Dr. Markmann offers chemical peel services at his cosmetic surgery center in the Baltimore area. Chemical peels are a non-surgical option to improve the skin's appearance. This procedure, also called chemexfoliation, applies a chemical solution directly onto the top layer of the skin. The treatment works to peel and destroy damaged and dead skin cells. The most common treatment areas include the face and neck to improve fine lines, scars, uneven skin tones, sun damage, patches and pigmentation. Dr. Markmann works with each patient to create the chemical solution to achieve the desired results.
The superficial peel is the mildest peel option that targets the upper layer of skin. Commonly, a diluted glycolic acid is used and left on the skin for several minutes. The doctor will then neutralize the acid to keep the peel at a mild level. There will be slight redness after the treatment, but typically there is no downtime compared to the other peels available. On average, patients will peel for about 3-5 days with this treatment. Patients may need several treatments to achieve the facial look they desire. On average, this is also the least expensive among chemical peel treatments.
A medium chemical peel treats more than just the top layer of skin. It penetrates deeper to treat moderate to severe wrinkles and skin irregularities. The procedure uses a stronger solution in the form of Trichloreacetic Acid (TCA). The acid will be applied in a controlled condition to manage and limit penetration, and the acid will be neutralized to stop the effects of the peel up to a certain point. The recovery time following a medium peel is about 10 days and patients will need to plan ahead for a short recovery period. This peel costs more than the superficial one, but the results are a bit more dramatic.
A deep chemical peel is the most aggressive approach in chemical peel treatment. It is considered a more invasive procedure and in some cases patients will need general anesthesia. The substance normally used is called phenol and it aims to treat severe skin wrinkling, deep scars and facial irregularities. Once a patient undergoes a deep peel, it is not advised to have another one. The recovery period may take up to 14 days and the area treated will be bandaged as the wounds are comparable to second-degree burns. The results following a deep peel are usually excellent. The disadvantage to this peel is that there is downtime and it costs significantly more than a mild or medium depth peel.
The chemical application for a peel follows similar steps. The only difference will be the type of acid solution used, the amount applied, and the period of time that it is left on the skin. Once the chemical reaches the target skin layers, a neutralizer will be applied to immediately stop the effects of the acid. Downtime depends on what kind of peel is done. There is no downtime for mild peels but for deep peels, patient will be in a healing process up to 14 days. After the treatment, it is important that the patient allow the peeling process to occur naturally and do not assist in peeling or pulling at the skin. It is also extremely important to avoid sun exposure for a period of time after the treatment.
Depending on the peel used, there may be some general discomfort. With the lighter peels, patients will feel some stinging but it goes away quickly with the use of a handheld fan. The peeling process itself does not cause any pain. Medium and deep peels are more painful, and thus skin medications and antibiotics may be used to assist with any discomfort.
Dermabrasion is a facial rejuvenation procedure that treats surface irregularities, giving the skin a softer appearance. Dermabrasion works in many ways similar to a chemical peel. The difference, is that dermabrasion use surgical tools (a rotating brush or shaving instrument) to remove the top layer of skin through a surgical scraping process. A chemical peel uses a caustic solution that is rubbed into the skin. Both techniques result in a brighter, smoother complexion.
There are many skin treatments to consider depending on the patient's aesthetic goals and skin condition. Chemical peels promote new skin regeneration and is best to treat skin irregularities. For facial conditions in which wrinkles are significant, a BOTOX or injectable filler may be a better option. There are also a number of laser treatments to consider as well.
* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.