Chemical peeling involves the application of a chemical exfoliant (acid or base) to remove layers of damaged skin. Chemical peels are graded (very superficial to deep) depending on the depth of penetration and the layer of skin that is removed with a peel. Depending on the amount and depth of photodamage, real improvement in sun spots, wrinkles, and hyperpigmentation may require different depths of chemical peels. Dr. Marotta performs Medium (Jessner 35% TCA) to Deep (Bakers Phenol) Chemical Peels.
What can be treated with a Medium to Deep Chemical Peel?
- Sun damaged skin and age spots on the face, hands, shoulders/back, chest, and neck
- Reduction of fine to deep wrinkles – e.g. Crow’s feet, lipstick lines
- Oily skin
- Acne scars
- Destruction of skin lesions
General Procedure – Medium to Deep Chemical Peels
Medium depth chemical peels are performed using Jessners 35% TCA solution. They may be performed under local anesthesia in the office or in the operating room under sedation. The agent is applied to the face evenly and the depth of penetration carefully monitored. Deep chemical peels are mixed by Dr. Marotta using phenol and other ingredients in various concentrations to make Hetter’s Peel or Baker’s Phenol solutions. These peels are performed under IV sedation and monitoring. Deep chemical peels are only appropriate for select patients.
Recovery – Medium to Deep
The skin may appear red and swollen immediately following the procedure. The swelling is more pronounced with a deep chemical peel. The skin will turn brown over 48 hours and slough over the next 7-10 days. Make-up and sunscreen/moisturizer can then be used. The underlying skin will appear pinker and healthier. This pink appearance completely fades in 2-3 weeks and easily covered with make-up. Continued improvement from these peels can be seen even up to a year following the procedure. A medium depth peel can be repeated every 6 months to 1 year. A deep chemical peel can only be done once.