Chemical peeling, which is an effective treatment method that targets the emergence of a new and healthy skin in place of the damaged skin, by peeling the uppermost layer of the skin is based on the application of one or several chemical agents on the skin layers at different depths.
With skin peeling, the skin enters its natural healing-regeneration process. The healing of the wound stimulates the collagen synthesis in the lower layers of the skin, resulting in a more vivid, shiny and healthy skin.
What conditions can be treated with chemical peeling?
- Acne and acne scars
- Age spots
- Fine wrinkles under eye(s), and around the mouth
- Alterations of the skin tone
What are the most frequently used chemical agents in chemical peeling applications?
- Salicylic acid (Beta Hydroxy Acid BHA)
- Jessner's solution
- Glycolic acid • Trichloroasetic acid (TCA)
- Alpha hydroxy acids (AHA) and their combinations
How many different types of peeling are performed?
Chemical Peeling applications are realized in 3 different categories according to the severity of injury and efficiency of the application. These are:
- Superficial Peeling,
- Medium Depth Peeling,
- Deep Peeling
The application of the superficial peeling, which is a light process, is based on the stripping of the epidermal layer, which is the uppermost layer of the skin, with chemical agents with mostly low acid concentration such as glycolic acids that are easily extracted from fruits or lactic acids in milk .Superficial peelng procedure decreases fine wrinkles on the skin, and helps the skin to assume a radiant appearance.
Another superficial peeling applied for the uppermost layer of the skin is peeling performed with salicylic acid (BHA) This procedure is preferred more frequently in the treatment of acne, black and white comedones and skin spots.
The duration of treatment is applied as 4-8 sessions at 2 to 4 week intervals according to the skin type and the special health condition of the person. This is a painless procedure. The person can easily return to his/her daily life. A slight redness and peeling may occur in the skin, but within 2-3 days, these side effects disappear.
Medium Depth Peeling
The medium-depth peeling performed using acids with slightly higher acid concentrations, such as trichloroacetic acid-TCA (10% to 35%) and glycolic acid exerts its effect on the dermis, which forms the second main layer of the skin just below the epidermis.
This application is an effective treatment for skin regeneration and vitality,disappearance of light to moderate wrinkles, changes of pigmentation, superficial acne scars and sun spots. In order to get an effective result from the procedure, it is applied as 2-4 sessions at intervals of 2 to 4 months. After the procedure lasting about 45-60 minutes, a slight redness on the skin may be observed. These rashes then turn to light brown and the skin begins to peel within a few days. Average recovery time is 7 days.
Deep peeling method effects epidermis and underlying dermis, and achieves a more dense peeling process. It is a very successful treatment for the elimination of , acne scars, deep wrinkles and many types of skin spots.
Duration of the application
Since this application will be slightly painful compared to other chemical peeling procedures, it should be done with local anesthesia. The procedure lasts about 30 minutes when applied to the whole face, and 10-15 minutes when applied to smaller areas such as periphery of the lips. Since the patient may still feel some pain , regular use of a painkiller after the procedure is recommended. After the procedure, swellings on the face may occur but they may resolve within 1-2 weeks. Although the healing process lasts about 1 month, the complete resolution of the rashes due the chemical substance used may take a long time as 3 months. In order to get an effective result from deep peeling, one session is usually sufficient.
What are the contraindications of chemical peeling?
- Pregnant or breast-feeding women ,
- History of active herpes simplex lesions or skin infections,
- Patients who have undergone moderate or deep peeling between the previous t 3-12 months,
- Patients who had undergone surgery within the last 6 months,
- Patients who had acne treatment (isotretinoin) within the last 6 months,
- Those who had received radiotherapy within the last 6 months,
- People at risk of exposure to intense sunlight
- The patients who recently have undergone facial surgery
- Its use is contraindicated in patients with a history of abnormal scar formation and delayed wound healing.