Additionally, recent studies have found that certain chemical peels can help reverse melasma, a type of hyperpigmentary disorder and “notorious dermatosis” that is often resistant to treatments, including laser treatments. (8) Melasma is a common chronic form of hyperpigmentation of the skin that can have a serious impact on someone’s self-esteem and quality of life.
After the procedure is done, the skin will look as though it has been sunburned, and for about a week after the procedure has been done, the skin will start to peel, exposing the skin underneath.  It can be a few weeks before the skin heals properly.  Medium-depth peels, however, may result in swelling or blisters that crust or break down over time and can take a longer time to heal.

A chemical peel is a cosmetic treatment (typically not covered by insurance) in which an esthetician or doctor applies a chemical solution to your skin, most often the skin on your face. After several hours or days, the solution blisters your skin’s top layer, allowing the damaged skin to peel away, revealing smoother skin underneath. Chemical peels are designed to reduce fine lines around the eyes and mouth, improve the appearance of acne scars, treat sun damage and age wrinkles, reduce age spots and other dark skin patches, and improve the overall look and feel of the skin.
“Believe it or not, patients who are overweight are malnourished. What that means is that their capacity to heal is very poor,” says Grossman. “Patients who are malnourished have more seromas or fluid accumulations. In fact, about 50% of all patients will form a seroma when not stabilized nutritionally. So, at my practice we have an extensive approach to nutrition before and after the surgery.”
“Believe it or not, patients who are overweight are malnourished. What that means is that their capacity to heal is very poor,” says Grossman. “Patients who are malnourished have more seromas or fluid accumulations. In fact, about 50% of all patients will form a seroma when not stabilized nutritionally. So, at my practice we have an extensive approach to nutrition before and after the surgery.”
I needed very little convincing before making my way down to the Cadogan Clinic, one of the very best locations in London (might I add) to speak to Nurse Libbie Wallace, a master in her field. After filling in a short consultation form, Nurse Libbie asks me how old I am. After replying 28, she chuckles a little, but continues… I’m not the youngest client she’s had walk through the door, but she does tell me that she would only ever treat those that actually can benefit from the treatment, ‘It’s important that I manage patients expectations’.
In terms of the steps to be followed immediately after the chemical peel is applied and it peels off, the need to apply a cold compress is essential to cool down the skin which has had the blisters. In addition, the skin remains sensitive for a few days and in addition to protecting the skin from being exposed to sunlight, suitable sunscreen lotion has to be used. If there are any damages to the skin and bandaging has to be done that has also to be done. Ultimately, the skin has to be taken care of and the type of skin differs from individual to individual and depending on the type of skin, suitable skin products may be prescribed by the doctor for ongoing care.
Look for products that have 2 to 10 percent glycolic acid, which is typically enough to improve the appearance of mature and sun damaged skin. Make sure your skin is makeup-free and clean of grease/residue before applying products, and read directions carefully. Afterwards, don’t shave, scrub, laser, exfoliate or exposure your skin to much sunlight for 24 to 48 hours. (11)

Deep chemical peels involve a longer procedure and longer recovery time that lasts up to several months in some cases. Patients who want to correct blotches caused by sun exposure or age, minimize coarse wrinkles, or remove a pre-cancerous growth may benefit from a deep peel. There are certain factors which must be taken into consideration when contemplating a deep chemical peel. Darker-skinned patients and individuals with heart problems are not ideal candidates. Potential chemical peel candidates should be aware that the treatment may take an hour or more, and may require sedation. Anyone who decides on this procedure should be prepared for a long, slow recovery period, and should wear sunscreen whenever exposed to sun.


The cost of a chemical peel depends on several factors - the brand of peel, the time it takes to do the peel, and the risk involved.  Some peels have brand names, like ViPeel and Perfect Peel.  There is a cost to the provider for these products, so that cost has to be recouped by the provider.  More aggressive peels that do deeper generally cost more because they take more time and there is more risk for the practitioner to manage.  Keep in mind that more superficial peels may cost less for the initial peel itself, but multiple treatments may be needed to get good results.  In Los Angeles, superficial peels cost $150 - 300.  Medium depth TCA peels cost $500-750.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).
Some people with a particular type of skin can face issues immediately after taking a Chemical Peels treatment for their skin. Some of them can even see some swelling and breaking of the skin surface that can take a few days to recover fully. Similarly, there are instances of alteration in the colour of the skin after the peel withers off. There have also been reports of scarring on the skin surface following a Chemical Peels treatment. It must, however, be added here that almost all these after effects are of temporary nature and they are generally treated and rectified without causing any permanent damage.
Before the procedure even begins, the professional who’s going to perform the procedure will first apply a chemical solution — usually trichloroacetic acid, glycolic acid, trichloroacetic acid, salicylic acid, lactic acid or carbolic acid (phenol) on small areas of your skin.  Doing so can create a controlled wound, allowing the new skin to take its place.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

Medium-depth peels — Helps to remove facial lines, scars and birthmarks, but can cause side effects and take longer to heal from. Most people will see at least some results after one treatment, but multiple treatments are usually needed for full effects. Some dermatologists now recommend mild to medium peels that use multiple acids rather than one single acid at a higher strength, as multiple acids can lead to less irritation.
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