Chemical Peels

“Beauty is skin deep, but so is age and sun damage.”

Chemical peel uses a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. It is helpful for those individuals with facial blemishes, acne, wrinkles and uneven skin pigmentation.

Peels are grouped into many categories based on the type (and strength) of acid used.  Our aestheticians have many types of skin peels in their armamentarium.  Some are used simply to give the skin a brightened and fresh look and do not actually cause peeling.  Others cause peeling for just a day, while still others cause peeling for a few days to a week.  Often these peels are added to a facial for enhanced results. Dr. Guy may sometimes do deeper skin peels which require more healing time, but for deeper changes, she more often uses the laser for laser skin resurfacing.   The American Society of Plastic Surgeons recommends that the peel and laser procedures be performed by professionals in a qualified, experienced, plastic surgeon’s office such as Brevard Plastic Surgery & SkinTreatment Center.

Consultation & Preparation

During your initial consultation, it is important that you discuss your expectations with Dr. Guy or one of the BPSSTC aestheticians, Rachel Asfar or Norah Chouinard.  Don’t hesitate to ask any questions or express any concerns that you may have. The planned procedure will be explained in detail, including its risks and benefits, the recovery period and the costs. If you have a history of cold sores, a form of herpes, inform the aesthetician prior to the procedure.

Your Brevard Plastic Surgery & Skin Treatment Center aesthetician will instruct you on how to prepare for your peel treatment. Sometimes Retin A – a prescription medication derived from Vitamin A – is used to pre-treat the skin. This thins out the skin’s dead surface layer, allowing the peel solution to penetrate more deeply and evenly. If your skin won’t tolerate Retin-A pre-treatment, other exfoliating creams may be used, instead. Hydroquinone, a melanin suppressant (melanin produces the brown pigment in the skin), is sometimes used in conjunction with Retin-A or exfoliating pre-treatment, especially if you have blotchy skin areas or pigmentation problems. You may have to spend a month or more in the pre-treatment phase before you schedule your actual peel.

The Skin Treatment

ALPHAHYDROXY ACIDS (AHAs), such as glycolic, lactic, or fruit acids are the mildest of the peel formulas and produce light peels. These types of peels can provide smoother, brighter-looking skin for people who can’t spare the time to recover from a phenol or TCA peel. AHA peels may be used to treat fine wrinkling, areas of dryness, uneven pigmentation and acne. Brevard Plastic Surgery & Skin Treatment Center aestheticians can analyze your skin to determine which of the following AHA-based peels are right for you.

PCA Peel
This special blend of naturally occurring AHA’s (fruit acids) work in your skin for 5-7 days helping to lift out hyper pigmentation (brown spots) caused by hormones or sun damage. It also reduces surface lines and improves the overall texture and clarity of your skin. Results show lighter, tigher and brighter skin. The PCA Peel is wonderfully effective in inhibiting active acne.

Esthetiques Peel
Advanced formula of L-asorbic, L-lactic, L-retinol smoothes, tightens and improves skin texture and clarity. The Esthetique Peel is loaded with antioxidants, vitamins, and humectants resulting in fresh, hydrated, healthy skin.

Purifying Peel
The peel is perfect for oily impure skin. Effectively kills bacteria, reduces breakouts and balances oil production. Our purifying peel also promotes healing and reduces hyper pigmentation caused by sun damage or old breakouts.

Sensi Peel
Formulated primarily for sensitive skin conditions, gently yet effectively works deep within the skin helping to lighten hyper pigmentation (brown spots) exfoliates dead dull skin resulting in smoother, fresher more resilient looking skin.

TRICHLOROACETIC ACID (TCA) can be used in many concentrations, but it is most commonly used for medium-depth peels. Fine surface wrinkles, superficial blemishes and pigment problems are commonly treated with TCA. With a TCA peel, your healed skin will be able to produce pigment as always; the peel will not bleach the skin. However, TCA-peel patients are advised to avoid sun exposure for several months after treatment to protect the newly formed layers of skin. Even though TCA is milder than phenol, it may also produce some unintended color changes in the skin and may require pre treatment and post treatment with Retin-A or AHA creams.
A full-face TCA peel usually takes no more than 15 minutes. Two or more TCA peels may be needed to obtain the desired result, and those may be spaced out over several months. Mild TCA peels may be repeated as often as every month. Dr. Guy will determine when a TCA peel is appropriate.

Obagi Blue Peel
After years of development and testing, Obagi has created an innovative professionally-administered chemical peel. The Obagi Blue Peel, if repeated over a period of time, can achieve the same result as a deeper chemical peel or a laser. Healing occurs usually in just 7-10 days, or shorter depending on the mode of application.

The Obagi Blue Peel represents a significant breakthrough in skin rejuvenation. Unlike other AHA-based peels, the Obagi Blue Peel uses slow acting TCA, instead of glycolic acid, to enable the professional to control the peel process and its depth. The process is tailored to the nature of the problem to be corrected: wrinkles, scars, laxity or
pigmentation problems.

Recovery & Results

AHA Peel:
After an AHA peel, it is common to experience some temporary flaking or scaling, redness and dryness of the skin. However, these conditions will disappear as the skin adjusts to treatment and will not prevent you from working or engaging in your normal activities. A fresher and improved skin texture will result with continued AHA treatments. Remember, protecting your skin from the sun is also important following these mild acid peels. Use a recommended sunblock with adequate UVA and UVB protection every day.

Improvements from AHA peels may be very subtle at first. You may detect a healthier glow to your skin. With continued treatments, you will notice a general improvement in the texture of your skin.

TCA Peel:
A TCA peel may  cause significant swelling, depending on the strength of the peel used. In about a week to ten days, your new skin will be apparent and you should be healed sufficiently to return to your normal activities. It is best to avoid sun exposure unless you are adequately protected.

The results of a TCA peel are usually not as long-lasting as those of a deep laser resurfacing. However, your skin will be noticeably smoother and fresher-looking.

If you are not sure which type of peel is best for you, treat yourself to a complimentary skin care consultation with either Norah or Rachel.  They can evaluate your skin and your goals and recommend the best course of action for your situation.  If they feel you would be better served with a deep laser resurfacing, they will share their information with Dr. Guy and you will be given an opportunity to consult with her.