Environmental factors, stress, and aging all have an impact on the texture and appearance of the skin on your face, neck, and hands. This can affect your self-confidence and quality of life. Chemical peels are non-invasive, effective treatments that may correct some of these concerns.
Chemical peels are the third most popular cosmetic procedure in the United States, with hundreds of thousands being performed every year. The popularity of the treatment lies in the ability to help with a range of skin concerns, including fine lines and wrinkles, dark spots, uneven tone, and even acne.
If you’re considering a chemical peel, it's important to understand the treatment and how to achieve the best possible results.
A chemical peel is a cosmetic treatment with certain acids that may be used for the face, neck, and hands to improve the appearance and texture of the skin. A chemical peel works by removing the damaged layers of skin, stimulating cell turnover, and boosting collagen development. This exposes new skin that is smoother with improved tone, softer wrinkles, and less damage.
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Chemical peels are used to treat skin concerns, including: Sun damage, Acne scarring, Wrinkles and fine lines, Hyperpigmentation, Melasma, Uneven skin tone, Redness, Age spots, Skin discoloration, Scars Dullness or roughness.
Pros: Reduces wrinkles, Corrects hyperpigmentation, Improves skin ton, Customized to match your skin concerns and skin type, More affordable than comparable laser treatments, Light peels have little to no downtime.
Cons: May not be suitable for sensitive skin and darker skin tones, Risks include scarring, permanent changes in skin color, infections, and increased risk for heart, kidney or liver damage.
The three main types of chemical peels are light peels, medium peels, and deep peels.
Light peels typically use a mild acid, such as alpha-hydroxy, to gently exfoliate the skin. Superficial peels only penetrate the outermost layer of your skin.
Medium peels use glycolic acid or trichloroacetic acid and penetrate to the outer and middle skin layers.
Deep peels often use phenol or trichloroacetic acid to penetrate through to the deeper layers of the skin, effectively correcting deep wrinkles and other flaws.
In most cases, a chemical peel will be done in-office, although deep peels may be done in a surgical facility on an outpatient basis. Before starting the procedure, your doctor or aesthetician will tie back your hair, clean your face, and cover your eyes with goggles or gauze.
The treatment area may then be numbed with a topical anesthetic, particularly if you have a medium or deep peel. For deep peels, your doctor may elect to use a local anesthetic to numb the area.
Using a cotton ball, gauze, or brush, a chemical solution, such as salicylic acid, is applied to the treatment area. Once the solution has been applied, the skin will start to whiten and may sting slightly. The chemical solution is then removed, and a neutralizing treatment is applied.
To apply a medium chemical peel, a gauze, special sponge, or cotton-tipped applicator is used to apply the solution to your face. It may contain trichloroacetic acid or glycolic acid. If trichloroacetic acid is used, a blue color may be added, which is where the term ‘blue peel’ comes from. As the skin begins to whiten, your doctor will apply a cool compress. You may notice a stinging or burning feeling for up to twenty minutes after the treatment. A neutralizing solution may be applied to the skin to stop the peeling process. If you have had a blue peel, your skin may have a slightly blue tint for a few days.
A deep chemical peel is applied with a cotton-tipped applicator. The acid, usually phenol, turns the skin white or gray. The procedure will be done in 15-minute intervals to limit your skin’s exposure and control the treatment time.
Before the treatment, you will have a consultation with your skincare specialist to help you determine the best peel for your skin and discuss the details of the treatment. The consultation may also include a brief medical history to identify any factors that may affect the treatment. This includes any acne medication that you have taken and whether you scar easily. Women who are pregnant or breastfeeding should not have chemical peels.
Depending on your risk factors, you may also need to:
Your recovery time will vary depending on the type of chemical peel.
You may not need any recovery time. It may take four to seven days for your skin to return to normal. You may notice that your skin is light or darker temporarily.
Initial recovery from a medium chemical peel can take five to seven days. Noticeable redness after your chemical peel may last for several months. You may notice some initial swelling. It is normal after a medium chemical peel to have some crusting and scabbing on the skin, as well as brown-colored blotches. This indicates that new skin is forming after the peel.
Deep chemical peels produce significant swelling and redness initially. It’s also common to experience burning and throbbing sensations. Your eyelids may also swell, making it difficult to keep your eyes open. White spots or cysts may be noticeable for several weeks, and the redness can last for a few months. New skin starts to emerge after two weeks.
For any type of chemical peel, follow the recovery instructions carefully, including how often to wash your face, when to moisturize, and which products to use. You will need to avoid the sun while your skin heals. Avoid using make-up and perfume until the skin is completely healed. If you experience any discomfort, gently apply ice packs to the area. A small fan may also help relieve the discomfort.
There are a number of different chemical peels available, so the treatment can be customized to match your specific needs. An experienced skincare specialist will match your skin requirements with an acid solution that will offer the best results. For those with sensitive skin or dark complexions, Medium and deep chemical peels are usually not recommended for those with sensitive skin or dark complexion due to higher risk of scarring and hyperpigmentation.
If you have a light peel, you may notice a burning sensation that lasts five to ten minutes, followed by some stinging. Gently apply cold compresses to the area to relieve the discomfort. If you are having a deeper peel (a medium or deep peel), you may need prescription or non-prescription pain medication during and after the treatment.
The most common side effects are temporary redness, burning, stinging, slight swelling, changes in skin color, and dryness.
Other less common side effects of a chemical peel include:
A glycolic peel (light peel) can reduce the appearance of dark circles caused by hyperpigmentation. Medium and deep peels are not recommended for the delicate skin of the eye area.
To speed up the healing process and reduce discomfort:
If you have had a light chemical peel, you may experience some mild redness and slight swelling, so you might choose to take the rest of the day off from work. Light chemical peels take around one to seven days to heal.
If you have had a medium-depth or deep chemical peel, you should be able to return to work after a week, although your skin may take a few months to heal fully.
Light chemical peels are recommended every two months or less depending on the condition being treated. A follow-up medium chemical peel can be done after three to nine months. You can only have one deep peel in your lifetime.
While all chemical peels carry some risks, they are considered very safe when performed by an experienced, qualified professional. You can minimize your risks by informing your skincare specialist of any history of keloids (overgrowth of scar tissue), unusual scarring, cold sores, a family history of skin discoloration, or hormone medication use.
Light peels cost between $150 and $300. A deep peel can cost up to $3000, especially if the treatment requires anesthesia or an in-patient stay.
Microdermabrasion, non-ablative laser skin resurfacing, dermabrasion, ablative laser treatments, and IPL® are non-surgical treatments that offer similar results to a chemical peel.
Microdermabrasion exfoliates the top layer of dead skin cells to brighten your complexion. A chemical peel may be performed after microdermabrasion.
Fractional non-ablative lasers vaporize columns of skin tissue in the treated area, stimulating self-heling of the skin through collagen production. This can be used for improving skin texture and pigmentation, as well as fine lines, skin discoloration, and mild acne scarring. Fractional non-ablative laser treatments are comparable to medium chemical peels in terms of results, side effects, and downtime.
Dermabrasion is a deeper level of exfoliation that works by removing damaged skin cells down to the dermal layer. It’s an alternative to a deep chemical peel, and it is often used for skin discoloration, crow’s feet, and acne scarring.
An ablative laser treatment removes the top layers of skin, and it is used for age spots, scarring, and deeper wrinkles. It is associated with higher risks and has a longer downtime.
Intense Pulsed Light (IPL®) focuses on pigmentation and discoloration, including liver spots and sun damage. It can also be used for broken capillaries. This makes it a popular alternative to chemical peels for people who have birthmarks, rosacea, and skin redness. It can be used in combination with a light chemical peel.
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I had surgery with doctor Reynolds one and a half years ago. It has been difficult to write this review because I feel like I wasted a lot of money. Long story short: I had three different areas surgically worked on by Dr Reynolds during one surgery. I am mostly happy with one area, moderately happy with the second area, and not at all happy with the third area- there actually doesn't look to be any difference in this area from pre and post op photos, other than a now-present post-surgical scar. I would not return to Dr Reynolds for any type of medical procedure.
If you want the long story: My initial consultation with Dr Reynolds was great. He knows how to have a good bedside manner when he needs to, and made me feel comfortable and confident in his knowledge and capabilities. Every interaction I had after the initial meeting was incredibly disappointing. Everything from not receiving return phone calls from multiple staff members numerous times, being told my pre-op imaging results had not been received by the office (which in the end they admitted they had received , but they didn't bother to look in to it until I had driven across town to pick up the imaging report and delivered it directly to the office), being scheduled incorrectly for my procedure (I didn't even know if I was going to be able to have all aspects of my surgery done until a couple of weeks beforehand), and being told by one front desk receptionist that I wasn't her only patient and she had more important things to take care of.
Post surgically, I was rushed out of the office for every follow up visit, mostly feeling like my questions were not adequately answered. There are so many additional issues that I encounter with Dr. Reynolds and his staff. Overall I am very disappointed with my experience and feel like I was just a number to everyone involved. And to top off the whole experience, I didn't get the post-surgical results I was expecting or was promised.
Lauren Williams on Brandon Reynolds, Dr via Google Reviews
Hi everyone! I wanted to take a moment to share my experience with Smith Plastic Surgery.
As a woman in my early 20s, I’ve always struggled with insecurity about the large hump on my nose’s bridge and the wider tip. To others, my nose seemed perfect and fit my face, but deep down, it was my biggest insecurity, and it held me back from feeling truly confident. For seven years, I had dreamed of getting a nose job, but I was always too nervous to take the leap.
Finally, I decided to start my search for the right surgeon, and I consulted with six doctors before meeting Dr. Smith. Unfortunately, during my consultations, I felt like the other doctors didn’t understand my vision. I explained that I didn’t want the typical “button nose” look that so many people get, but every time, I was told that’s what I should do.
When I met Dr. Smith, everything changed. He truly listened to what I wanted and worked with me to design the nose I had been envisioning for years. The entire team at his office was incredibly welcoming and knowledgeable, always ready to answer my questions.
On the day of surgery, Dr. Smith reassured me every step of the way, and the nursing staff took exceptional care of me. The surgery went smoothly, and the recovery was much easier than I had anticipated. I experienced minimal pain and no visible scarring at all.
When the cast came off, I was nervous about how the results would turn out, but I couldn’t have been happier. The result was everything I had hoped for—and more! I was moved to tears, grateful for how Dr. Smith had transformed not only my nose but my confidence. He truly changed my life by listening to me as a client.
I wholeheartedly recommend Dr. Smith for anyone considering facial cosmetic surgery. He’s the best!
Ariel Effros on Lane Smith, Dr via Google Reviews
I would give zero stars if I could. He ruined my breast and caused me the worst pain of my life. One of my breast fell off the muscle 3 months after surgery and the other one lost fluid. They were also uneven and severely scarred. He told me there’s nothing he can do and wanted more money from me. They also talked me into getting a lift when I NEVER needed it. Please! Save yourself money and do your research there’s plenty of good doctors in Vegas but this isn’t one of them.
Teresa Garnica on Samir Pancholi, Dr via Google Reviews
I have always debated about getting a breast augmentation. After consulting three surgeons in Vegas I decided to go with Dr. Smith. He came highly recommended by my coworkers in the nightlife/service industry on the strip. I have a smaller frame and I love my new breasts 3-4 months post-op. I am so happy with my results. I feel more confident in bikinis and low cut tops. The staff was very helpful throughout the process, especially Natasja. Also, getting a surgery date in the books was very quick and stress free. I highly recommend him and his office!
Sylvia G on Lane Smith, Dr via Google Reviews
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