| Chemical Peel TreatmentsChemical peels, also known as chemexfoliation or 
				derma-peeling, are a technique used to improve the appearance of 
				the skin. In this treatment, a chemical solution is applied to 
				the skin, which causes it to "blister" and eventually peel off. 
				The new, regenerated skin is usually smoother and less wrinkled 
				than the old skin. The new skin also is temporarily more 
				sensitive to the sun. 
 What Conditions Do a Chemical Peel 
				Treat?Chemical peels are performed on the face, neck or hands. They 
				can be used to:  
					Areas of sun damage, which may contain pre-cancerous keratoses 
				that appear as scaly spots, may improve after chemical peeling. 
				Following treatment, new pre-cancerous lesions are less likely 
				to appear.Reduce fine lines under the eyes and around the mouth
					Treat
					wrinkles caused by sun damage, aging and hereditary 
					factors Improve the appearance of mild scarring Treat certain types of
					acne Reduce age spots,
					freckles and dark patches due to
					pregnancy or taking
					birth control pills (melasma) Improve the look and feel of skin that is dull in 
					texture and color However, sags, bulges and more severe wrinkles do not respond 
				well to chemical peels. They may require other kinds of cosmetic 
				surgical procedures, such as carbon dioxide laser resurfacing , 
				a facelift , brow lift , eyelid lift or soft tissue filler 
				(collagen or fat). A dermatologic surgeon can help determine the 
				most appropriate type of treatment for each individual case. 
 Who Is a Good Candidate For a Chemical 
				Peel?Generally, fair-skinned and light-haired patients are ideal 
				candidates for chemical peels. Darker skin types may also have 
				good results, depending upon the type of problem being treated. 
 How Are Chemical Peels Performed?A chemical peel can be performed in a doctor's office or in a 
				surgery center as an outpatient procedure.  The skin is thoroughly cleansed with an agent that removes 
				excess oils and the eyes and hair are protected. One or more 
				chemical solutions, such as glycolic acid, trichloroacetic acid, 
				salicylic acid, lactic acid or carbolic acid (phenol), are 
				applied to small areas on the skin. These applications produce a 
				controlled wound, enabling new, regenerated skin to appear. 
 Preparing for a Chemical PeelPrior to the chemical peel, your doctor may ask you to stop 
				taking certain drugs and prepare your skin with topical 
				preconditioning medications such as Retin-A, Renova, or glycolic 
				acid. After the chemical peel, it's important to use a 
				broad-spectrum sunscreen every day.  If you have been prescribed oral antibiotics or an oral 
				antiviral medicine, you should begin taking those as directed. 
				Typically, the oral antibiotics are prescribed depending on the 
				depth of the chemical peel.  Remember to ask your doctor if you need to have someone drive 
				you home. 
 What to Expect During The ProcedureDuring the procedure, most patients experience a warm to 
				somewhat hot sensation that lasts about five to ten minutes, 
				followed by a stinging sensation. Cool compresses may be applied 
				to help alleviate this stinging. A deeper peel may require pain 
				medication during or after the procedure.  
 What To Expect After the Chemical PeelDepending upon the type of chemical peel, a reaction similar 
				to sunburn occurs following the procedure. Peeling usually 
				involves redness, followed by scaling that ends within three to 
				seven days. Mild peels may be repeated at one to four-week 
				intervals until the desired clinical effect is achieved. Medium-depth and deep peeling may result in swelling, as well 
				as the presence of water blisters that may break, crust, turn 
				brown and peel off over a period of seven to 14 days. 
				Medium-depth peels may be repeated in six to twelve months, if 
				necessary. You will work with your dermatologist to determine the depth 
				of your peel. This joint decision can vary, depending upon the 
				condition of your skin and the objectives of treatment.  After treatment, some peels may require bandages to be placed 
				on part or all of the skin that is treated. Bandages are usually 
				removed in several days and may improve the effectiveness of the 
				treatment.  It is important to avoid over-exposure to the sun after a 
				chemical peel since the new skin is fragile and more susceptible 
				to complications. The dermatologic surgeon will prescribe the 
				proper follow-up care to reduce the tendency to develop abnormal 
				skin color after peeling. 
 What Are the Possible Complications of 
				Chemical Peels?In certain skin types, there is a risk of developing a 
				temporary or permanent color change in the skin. Taking birth 
				control pills, subsequent pregnancy or family history of 
				brownish discoloration on the face may increase the possibility 
				of developing abnormal pigmentation.  Although low, there is a risk of scarring in certain areas of 
				the face, and certain individuals may be more prone to scarring. 
				If scarring does occur, it can usually be treated with good 
				results. There is a small risk of reactivation of cold sores in 
				patients with a history of herpes outbreaks. This problem is 
				treated with medication as prescribed by the dermatologic 
				surgeon. Your doctor may also choose to give you medication 
				before or immediately after the peel in order to prevent a 
				herpes outbreak.  Prior to treatment, it is important for a patient to inform 
				the physician of any past history of keloids (scar tissue 
				overgrowth created at the site of a skin injury) or unusual 
				scarring tendencies, as well as listing of x-rays treatments to 
				the face or recurring cold sores. 
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