Chemical Peels Cincinnati
Chemical peeling of the skin is one of the most reliable and cost effective ways to remove or diminish fine wrinkles, remove hyperpigmented areas, smooth rough skin, improve acne scarring, or treat precancerous lesions. Chemical peels rejuvenate the skin by removing upper layers of skin (epidermis and upper dermis), which are then replaced with new skin formation.
Typically the new skin is more youthful and healthy appearing. Many types of chemical peeling agents are available including phenol, TCA, croton oil, salicylic acid, glycolic acid, and others. Chemical peels are classified by the depth of penetration (light, medium, deep) and the resulting improvement in the skin. Chemical peels can be repeated but caution is necessary as the patient has a slight increased chance of scarring.
Light chemical peels consist of salicylic acid or glycolic acid and can be repeated every 2 weeks. These are used more for maintenance following a peel or for correction of minimal skin deformities. Because of minimal penetration they are extremely safe with almost a zero chance for scarring or complications. These are commonly known as “micropeels”” and are performed by the nurse or aesthetician.
Medium depth peels are usually performed with trichloroacetic acid (TCA). Following degreasing of the face with acetone, a 30% or 50% TCA solution is rubbed into the skin with penetration into the upper dermis. The TCA can cause quite a burning or stinging sensation, which is minimized by application of ice water. Topical anesthesia may be required for certain patients. After 2-7 days of healing the old skin is shed and replaced with “new” skin that is smooth and free of blemishes. Post-operative redness is minimal and can be reduced by topical hydrocortisone. Complications can include hyperpigmentation and scarring.
Deep peels can be accomplished with TCA or phenol. Phenol has fallen out of favor due to the increased incidence of pain, scarring, and hypopigmentation (white, shiny skin). Patients seeking deeper peels should consider laser peels as they have a lower rate of complications and a higher level of effectiveness.