- What is a chemical peeling?
- Types of Peeling
- Pre-peel care
- Post-peel care
- Side effects and contraindications
- How much does it cost?
1. What is a chemical peeling?
Chemical peeling or exfoliation is a dermatological treatment consisting of the topical application of a chemical preparation. This preparation can lead to a limited and controlled destruction of the epidermis and dermis. We use this technique to treat skin problems that can benefit from an accelerated turnover of the superficial epidermis, including: acne, fine wrinkles, some spots, actinic and seborrheic keratoses.
The chemical peeling can be superficial, medium and deep. It depends on the dermal depth we reach with the substance used.
A. – Superficial
They cause a superficial peeling, so they are indicated for fine wrinkles, moderate actinic dermatitis, rosacea and active acne. They can be made without affecting the patient’s social life, as the recovery time is practically zero.
There are different substances that can be used: Jessner’s solution, glycolic acid 50 to 70%, trichloroacetic acid (TCA) below 15%, 30% salicylic acid, etc.
b .- Medium
They cause a massive peeling from the epidermis to the DEJ. They are suitable for smooth wrinkles, photodamage and poikiloderma. The substance is normally used T.C.A. 25 to 35%.
c .- Deep
They produce complete necrosis of the epidermis and papillary dermis, sometimes reaching the grid. They are indicated in moderate wrinkles, dermatosis, hyperpigmentation, etc.. The substances used are T.C.A. 50% and Phenol. The latter has cardiotoxic effects.
In Clinica Puértolas we make surface peelings and medium.
Starting 15 days before treatment:
Apply a cream with glycolic acid or depigmentation (when treating stains), morning and night after cleansing the skin properly.
Avoid irritating facial processes (shaving, waxing, dyeing) two days before and after treatment.
Apply sunscreen daily, preferably full screen and physical filters.
Depending on the type of chemical peeling, the patient will have to wait more or less time to resume the previously used application of creams.
The frequency of the peelings will vary depending on the problem or imperfection being treated, the skin type, and the depth reached with the previous peeling.
5. Side effects and complications
If side effects and complications occur, they are in the middle and deep peels.
Post inflammatory hyperpigmentation is a temporary problem to be addressed and sometimes takes time to disappear completely.
Herpes simplex virus infections: patients with a history of herpes recurrence should be treated prophylactically.
Persistent erythema, pruritus: erythema usually disappears in 15-30 days, depending on the concentration of product applied and the penetration that we have reached. In some patients it may persist longer.
The price depends on the area being treated and the product used. After studying the needs of each patient we offer a personalised quotation. If you would like a price estimate of a chemical peeling for the areas you want to treat, please contact us by phone or email.