A chemical peel is a restorative, cosmetic procedure that can help reduce the signs of aging on your face. The doctor applies a chemical solution to your skin during a chemical peel. This solution removes damaged skin cells and replaces them with healthy skin. This procedure can help improve common skin problems such as acne, wrinkles, hyperpigmentation, and uneven skin texture. However, the exact results depend on many factors, such as the severity of your skin problems and the type of peel applied.
| Operation Duration | Length of hospitalization | Recovery Time |
| 15-30 minutes | Outpatient | Few days |
Chemical peels improve many skin problems. The most common condition that chemical peels can help treat is acne. This problem is a common inflammatory skin disease. You usually treat it with topical products or oral medications. But peels also help with this problem. This method breaks comedones (clogged hair follicles), reduces oil production, kills bacteria, and reduces inflammation. To treat acne, specialists usually use mild to moderate chemical peels. For acne scars, experts typically recommend a medium chemical peel.
Your chemical peel preparation depends on the peeling treatment intended for you. Your doctor will prescribe Retin-A, a vitamin A product, to prepare for your treatment. You can use a different cream if your skin cannot tolerate the doctor’s pre-treatment with Retin-A. Hydroquinone, a whitening agent, can sometimes be used in combination with Retin-A or AHA, especially if you have skin that is prone to blemishes or if you have pigmentation problems. This treatment can last a month until your doctor gives the final treatment.
Specialists sometimes perform the peeling procedure under local anesthesia or sedation. Specialists usually perform this procedure on an outpatient basis. Exfoliation of the entire face with TCA AHA usually takes 30 minutes. Peeling the face as a whole with phenol takes about 1-2 hours, while exfoliating small parts of the face, such as the upper lip, can take up to 10-15 minutes. With a substance that removes excess oils, specialists completely cleanse the skin, protecting the eyes and hair. Depending on your skin’s needs, specialists may use one or several chemical solutions, such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbolic acid (phenol).
During the procedure, doctors apply the solution to small areas of skin. These applications produce a controlled wound that causes newly formed skin to appear. During this treatment, most patients experience a feeling of warmth and some heat for 5-10 minutes, followed by a stinging sensation. Doctors use cold compresses to help relieve this pain.
Lifelong sun protection is critical to preserving your results. Consulting a specialist in this field is the best way to achieve long-term results after a chemical peel. While your results may vary, recovery from peels depends on the type of peeling treatment used. Mild chemical peels cause temporary peeling, redness, and dryness of the skin.
However, these conditions will improve after your skin adapts to the treatment. The medium to deep procedure may cause itching. Experts will give you a mild painkiller to relieve this. It is usual for scabs to form on the problem areas. Following the doctor’s instructions at this stage is essential to help your face heal properly.
Someone should be with you for 1-2 days after treatment. You may also need a liquid diet for the first few days after treatment. As the skin heals, you may need to use a protective ointment. Using sunscreen to protect your skin from the sun would be best.
The healing process is different for each type of peeling. You may experience mild irritation and dryness after a gentle peel. You can usually wear makeup the next day and resume normal skin care activities such as cleansing and moisturizing. It will probably take 1 to 7 days for your skin to heal completely. The most common side effect of moderate chemical peels is swelling.
You can often safely apply makeup within 5 to 7 days. The healing process usually takes 7 to 14 days. However, you may have redness for a few months. The most common side effects of deep peels are intense redness and swelling. Swelling can last up to 14 days, and redness can last up to 3 months.
What is Chemical Peel?
Chemical Peel is a method in which specialists use a chemical solution to remove the top layers of the skin. The regrown skin is then smoother. You may need more than one peel for mild or moderate peels to achieve the desired results. Specialists use peels to treat wrinkles, discolored skin, and scars. They can be done alone or with other beauty treatments at different skin depths, from superficial to deep. Deeper chemical peels provide more dramatic results. But the recovery is more prolonged and takes longer.
Chemical Peel is a skin resurfacing method. Depending on the application process, specialists peel at one of the three depths of the skin. Exfoliation (superficial) in mild peeling removes the outer layer of the skin (epidermis). They use it to treat fine wrinkles, acne, uneven skin color, and dryness. You may need light exfoliation every two to five weeks.
A moderate peel removes skin cells from the epidermis and parts of your skin’s upper middle layer (dermis). They use it to treat wrinkles, acne scars, and uneven skin color. You may need to repeat this procedure to achieve or maintain your desired result. Deep peels remove skin cells from the deepest layer. Your doctor recommends this procedure for deeper wrinkles, scars, or pre-cancerous growths. However, there is no need to repeat this step. Chemical peels cannot remove scars or deep wrinkles or treat sagging skin.
In general, healing after a chemical peel will cause some redness. Redness after moderate or deep chemical peels may last for several months. Rarely, this procedure may cause scarring. To soften the appearance of these scars, experts recommend antibiotics and steroid medications. The treatment also makes the skin darker than average (hypopigmentation) or lighter than average. We see hypopigmentation more often after deep peels. These problems are more common in people with dark skin and can sometimes be permanent.
Chemical peels can lead to bacterial, fungal, or viral infections, such as flare-ups of the herpes virus that cause cold sores. In deep peels, specialists use carbolic acid (phenol), which can damage the heart muscle and cause an irregular heartbeat.
On the other hand, peels aren’t suitable for everyone. A dermatologist or skin surgeon performs this procedure. The results can be variable and depend on the expertise of the person doing the peeling. Inappropriate Chemical Peel can lead to complications such as infection and permanent scars.
Doctors prescribe an antiviral medication before and after treatment to help prevent viral infection. Your doctor may recommend using a retinoid cream such as tretinoin (Renova, Retin-A) a few weeks before treatment to help healing. Excessive exposure to sunlight before the operation can cause permanent irregular pigmentation in the treated areas. Talk to your doctor about sun protection and sun exposure.
Stop using hair removal methods such as electrolysis or hair removal about a week before the peeling procedure. Also, avoid hair coloring, permanent waves or hair straightening, facial masks, or facial peels the week before your peel. Don’t shave the areas you will apply 24 hours before peeling.
Who Should Have Chemical Peel Procedure?
Chemical Peel is a cosmetic procedure that can benefit various skin problems but isn’t suitable for everyone. In general, ideal candidates for Chemical Peel have the following issues:
- Due to pregnancy or birth control pill use, age spots, freckles, and dark spots (melasma).
- Uneven skin texture and light scars.
- Sun-damaged skin.
- People with fair skin and light hair are generally better candidates for chemical peels. However, depending on the type of problem, people with darker skin can also get good results.
- Ideal candidates are usually healthy and have no active skin diseases or infections. They should not have cuts or broken skin in the treatment area.
- Candidates should have realistic expectations about the results of the peel. It can improve the appearance of the skin, but it doesn’t make the skin look perfect.
Check out the candidates that aren’t ideal candidates for a chemical peel with this:
- Severe skin conditions: Individuals with serious or very active skin conditions may not be suitable candidates.
- Certain medications: Those taking certain medications, such as isotretinoin for treating acne, should avoid peels.
- Pregnant or breastfeeding women: Chemical peels aren’t suitable for pregnant or breastfeeding women.
- History of keloid scarring: People who form keloid scars should avoid peels.
- Excessive sun exposure: Those who cannot avoid sun exposure after the procedure may need to postpone their treatment.
It is essential to consult a dermatologist or skin care specialist to determine if peels are appropriate for your skin type and concerns. They can provide personalized advice based on your health, skin condition, and desired results.
What are the Risks of Chemical Peels?
A procedure used to improve the appearance of the skin, a peel involves the application of a chemical solution that causes the skin to exfoliate and eventually peel off. Although it can offer benefits such as smoother and less wrinkled skin, there are several risks and potential side effects associated with this procedure. Take a look at the risks of chemical peels in general:
- Skin irritation and redness: The most common side effect is skin irritation and redness. This can range from mild to severe, depending on the type of peel and the individual’s skin sensitivity.
- Scarring: There is a risk of scarring significantly if more profound layers of the skin are affected.
- Changes in skin color: Chemical peels can cause hyperpigmentation (darker skin) or hypopigmentation (lighter skin), especially in people with darker skin tones. These changes can be permanent.
- Infection: Peels can increase the risk of bacterial, viral, or fungal infections. This includes the reactivation of cold sores in people with the herpes simplex virus.
- Heart, kidney, or liver damage: Some types of deep peels with phenol can potentially cause heart, kidney, or liver damage.
- Sun sensitivity: New skin is more sensitive to the sun after a peel. This requires careful use of sunscreen to prevent sunburn and other sun damage.
- Allergic reactions: Although rare, some people may be allergic to chemicals.
- Persistent redness: Redness may persist for several months, especially after deeper peels.
- A flare-up of skin problems: Chemical peels can cause an explosion of some skin conditions, such as acne or rosacea.
What Will You Encounter During a Chemical Peel Consultation?
During a chemical peel consultation, you can expect the following steps and considerations:
- Skin assessment and medical history: The practitioner will assess your skin type, condition, and any particular concerns you have. They will also inquire about your medical history, including previous skin treatments, allergies, and medications, to ensure the procedure is safe.
- Discussion of goals and expectations: You will discuss what you hope to achieve with the peel, such as reducing wrinkles, treating acne scars, or improving overall skin tone and texture. The practitioner will explain what results you can realistically expect.
- Explanation of the different peels: Various peels range from superficial to deep. The practitioner will explain the differences, including the ingredients (glycolic acid, trichloroacetic acid, etc.), and recommend the most appropriate type for your skin concerns and goals.
- Pre-peel instructions: You may receive specific instructions to prepare your skin for the peel, including using certain skin care products or avoiding particular treatments or medications that may interact with the peel.
- Discussion of potential risks and side effects: Like any cosmetic procedure, Peels have potential risks. These may include redness, peeling, scabbing, or more severe effects depending on the depth of the peel. The practitioner will explain these to you.
- Post-peel care and expectations: You will be informed about the care required after the peel, such as moisturizing, sun protection, and avoiding certain activities or products. Understanding the healing process and what to expect in the days following the peel is imperative.
- Cost and timing: If you decide to proceed, you will discuss the cost and timing details of the procedure with the doctors. Deeper peels may require a longer recovery time, influencing your decision.
How Should You Prepare for Chemical Peels?
Preparing for a chemical peel involves several essential steps to ensure your skin is ready for the procedure and to minimize potential risks:
- Discuss your concerns about your skin, desired results, and previous skin treatments or conditions. Your specialist will determine the peel appropriate for your skin type and problems.
- As your specialist recommends, stop using retinoids, peeling creams, and some acne medications. Avoid products with ingredients that can irritate the skin, such as glycolic acid or salicylic acid, for some time before peeling.
- Minimize sun exposure and use a broad-spectrum sunscreen every day. Specialists don’t treat sunburned or damaged skin.
- Your dermatologist may recommend pre-treatment products to prepare the skin. This may include creams or serums containing retinol, hydroquinone, or other agents to enhance results and reduce potential side effects.
- Tell your specialist about your medical history, allergies, and medications you are currently taking.
- Understand post-peel care instructions, including special cleansers, moisturizers, and sun protection.
- Clearly understand what peels can and cannot do for your skin. Schedule your peel, especially for deeper peels, when you can afford downtime if necessary.
- Some specialists take pre-treatment photos to monitor the progress and results of the treatment. Remember, these are general guidelines, and specific instructions may vary depending on the type of peel and individual skin characteristics.
How is the Chemical Peel Procedure Performed?
Chemical Peel is a cosmetic procedure that involves applying a chemical solution to the skin, primarily the face, hands, or neck, to improve and smooth its texture. The basic steps to perform a chemical peel are as follows:
- Preparation
Before the procedure, specialists usually prepare the skin with topical agents. This can last several weeks and aims to reduce potential side effects and improve results.
- Cleansing
On the day of the procedure, specialists thoroughly cleanse the skin to remove oils and prepare the skin for the chemical solution.
- Application of the chemical solution
The specialists then apply the specific chemical solution (depending on the type of peeling; it can be glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or phenol) to the skin. During this process, patients may feel a burning sensation and then a stinging sensation that lasts for about five to ten minutes. They can apply cooling compresses to alleviate these sensations.
- Observation
Experts closely observe the skin to determine when peeling is sufficient.
- Neutralizing the solution
In some types of peels, specialists apply a neutralizing solution to stop the action of the acid. After peeling, the skin is typically sensitive, and you should follow special care instructions. This may include applying protective creams or ointments, avoiding the sun, and gentle skin care.
Peeling usually involves redness followed by flaking, which generally ends in three to seven days. Medium-depth and deep peels can result in swelling and blisters, which may break, crust, turn brown, and peel off over seven to 14 days or longer. The exact procedure may vary according to the type of peel (light, medium, or deep) and the specific needs and conditions of the patient’s skin.
What to Consider After Chemical Peel Procedure?
After a chemical peel, you should follow some essential considerations and care instructions for optimal healing and results. Take a look at the things to consider after a Chemical Peel procedure in general:
- Post-peel skin is susceptible to the sun. Avoid scrubbing or using exfoliating products, as they can irritate new skin.
- Keep your skin well moisturized with a perfume-free moisturizer. This helps to soothe the skin and reduce dryness or flaking.
- As your skin heals, you may experience peeling. It is crucial not to pick at peeling skin as this can lead to scarring or infection.
- Avoid using products containing retinoids, alpha hydroxy acids (AHAs), or beta hydroxy acids (BHAs) until your skin has healed completely.
- Drink plenty of water and follow a healthy diet rich in vitamins and antioxidants to support skin healing.
- Avoid wearing makeup for a few days after the procedure, as it can irritate the skin.
- Follow your skin care specialist’s instructions on follow-up care and when to resume your regular skincare routine.
- Watch out for signs of infection, such as excessive redness, swelling, or pus, and consult your dermatologist if you notice any.
- It may take a few days to weeks for the full results of a peel to appear. Be patient and avoid rushing the process with additional treatments or products.
- Remember, each person’s skin reacts differently to peels, so it is imperative to follow the advice and instructions of your skin care professional for your specific case.
What is the Recovery Process After Chemical Peel?
The recovery process after Chemical Peel varies depending on the depth of the peel (light, medium, or deep). Here is the recovery process after Chemical Peel:
Mild (Light) Peels
Immediately afterward, there was slight redness and a sunburn-like sensation.
- Recovery time: 1 to 7 days.
- Skincare: Use gentle cleansers and moisturizers.
- Peeling: Mild flaking may occur.
Medium Peels
Immediately afterward, there was more pronounced redness and swelling. The skin may feel tight.
- Recovery time: 7 to 14 days.
- Skincare: The doctor may prescribe a mild lotion or cream. Sun protection is essential.
- Peeling: The skin will peel off in layers or flakes.
Deep Peels
Immediately afterward, there was marked redness, swelling, and a burning sensation. The skin may turn brown or gray.
- Recovery time: 14 to 21 days, but full recovery may take several months.
- Skincare: The doctor will provide a strict regimen, including antiviral medications, heavy moisturizers, and dressings.
- Peeling: Thick layers of skin will peel off.
Here are after-treatment tips:
- Follow the doctor’s instructions: Specific care varies depending on the type of peel and individual skin type.
- Avoid sun exposure: Protect new skin from the sun to prevent damage.
- Avoid touching or scratching: Allow the skin to peel naturally to avoid scarring.
- Stay hydrated: It helps the skin to heal.
- Avoid strenuous activities: Especially the first few days, to avoid swelling.
- See your doctor for signs of infection (pus, increased redness, fever), extreme pain, or discomfort.
How Long After Chemical Peeling Will You See The Final Result?
The time it takes to see the final results after chemical peels depends on the type of peel and individual skin characteristics:
- Mild peels: These contain mild acids such as alpha-hydroxy acid. You can see results immediately but more noticeably within a few days. The skin usually improves quickly, usually within 1 to 7 days. Mild peels may require more than one session for best results.
- Medium peels: These use trichloroacetic acid or similar agents and can take a week to 14 days to heal. The skin will initially be red and swollen, and peeling will occur after a few days. You will usually see the final results after your skin has ultimately improved.
- Deep peels: Deep peels with phenol require the longest recovery time, usually several weeks. The initial healing process can take up to 14 days when the skin is very red and sensitive.
Post-peel care is very important for all types of peels. This includes avoiding sun exposure, using gentle skin care products, and following specific instructions given by the skin care professional. Remember, individual results and recovery times can vary, and it is essential to have realistic expectations and discuss them with a dermatologist or skin care specialist.
How Much Does a Chemical Peel Cost?
The cost of a chemical peel can vary significantly depending on several factors, including the type of peel, the provider’s expertise, and geographical location. The average price of a chemical peel is around $100 to $550. Overall, the cost can range from $150 to $6000. This wide range depends on the type and depth of the peel. Mild, less invasive peels can cost between $150 and $300. Medium peels that penetrate deeper range from $300 to $1500. Deep peels, the most aggressive and intense type, cost between $1500 and $6000.
The total cost of a chemical peel can include various components such as facility costs, anesthesia costs, and medications prescribed after the procedure. It is important to note that the exact price may vary depending on the patient’s specific needs, the practitioner’s expertise, and the practice’s location.
In Which Countries is the Cheapest Chemical Peel Procedure Performed?
The price of a chemical peel procedure can vary greatly depending on the country and the specific clinic or provider. Factors that affect the price include the type of peel, the provider’s expertise, the clinic’s location, and the local cost of living.
In general, you may find that peels tend to be cheaper in countries where labor and overhead costs are lower. For example, India is known for its thriving medical tourism industry, and you can often find cost-effective cosmetic procedures there. South Korea is also known for its advanced skincare and cosmetic treatments; some procedures may be more affordable there.
While these countries offer more cost-effective options, it is essential to note that the quality of care and the qualifications of the providers can vary. When considering a peel or any cosmetic procedure abroad, it is imperative to do thorough research, choose a reputable clinic or provider, and ensure they meet all the necessary medical and safety standards. Also, consider factors such as travel expenses and post-procedure care when calculating the total cost. Here are chemical peel prices by country:
| COUNTRY | COST |
| United States | $150 to $600 |
| Brazil | $50 to $200 |
| China | $100 to $400 |
| Japan | $120 to $480 |
| South Korea | $100 to $400 |
| India | $40 to $160 |
| Argentina | $60 to $240 |
| Mexico | $70 to $280 |
| Germany | $150 to $600 |
| Turkey | $50 to $200 |
| Colombia | $60 to $240 |
| Italy | $120 to $480 |
| France | $130 to $520 |
| Spain | $100 to $400 |
| Taiwan | $100 to $400 |
| Venezuela | $30 to $120 |
| United Kingdom | $140 to $560 |
| Netherlands | $130 to $520 |
| Egypt | $50 to $200 |
| Peru | $60 to $240 |
| AVERAGE COST | $30 to $600 |
Attention: For Information Purposes Only
Please note that the content of this website is not a substitute for professional medical advice. You should always consult a skin specialist for personal guidance.
References
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122508/
https://pubmed.ncbi.nlm.nih.gov/31613532/
https://europepmc.org/article/med/11457690
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1524-4725.1989.tb03187.x
