be obtained by varying the composition of the peel, modifying the concentration of the chemical, and controlling the duration of exposure when the peel is applied.
The benefits of chemical peels can be enhanced by using therapeutic skin medication to enhance a desired effect, and internal remedies to improve the integrity of the skin.
Application of a peel causes “burn” effect which causes mild redness of the skin. This redness subsides in a few hours or up to a day. During this time, the patient must avoid exposure to direct sunlight. This can restrict the patient’s outdoor movement. This period is called “downtime”.
Depending on the depth of penetration, peels are grouped as superficial, medium or strong peels.
The doctor may advise the number of sessions (5-8) based on the skin type. The treatment is performed with a gap of 15 days between 2 sessions. Maintenance sessions can be taken every 30 days or as needed.
Smoothens fine lines and wrinkles
Removes dead skin cell layers
Smoothens rough texture
Improves appearance of open pores
Helps in treatment of active acne lesions
Reduces ingrown hairs
Enhances the effect of homecare regimen by improving the penetration of active ingredients
Improves skin texture and colour
Reduces scars and pigmentation caused by acne
Improves the firmness of the skin.
Gives a healthy, refreshed, firm and lustrous appearance to the skin.
Proper care of the skin after the treatment is very important to speed healing, prevent infection and avoid colour changes in the treated area caused by sun exposure. Proper skin care after a peel involves:
Avoid face wash/ soap/hot water for 24 hrs after treatment
Cleansing the skin with the cold water or prescribed mild cleanser
Use moisturizer after face wash and as directed by the doctor
Avoid any direct sun exposure
Use of sunscreen is mandatory and has to be re-applied after every 3-4 hrs.
To use a physical block like umbrella or cap along with the sunscreen when outdoors for the duration of treatment.
No sauna /steam or swimming for 7 days after the procedure
No strenuous exercising for 2 days after the procedure.
Any exfoliation and bleach on face should not be taken during the period of peel execution.
Any other facial service to be taken in consent with the doctor
Post Peels maintenance program can be taken after the treatment as per the doctor’s suggestions.
Do not massage or rub the skin vigorously
Do not use make up for 24 hours after the treatment
Follow the advice given to you by your treating doctor.
With a superficial depth peel treatment, there may be mild dryness and flaking of the skin post treatment. This is a normal process.
With a deeper peel, the dryness and skin peeling may be more pronounced and can last upto a week. All recommended home care products may be continued as per the doctor’s advise.