“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.”
Patients are urged not to smoke for a few weeks before and after a chemical peel. The best outcomes will be achieved in patients who are not taking the acne medication Accutane®, have not taken it for the previous year and a half, and who are free of active skin infections. Also, if you have large or unusual scar formations, such as keloids, your doctor may recommend a different treatment for you. Patients who have a family history of heart problems are not considered good candidates for the deep chemical peel procedure.
During recovery, follow your doctor’s postop instructions faithfully. They’ll give you specific instructions for how often to wash your face and moisturize, and which products you should use to do so. Try to stay out of the sun until your skin has healed, and avoid using makeup or other cosmetics until your doctor gives you the go-ahead. You can use ice packs for 20 minutes at a time, or a cool fan, to help relieve discomfort at home.
Chemical peels rarely result in serious complications, but certain risks do exist. These risks include scarring, infection, swelling, changes in skin tone, and cold sore outbreaks. You can reduce the risks associated with facial peels by following all of the doctor’s instructions completely and by providing your doctor with a complete medical history.
In January 2011, the United States Food and Drug Administration released a statement that women with breast implants "may have a very small but increased risk of developing" anaplastic large cell lymphoma, a rare cancer that can develop around breast implants. The Canadian Society of Plastic Surgeons is closely following developments around this issue.
Moderate peels require longer healing time, 7 to 14 days, due to more intensive blistering and peeling. Moderate peels are usually done with glycolic acid, trichloroacetic acid, or a combination of acids that reach both the outer and middle layers of your skin. Moderate peels may cost anywhere from under $200 to over $600, depending on the provider.