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Types of Chemical Peels

Chemical peels resurface then skin by chemical wounding. The agent used and the depth of wounding are determining for the effects of the peel.

 

Superficial peels are used for: dyschromias, melasma, comedonal acne, skin refreshing.
 

Medium peel are used for: actinic changes and preneoplasia, fine rhytides, pigmentary dyschromias, selected superficial scars.

With deep rhytids and overall skin laxity the patient may be better served with a rhytidectomy.

Dynamic wrinkles, especially around the eyes and the forehead may be better treated with botulinum toxin.

Preconditioning of the skin is somtimes used to decrease potential complications and increase wound healing speed.

Poor candidates for chemical peels may be some of the following situations: patients with collagen vascular disease (bad scars), with a history of previous radiotherapy to head/neck (we may consider a punch biopsy first to  assess the presence of enough skin appendages), with a history of hypertrophic/keloid scarring, patients under isotretinoin (Accutane), patients with advanced HIV disease and immunosuppression, patients with fitzpatrick skin type 5/6 (unless using superficial peel), patients with general poor mental and physical well-being, patients with a history of melasma, recent pregnancy and women under estrogen use (or other photosensitizers), patients unwilling to avoid the sun

ZO® 3 – Step Peel™

An innovative, in-office treatment peel targeting melasma, acne, fine lines, rough texture, large pores and dullness, followed by an at-home treatment that produces longer lasting results than ordinary peels. Suitable for all skin types.

BENEFITS 
Dual-action, highly effective peel designed to provide skin renewal and stimulation
Utilizes a blend of exfoliants, retinol and multi-action agents to significantly improve skin health and treat many signs of aging
Supports improvement of skin barrier protection and improves the skin’s ability to repair and renew itself
Provides antioxidant protection as well as anti-irritant benefits

ZO® Controlled Depth Peel™

A highly advanced, in-office-only procedure, recommended for use when scarring, severe laxity, severe texture damage and advanced melasma are of concern. Sedation may be required.

BENEFITS 
Maximal skin tightening benefits
May be combined with other ablative procedures for enhanced benefits
Easily mixed with TCA
Excellent anti-inflammatory benefits

Other peels and alternatives

Aside chemical resurfacing, we can resurface the skin with heat using lasers or mechanically with dermabrasion.

Each technique has its advantages and disadvantages, which will be discussed during the consultation.

Concentrated trichloro-acetic acid (TCA)

Ice-pick scars, large pores or certain pitted scars on the nose can be treated with a high concentration of TCA.

 

The treatment is not painful.

 

The healing takes 10 days. A second session can be done after 6 weeks. Multiple sessions may be necessary.

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