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Skin2 min read

Chemical peels: depth, downtime and results

Peels vary enormously in strength. Depth is what determines the result, the recovery and the risk.

Perspective from Stone Surgical Arts

A chemical peel applies a solution that removes the outer layers of skin in a controlled way. The word covers everything from a lunchtime treatment to a procedure with a fortnight of recovery.

A thought to keep

Ask which depth is being proposed. It determines the result, the downtime and the risk more than the brand name does.

01

Depth is the variable that matters

Superficial peels act on the outermost layer and give a modest freshening with little downtime, usually as a series. Medium peels reach further and address fine lines and pigmentation with a recovery measured in days.

Deep peels produce the greatest change and involve significant recovery, more careful patient selection and greater risk. They are a different proposition from the other two.

02

What they address

Peels are used for skin texture, dullness, sun damage, some forms of pigmentation and fine lines. Deeper lines and any laxity are not treated by resurfacing the skin.

Results are gradual with superficial peels and more evident with deeper ones, and in every case a course of maintenance and sun protection influences how long the result lasts.

03

Skin type and risk

The main risks are pigmentation change, prolonged redness, infection and, with deeper peels, scarring. The risk of pigmentation change is higher in darker skin, and both the agent and the depth are chosen accordingly.

A history of cold sores, recent isotretinoin use, active skin infection and recent sun exposure all affect whether and when a peel is appropriate.

04

Aftercare

Sun protection afterwards is not optional; it is the main thing protecting the result and preventing pigmentation problems. Follow the instructions on cleansing and moisturising, and do not pick at peeling skin.

Ask who will perform the treatment, what agent and strength will be used, and what happens if the skin reacts more than expected.

Adapted from the Stone Surgical Arts archive and updated for clarity. This article offers general information; an individual consultation is needed for treatment advice.

Further reading

ASPS: chemical peel
Explore non-surgical treatments

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