You should expect to visit your surgeon the day after surgery to fully assess your condition. During this appointment, I usually fit the patient with their support garment, which will help to prevent the formation of blood clots. After the first follow-up, I schedule weekly visits. These continue depending upon the patient's extent of treatment, as well as his or her risk factors in developing blood clots and other complications.
Chemical Peels range from the Superficial, which will give you gentle exfoliation and can be repeated at frequent intervals, to Medium which will use stronger solutions and achiever greater peeling, to Deep, which as the name suggests will produce more visible results but the potential for complications and side effects with Deep Peels is also much greater.
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.
The cost of the procedure will vary depending on factors like location, expertise of the provider, and what type of peel you want to get. Light peels can cost as low as $150, and deep peels can cost $3,000 or more (specifically if it requires anesthesia, or in-patient stays). According to the American Society of Plastic Surgeons, the current average cost of a chemical peel is $673.
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.
Yes, all chemical peels require some downtime. Light flaking, irritation, and peeling usually occur for a few days after light peels. It can take up to six weeks for skin to return to its normal appearance following a medium chemical peel. Deep chemical peels are closer in nature to a surgical treatment—patients are usually asked to rest their skin for two weeks before they're able to resume normal activities or wear makeup. Skin may remain red in appearance for up to three months.
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.