Chemical Peel

Below are some dramatic before and after pictures illustrating the results possible from the Chemical Peel procedure. Click on the small image for a larger version.

COSMETIC SKIN PEEL

This non-surgical procedure is used in the treatment of fine facial wrinkling, hyperpigmentation abnormalities of the face, and several other facial skin problems. This technique has been performed by plastic surgeons in the United States since 1960 as a safe and effective method to improve facial wrinkles which are the result of aging, sun damage, and hereditary factors.

WHAT IS COSMETIC SKIN PEEL?

The cosmetic skin peel will alleviate the crows feet around the eyes and he shriveled skin around the mouth and cheeks by removing the outer layers of skin. This method employs a solution that induces sloughing of the superficial layers of skin.

The patient is sufficiently medicated to avoid unnecessary discomfort with local anesthesia. A general anesthesia may be used if so desired.

The solution usually used in cosmetic skin peel is a phenol-croton oil mixture. It is applied with cotton swabs or a brush slowly and deliberately in order to prevent rapid absorption and deep penetration. If a deeper result is desired, waterproof tape is applied over the painted areas. This causes deeper coagulation and more pronounced skin sloughing when the tape is removed within one or two days.

Shortly after the solution is applied, the skin becomes white and then turns red. The swelling begins to subside in two or three days. Meanwhile, a crust may form over the surface. This scabbing is necessary for the formation of new skin. When the scab comes off, smooth, pink, healthier, rejuvenated results are evident.

HOW MUCH IMPROVEMENT CAN BE EXPECTED FOLLOWING THIS PROCEDURE?

The amount of improvement is individual and depends on the initial condition of the patients skin. Most patients view the results as dramatic. Studies have shown that the processes long-lasting. Of course patients must be realistic as to expectations. This is an area of plastic surgery where it is very important for a plastic surgeon to have meaningful communication with the anesthetician. The patient must be instructed in an effective skin care regime and makeup technique.

WHAT ARE THE RISKS INVOLVED?

Each year thousands of cosmetic skin peel procedures are performed successfully in the United States. Although complications are rare, possible risks will be discussed with you prior to surgery. Chemical peeling can cause a change in skin coloration. Infection and scarring are uncommon complications. With a phenol peel, the new skin will not tan. Therefore, the new skin will be lighter in color, and must always be protected from the sun. There are risks in any surgical procedure.

Dr.Sevinor has lectured extensively on the cosmetic skin peel procedure, not only in the United States, but internationally as well.

WHAT ARE SOME OF THE CONDITIONS THAT CAN BE TREATED BY A COSMETIC SKIN PEEL?

Indications include wrinkles caused by aging, sun damage or hereditary factors, superficial acne scarring; and irregular pigmentation of the skin, including melasma, freckles, age spots and dark circles under the eyes. Therapeutic indications for this type of surgery are precancerous conditions such as keratosis (thick, rough, reddish growths).

The peel procedure can be done either in a segmental fashion in a specific areas of wrinkling or over the entire face. A partial peel can also be done in conjunction with a face-lift.

WHAT CAN BE EXPECTED FOLLOWING THE SURGERY

The procedure lasts from 20 to 90 minutes depending upon whether it is a partial or full face peel. For a day or two following the procedure, the skin will feel as if it has been sunburned, but medications can alleviate any discomfort. Swelling of the affected area is to be expected for about ten days following the procedure. Moving around rather than lying in bed is recommended to keep swelling at a minimum. Within a few days after the procedure, the healing process begins as the effected area starts to crust. Washing with mild soap and water is permissible after the crust has gone. Cosmetics can usually be used 14 days after the procedure. Direct or reflected sunlight should be avoided for four months after the treatment.

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