Deep peels must be performed by a medical doctor and can take 14 to 21 days to heal. Deep peels require special aftercare including antiviral medication, ointments and follow-up visits, according to the American Society for Dermatologic Surgery. The chemical solution used for deep peels may be phenol or trichloroacetic acid, which both reach far into the middle layer of your skin and remove damaged skin cells. Phenol chemical peels may require sedation and should only be done on the face, as the skin on the hands and neck is too thin. The American Society for Dermatologic Surgery explains this procedure may only be performed one time on a patient and is not recommended for people with darker skin or freckles, as it can cause hypopigmentation. Deep peels may cost anywhere from $3,500-$5,000—not including the doctor’s fees.
This 37 year old female patient was troubled by the furrows that were appearing between her brows. These furrows are one of the unavoidable signs of aging, but we were able to roll back the clock a little with a quick application of Botox. We have more Botox ‘forehead lines’ before-and-after photos available at our clinic if you’re interested. You can also schedule your consultation for a Botox treatment, here.

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 a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.
All chemical peels remove outer layers of the skin, though how many layers depends on the intensity of the peel. After a healing period, which also varies with the intensity level, skin is left feeling softer and smoother. Superficial issues such as acne or acne scars, fine lines and wrinkles, and hyperpigmentation should be improved, if not completely corrected. And because chemical peels sweep away complexion-dulling dead skin cells, they leave faces with a radiant glow.
Chemical peels can range in costs from a few hundred dollars to a thousand dollars depending on the strength of the acid peel and what type of peel is being performed.  The costs also range on who is performing the peels.  In my office only the physician (myself) performs the peels and I use medical grade peels which only a physician can administer.  The results are wonderful and leave your skin smoother and rejuvenated.
“There are many different types and depths [of peels], and they address different skin concerns and conditions,” says Dr. Neel Bector, a Mississauga, Ontario physician, in a chemical peel recovery Q&A. “A great peel with minimal downtime is a Jessner—it works well for pore size, scarring, and hyperpigmentation. You can expect some light peeling lasting approximately three days.”
Before receiving KYBELLA®, tell your healthcare provider about all of your medical conditions, including if you: Have had or plan to have surgery on your face, neck, or chin; have had cosmetic treatments on your face, neck, or chin; have had or have medical conditions in or near the neck area; have had or have trouble swallowing; have bleeding problems; are pregnant or plan to become pregnant (it is not known if KYBELLA® will harm your unborn baby); are breastfeeding or plan to breastfeed (it is not known if KYBELLA® passes into your breast milk).
Obviously, you can expect some pain and tenderness following surgery, but your surgeon will provide you with a recommendation for pain management. I personally administer EXPAREL®, an injectable painkiller that provides three to four days of relief, and eliminates the need to take oral medication in order to maintain comfort. It is important to keep your bowels moving after abdominoplasty, so I always recommend that patients take laxatives during recovery. I also prescribe antibiotics to further reduce the risk of infection.
Our before and after technology and camera room is set up to produce high definition, full screen sized comparisons that are perfectly aligned – even though many images are taken many months apart. The time and consideration taken in our before and after gallery is a testament to Dr. Oakley’s creative drive and passion for excellence, and user experience.
In order to minimize your risk of developing blood clots, you will be asked to stop taking birth control at least two weeks before surgery. You will also have to stop taking any hormones or supplements such as fish oil, and aspirin. The American Society of Plastic Surgeons requires that you sign a consent form confirming the cessation of all supplement intake. In addition to reducing your risk of developing blood clots, stopping your intake of supplements and other medications also helps to minimize bleeding during 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.
The chemical solution for superficial peels — also known as light peels or lunchtime peels — is typically alpha hydroxy acid (AHA) or beta hydroxy acid. AHAs are naturally occurring compounds found in papayas, milk, sugar cane and other foods. Healing time for a superficial chemical peel is often between 1 and 7 days. Superficial peels are the most affordable and may range from under $100 to over $200, depending on the provider.
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