By Lucia Weeks


A chemical peel procedure involves the application of an acid solution to the skin, which has an exfoliating effect that causes the new skin to grow back with a rejuvenated, fresh glow to it. When interested in facial peels Vancouver BC patients should first have an understanding of what it entails and what to expect.

There are three depth levels of peels available; superficial, medium, and deep. The first type is done using alpha or beta-hydroxy acids and it only affects the uppermost layer of cells, it offers more even skin tone and a softer complexion. The second uses glycolic or trichloroacetic acid and it is effective against lines, wrinkles, and various kinds of hyperpigmentations. The deepest peel usually involves the application of phenol or trichloroacetic and offers optimal elimination of deeper creases, scars, and marks such as freckles and age spots.

Patients will first need to attend a consultation with a dermatologist if they are considering having a peel. They can discuss their concerns and expectations with the doctor, who will examine them and decide if this treatment is suitable or not. If the patient is a good candidate, the doctor will recommend which level of treatment is most appropriate.

Generally, fair-skinned patients can expect a better outcome from a peel than those with darker complexions, even though they too can benefit from the procedure, it sometimes happens that the new skin grows in paler. Any patient who wishes to undergo this treatment, must not be using Accutane, Renova, or Retin-A, and they must not suffer from active psoriasis, dermatitis, rosacea, eczema, or herpes simplex I or be pregnant or breast-feeding.

Store-bought "peels" may provide users with some improvement in the tone and texture of the complexion, but they are by no means capable of producing the same results as a procedure performed by a doctor. They are safe to use, too mild to do any harm, and are acceptable for subtle results, but are not the equivalent of a professional peel.

Lighter peels seldom call for the use of anesthetics, usually the mild stinging sensation can be controlled by a cooling fan and cold compress application. Deeper treatments require local anesthesia, possibly combined with intravenous sedation. First, a defatting agent is applied to the skin, followed by the peeling solution, and lastly a neutralizing agent. The area will then be lightly bandaged.

Usually the only discomfort involved is some stinging, but this depends on how deep the level of treatment is. Redness, swelling, and irritation are to be expected following the procedure, but this can be controlled with the use of topical preparations prescribed by the physician. Rarely, a patient may experience scarring or discoloration.

The healing time varies according to the treatment depth. A superficial peel only needs one day to a week to heal, while medium requires 7 to 14 days, and a deep peel will require two to three weeks to recover. Crusts will fall off to reveal healthy, new skin underneath. Sun exposure and smoking need to be avoided for three to six months as they may cause complications.




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