Archive for the ‘Chemical Peels’ Category
Chemical peels can be performed at various depths to achive a variety of desired results. Typically a deeper peel involves more peeling, for a longer period of time and result in more correction. Although deeper peels may be needed to address specific concerns, light peels have their place too. Extremely superficial peels, do not require any down time, and there is generally not any actual peeling skin. Light peels work by excelerating skin cell turn over in the upper most layer of the skin and are typically well tolerated, even by those with very sensitive skin. Superficial peels smooth skin texture, reduce congested pores to clarify skin and brighten dull sallow skin.
The Epionce “Lite Peel:Refresh”, designed by the well respected dermatologist, Carl R. Thornfeldt, M.D., is gentle enough for almost all skin types, including those with rosacea, acne, hyper pigmentation, sensitive skin even peri-oral dermatitis. The Epionce Refresh peel is unique with its key ingredient being Malic Acid, an AHA that not only increases skin cell turnover, it enhances hydration and reduces surface bacteria. Willow bark is a key botanical in the Refresh peel, that is anti-bacterial, reduces inflammation and improves skin clarity. This lunch time peel is also formulated with a little Salicylic acid to boost penetration and further enhance results. Onion bulb extract has anti-inflammatory properties and is added to sooth and calm skin. The Refresh peel may be repeated as often as every 2 weeks in a series of 3-6 peels, or it may be combined with other in-office treatments to enhance results.
Décolletage is what we call the neckline, or more specifically the area made up of the neck, chest and cleavage. If we neglect this area between our face and breasts, it is sure to age us. Although we can cover up our décolletage, we would certainly be limiting our style and where is the fun in that.
The décolletage is a special concern, because it tends to suffer more sun damage than other areas and women also tend to develop lines between the breast while sleeping on their side. Luckily, there are plenty of options to improve this area, but we have to be patient as correction for non-facial skin is much slower than it is when treating the face. When we treat the décolletage or any non-facial area, we need to treat more conservatively and thus, more often. The skin cell turn over for non-facial skin tends to be slower, so this means the recovery process will take longer, which will require more time spaced between treatments. When treating the décolletage you should treat early and often. Slow and steady wins the race.
When it comes to skin care and anti-aging, the best approach is a comprehensive one. One treatment does not necessarily replace the other. Your skincare provider should work to help you understand which treatments are best for you and the time line that treatments may be done. When budget is a concern, you will need to decide which concerns are a priority for you.
Topical Skin Care
The first step is to use effective skin care products on your neck and chest, every morning and every night, just as you would your face. Most of the skin care products that are used on the face, can also be used on the chest. Some topicals, such as hydroquinone and retinoids need to be used less frequently on non-facial skin to avoid irritation. Some products should be used daily, such as topical antioxidants and an SPF 30 or higher. There are some great products formulated specifically for the neck and chest. Revision skin care formulated Nectifirm for firming the neck and décolletage. NIA 24 Sun Damage Repair for Décolletage and Hands, is formulated with patented Pro-Niacin to repair damaged skin. Consult with your Esthetician, to determine the appropriate protocol for you.
NIA 24 Before and After
PhotoFacial IPL/BBL
Treatments that use Intense Pulsed Light work to treat brown spots and redness. There is also research to suggest that ongoing treatments will positively effected gene expression in the skin to mimic that of a younger person. Generally a series of 3-5 treatments are recommended, scheduled 3-4 weeks apart. For enhanced results Levulan may be applied prior, this is known as PhotoDynamic Therapy.
Chemical Peels
Medium depth chemical peels that reach the papillary dermis or upper reticular dermis, such as the Obagi Blue Peel or ZO controlled depth peel will improve skin discolorations, improve texture, laxity, lines and stretchable wrinkles. A medium depth peel on the chest, may take up to 14 days for peeling to be complete. On the up side, peels on the face generally do not look bad during the peeling phase and are easy to tolerate. These peels can be done as often as 4 times a year, however I find that once a year is optimal when combined with other treatments.
Ultherapy
Ultherapy is the treatment of choice for the lines that develop between the breasts. Ultherapy works at a deeper level than any other non-surgical treatment, to lift and tighten skin. Ultherapy uses focused ultrasound to target deep into the dermis and even the top of the muscle. Like many other aesthetic treatments, Ultherapy works by creating a wound healing response, but because the targeted areas are at a deeper level we see more tightening and lifting. The increased collagen production in the treated area, can be seen a year post treatment. Most people should plan on repeating this treatment once a year, although younger patients may be able to stretch it out to every two years. Those with advanced photo damage, or who desire more improvement may choose to repeat the treatment in six months. Pain medication may be prescribed, in which case you will need to arrange for someone to bring you in to your appointment and take you home.
Fractional Resurfacing
Non facial skin does not respond well to “full coverage” ablative laser resurfacing. Non-ablative or sublative fractional resurfacing treatments, such as E-Matrix or Fraxel are more appropriate for treating non-facial skin. These treatments reduce lines, wrinkles and smooth skin texture. Like many other aesthetic treatments, fractional lasers work by creating a wound healing response in the skin, that stimulates the fibroblast in the skin to up regulate the production of collagen. Because laser treatments create heat, we appreciate a different type of wound healing response than we do with other treatments such as chemical peels, micro needling, which is why we see the up regulation of collagen for longer periods of time post treatment.
Fractional lasers generally work in the deeper layers of the skins dermis, an area which is not effected by chemical peels or IPL treatments. The frequency and number of treatments will depend on the level of treatment performed, level of correction desired and condition of skin.
Micro-Needling Collagen Induction Therapy
Aesthetic professionals use micro-needling pens such as the Eclipse or Dermapen, to deliver tiny needles into the epidermal and dermal layers of the skin creating micro-injuries. This begins a natural wound healing or renewal process that will stimulate collagen production in the treated area. There is little to no down-time, and it is surprisingly comfortable. Although, micro needling treatments do not deliver the same level of correction to skin texture as fractional lasers, they are the treatment of choice for scars and stretch marks. Micro-needling is also a good option for early intervention or in between other aesthetic treatments.
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The eyes are the focal pointe of the face and one of the first places we start to age. A professional chemical peel to treat the skin around the eyes, may be just what the doctor ordered.
A Medium Depth Peel will..
– Treat skin laxity, fine lines, “stretchable” wrinkles and scars.
– Improve skin texture, reducing roughness
– Treat hyper-pigmentation Brown spots and Melasma
– Tighten large pores
– Increase collagen and skin density
The skin around the eyes is thin and with age begins to show fine lines and take on a crepey texture. Treating the delicate skin around the eye can be tricky. Lasers can damage the eye, so this limits how we treat this area. Laser resurfacing can be done, if special laser eye shields are placed inside the eye. Chemical peels are another option for treating the skin around the eye, and when done by a skilled professional can be done up to the lash line.
Chemical peels that penetrate to the appropriate depth in the skin, can improve texture and tighten skin. A TCA peel that penetrates beyond the papillary dermis, just to the Immediate Reticular Dermis (IRD) will provide skin tightening effect, this is called a Medium Depth Peel. I am choosing not to mention the strength of TCA used, because I read too many horror stories online about people who attempted to do a professional peel at home. Skin care professionals are trained on how to determine where we are working in the skin, this is a medical grade peel and should be done by an experienced professional.
Aging Skin and Chemical Peel Intervention
Skin care professionals often talk about “skin cell turn over”. Skin cell turnover is the process of a new skin cell being produced, working it’s way up to the surface and replacing old skin cells which have been sloughed away. In young healthy skin this process takes about 6 weeks, however aging and sun damage slow this process. Chemical peels increase skin cell turnover, which in turn improves skin texture.
The production of growth factors, collagen, elastin and hylaraunic acid all slow with age, so the goal in anti-aging is to preserve and increase the production all of these things. Collagen is a protein that gives skin it’s volume strength and structure, while elastin is what gives skin it’s elasticity or ability to snap back. Hyaluronic acid is a key molecule involved in skin moisture, as it binds and retains water. Hyaluronic acid is also needed to bind collagen to elastin. When we do chemical peels and laser treatments that penetrate beyond the skins epidermis, we are benefitting from the skins own wound healing ability to up regulate growth factors and stimulate the production of collagen, elastin and hyluranic acid. The result is a thicker dermis, smoother surface and skin tightening.
What to expect
The day of the peel is considered day 1. On days 1 and 2 your skin looks okay, but it may look dry and slightly older. By day 3 skin begins to look dark or bronze, this will vary depending on your natural skin color, skin discolorations and depth of peel. Skin usually begins to peel on day 4 and is usually done by day 5. After the skin has peeled of it may be pink for a couple days. The healing process does vary for each person. Healthy skin will always recover more quickly with less inflammation.
During the peeling process you will need to follow the post peel instructions given to you by your skin care professional. This usually includes using a gentle cleanser, a hydrocortisone cream and mild moisturizer. An occlusive ointment such as Vasoline or Aquaphor may be recommended. It is VERY important to not pick or pull off the skin, let it peel in its own time! (seriously… don’t do it) You should also avoid sweating during the pealing phase, because it will create sweat beads under the skin that will cause it to peel of prematurely and thats bad. The skin should be protected with a totally physical sunscreen, I like Physical Eye UV Defense SPF 50 by Skin Ceuticals.
After the old skin has peeled off, it instantly looks and feels smother. The collagen production will continue to increase and the skin will continue to feel tighter. To keep the skin renewal process un regulated and functioning more similar to young skin, I usually recommend having around 4 TCA chemical peels around the eye area per year. Treatments should be scheduled over 6 weeks apart.
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We are excited about the newest chemical peel to hit the scene and the name “Perfect Peel”says it all.
The Perfect Peel works from the inside out to repair and nourish skin by giving it a radiant glow, refining pores, improving skin hyperpigmentations, lifting melasma, diminishing fine lines and wrinkles, eliminating acne and preventing acne marks. Most importantly the Glutathione element defies the aging process. The Perfect Peel is the only peel on the market with Glutathione, a powerful antioxidant and anti-aging ingredient. In addition to Glutothione, the perfect peel is formulated with an impressive list of active ingredients including: TCA, Retinoic Acid, Salicylic Acid, Phenol, Vitamin C and Kojic Acid.
I recently had this peel myself and I was pleased with the level of correction I saw, it did a wonderful job of lightening the melasma and skin discolorations on my skin as well as smoothing out the fine lines. The peel it-self was quick and surprisingly comfortable with virtually no stinging or burning. The treatment includes a post treatment moisturizer and two treatment towelettes that are infused with retinoic acid and Vitamin C which are designed to enhance the effects of the peel. I simply swiped the moist treatment towel over my face the night of my peel and again the following night. The Vitamin C does make your skin itch slightly, after you use the towelettes. To sooth the itching I just mixed a topical hydrocortisone cream in with the moisturizer and applied it to the treated areas. The peeling was easy to tolerate, with one major day of peeling on day three. I personally only “peeled” for about 2 days with a little sloughing after that. I would say most people can expect about 3 days of social down-time, which just means you will comfortable with routine activities but, this is not a good time for a social event like a party or wedding.
The Perfect Peel will:
- Rejuvenate and produce younger healthier looking skin.
– Reverse signs of aging and sun damage.
– Even out your overall skin tone.
– Lighten and brighten your skin.
– Slow down the skin aging process.
– Reduce pore size and soften lines and wrinkles.
– Stimulate collagen production resulting in firmer skin.
– Improve the overall tone and texture of your skin.
– Prevent Wrinkles and Age Spots.
– Improve skin conditions such as acne, melasma, and hyper pigmentation.
What is Glutathione?
Glutathione is the ultimate antioxidant known to prevent damage to important cellular components caused by free radicals and peroxides. As we age, our Glutathione levels are depleted due to sun exposure, air pollutants and environmental stress.
Glutathione penetrates deep into the cellular level of the skin to fight oxidant damage and is the anti-aging answer to premature wrinkling. Glutathione is proven to reverse the melanin’s metabolism turning dark pigmentations (eumelanin) into light pigmentation (phaeomelanin)
How long will I peel?
The day of the treatment is considered day 1. Peeling usually begins on day 3 and is generally completed by day 5 or 6. Most of the peeling happens on days 3 and 4.
If you want to peel over the weekend schedule your treatment on a Thursday. You will look fine on Friday, with most of the peeling on Saturday and Sunday, by Monday and Tuesday you usually will have some mild sloughing with little to no peeling.
The content provide in this post is intended to be informative and does not replace medical or professional treatment.
Thank you for visiting Best of Both Worlds Az
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The Illuminize Peel is a very superficial treatment that gently exfoliates and brightens skin with out any peeling or down time. Mild exfoliating treatments like the Illuminize peel work well to enhance the benefits of skin care products and freshen up skin in between more aggressive skin treatments.
At Paradise Valley Skin Klinic, we include dermaplaning with the Illuminize Peel!
This non-invasive very superficial chemical peel utilizes a novel approach to chemical peeling with a newer generation of alpha-hydroxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation.
– Increase skin glow and radiance
– Tightens the skin and restores a more youthful appearance
– Improves clarity, color and skin texture
– Achieve enhancement of skin appearance with minimal downtime and discomfort
– Appropriate for a first-time chemical peel or for those looking for a gentle, very superficial peel
– May be performed on dark skin
– Little or no visible peeling
The content provide in this post is intended to be informative and does not replace medical or professional treatment.
Thank you for visiting Best of Both Worlds Az
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www.bestofbothworldsaz.com
®© All Rights Reserved.
The Obagi Blue Peel improves hyper pigmentation, fine lines, wrinkles, large pores, laxity, skin texture and acne scars.
The Obagi Blue Peel is a unique procedure designed to precisely control the depth of a TCA chemical peel. The Blue Peel uses Trichloroacetic acid (TCA) as the active ingredient and a patented Blue Base with built in safeguards. The TCA and blue peel solution is prepared at a fixed concentration and applied in a “coating system”. The Blue base gives the skin professional more control over the peel by slowing the penatratation of the TCA solution and making it easier to recognize desired endpoints. The coating system helps monitor and control the depth of the peel.
The Obagi Nu Derm system and Obagi Blue Peel are designed to work together. The Obagi Nu-Derm system is used before the peel to precondition skin and as a post treatment protocol. Pre-conditioning prepares skin by correcting and stimulating normal skin function to speed healing. The amount of time for preconditioning is determined by the skin type and condition, usually a minimum of 6 weeks. Post-treatment promotes shorter recovery time, aids in resolution of erythema (redness) and post- inflammatory hyperpigmentation. I will not do a Blue Peel on anyone who has not preconditioned, post treatment care is also not optional.
The Obagi Blue Peel is not something you just schedule and show up for, it requires a little planning and preparation. A consultation is required before scheduling a Blue Peel to determine the depth of the peel needed to achieve desired results. In some cases a Blue Peel may not be your best option or additional treatments may be needed, so other treatment possibilities may be discussed. You will also need to begin a skin care regimen with the Obagi Nu-Derm system, a minimum of 6 weeks prior to your peel. During the consultation you will discuss the length and amount of peeling to expect with your peel , so that you can plan your schedule accordingly. The price of the Blue Peel varies depending on the depth of the peel, however even in the deepest Blue Peel is only a fraction of the cost of many laser treatments. ( The Blue Peel is amazing when combined with fillers and Botox. Think Chemical Facelift!)
Depth of Obagi Blue Peel
The Obagi Blue Peel can be performed at different levels or depths, depending on the desired results. The Obagi Blue peel uses a coating system as a way of preparing and controlling the depth of the peel. People often get confused by the term “coat”. When we say coats we are not referring to how many times the peel is painted on the face, a coat refers to a specific volume of a prepared solution. The blue peel uses a 30% TCA and a patented blue base that is prepared in either a 15% or 20% solution. It is important to understand that 2 coats of a 15% solution is not the equivalent of 2 coats of a 20% solution. A Blue peel solution of 20% is also not the equivalent of a plain 20% TCA. When considering a Blue Peel try not to confuse your self with the coat system and the concentration of the prepared solution, instead focus on the depth of the peel needed to achieve specific results.
[ Chemical Peels 101: skin anatomy, chemical peels, and peeling agents ]
Light Exfoliation: Peeling is complete in 2-3 days.
This is commonly referred to as a 1 coat peel
– Penetrates the stratum corneum layer of the skin.
– Provide light exfoliation to freshen the skin
– Unclogs pores and reduces comedones
Deep Exfoliation: Peeling is complete in 4-7 days.
This is commonly referred to as a 2 coat peel.
– Penetrates to the basal layer of the skin.
– Temporary improvement of superficial hyper-pigmentation
– Enhances results of the Nu-derm system
Standard Blue Peel: Peeling is complete in 7-9 days.
This is commonly referred to as a three coat peel.
– Penetrates the papillary dermis layer of the skin.
– Treats hyper-pigmentation Brown spots and Melasma
– Improves skin texture, reducing roughness
– Tightens large pores
Designed Blue Peel: Peeling is complete in 9-14 days.
This is commonly referred to as a 4 coat peel.
– Penetrates to the reticular dermis layer of the skin.
– Treats hyper-pigmentation Brown spots and Melasma
– Improves skin texture, reducing roughness
– Tightens large pores
– Skin laxity, fine lines, “stretchable” wrinkles and scars.
*Immediate reticular dermis (IRD) is the area where the papillary dermis meets the upper reticular dermis.
Pre-conditioning before the Obagi Blue Peel
Skin should be conditioned before a Blue Peel, this is done by using the full Obagi Nu Derm system along with a topical tretinoin (Retin-A). Conditioning the skin prior to the peel will enhance results and reduce complications. Pre-conditioning prepares skin by correcting and stimulating normal skin function to speed healing. The Obagi Nu Derm is a complete system and should be used as such. It is not recommended to eliminate or substitute the skin products in the Obagi System. Your skin health professional will give you a specific protocol that is appropriate for your skin. You will be instructed when and how to use each product as well as how to measure the recommended amount of each product. You will also be shown how manage reactions and how to modify your protocol to fit your lifestyle.
Obagi Medical skin care products are prescription strength, and available only through a physician’s office.The products in this system should be used with the same respect and diligence as any prescribed drug. You should only use Obagi products that you have received directly from your skin care professional, under a doctors supervision. Products sold by unauthorized distributers or online may be counterfeit, expired or degraded in quality. This can lead to reduced results and complications. When you purchase Nu-derm products from anyone other than your personal skin care professional, they are unable to calculate if you are using your creams correctly or guarantee efficacy of the products, consequently the results of your treatment can not be assured.
[ Obagi Nu-Derm: Restore Skin Health ]
Post- treatment after the Obagi Blue Peel
The Peel Stage
The peeling stage is 3-14 days depending on depth of peel.
The amount of peeling will depend on the level of peel. Skin will generally begin to darken on the 3rd day and peeling will begin on day 3 or 4, depending on depth of peel. Peeling begins around eyes, nose and mouth. With a standard or designed blue peel, days 4-6 will appear the worst. The peeling stage is not painful, but the skin will feel tight and dry. Follow all post treatment instructions. NO PICKING! It is extremely important that you do not assist the peel, treat the skin like you are trying to keep it on. Do not pick, pull or remove skin. Complications can occur if skin is peeled off prematurely.
During the peeling stage you will be instructed to follow specific post treatment instructions. This will include using a gentle cleanser and mild topical creams designed by Dr Obagi to be used after a Blue peel. If you have had a deeper peel you may be instructed to use an astringent solution compress. Sun exposure should be avoided after the peel. Chemical sunblocks and makeup can not be used, however you may be able to use an “approved” mineral makeup which will provide a little sun protection. I usually recommend Jane Iredale mineral makeup.
[ Chemical Peels: Post Treatment Care and Instructions ]
Recovery Stage
The recovery stage begins when peeling is complete and lasts 1-6 weeks, depending on depth of peel. When the peeling is complete, skin will look good and will continue to improve as it heels. Skin may look a little pink or red and it is not un usual to see an acne flare-up. After peeling is complete it is important to resume Obagi Nu-derm system as instructed to enhance results and reduce the probability of post inflammatory pigmentation.
Return to Normal
Skin will return to normal when the recovery stage is complete. Results of the procedure can be evaluated at this point and you will resume Obagi Nu-Derm system under the normal protocol. It is important to not discontinue Nu-Derm system prematurely. You will continue on a normal Obagi Nu Derm protocol until advised to begin a maintenance protocol, usually 6-12 weeks. This will depend on how aggressive your nu-derm protocol is, the condition of your skin and desired results.
Maintenance
When skin has been corrected and has returned to a normal healthy state a maintenance protocol will be designed to help you maintain your results. Your skin health professional will instruct you when to begin a maintenance protocol, this is usually.
The content provide in this post is intended to be informative and does not replace medical or professional treatment.
Thank you for visiting Best of Both Worlds Az
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Chemical Peel’s can very in depth from very superficial to very deep. Post treatment care for chemical peels is dependent on the type of peel, and condition of the skin. Your skin health professional should give you post treatment instructions that are specific for the type of peel you have had. Some peels are so superficial that they cause little to no peeling, and may not require a big change in your skin care regimen. Having a deeper level chemical peel provides a greater level of correction, however it also can create a greater risk for complications. Most complications can be avoided by strict patient compliance, meaning you should follow your post treatment care instructions exactly as instructed. Deeper peels may also require preconditioning, this especially important for darker skin types. The Obagi Nu-Derm system is ideal for preconditioning skin for resurfacing procedures and chemical peels. Be sure that you have all of the appropriate products needed and do not use any skin care products that have not been approved by your skin health professional.
Keep Your Skin on
One of the most important things to remember after a chemical peel is to avoid picking, scrubbing or assisting the peel in any way. Treat the skin like you are trying to keep it on. The old dead skin that is about to peel off acts as a protective barrier. If you have caused the skin to peel off prematurely you are at increased risk for complications, including hyper-pigmentation. If you have assisted or accidentally removed the peeling skin prematurely, contact your skin health professional immediately. You may be instructed to apply an occlusive such as Aquaphore to the area’s that have peeled off. You may also need to use hydroquinone and/or tretinoin after the peeling process is complete to prevent or correct complications.
[ Chemical Peel: Do’s and Don’ts ]
Gentle Cleanser
Beginning the day of the peel until peeling is complete you will need to use a gentle cleanser. Avoid scrubs, exfoliants and any acne cleansers unless otherwise instructed. This is also not the time to use cleansing brushes such as the Clarisonic, you should cleanse the skin gently.
I prefer Obagi Gentle Cleanser after most chemical and laser peels.
Cetaphil gentle cleanser is another option, and you can buy this product at most drug stores.
Moisturizer and Topical Hydrocortisone Cream
Use a gentle moisturizer 2 – 4 times a day.
Be careful that you do not use a moisturizer that contains exfoliants or irritating ingreadiants after your peel. If you have had a medium to deep peel, you may also be instructed to use a topical Hydrocortisone cream. It is important that you do not over use Hydrocortisone creams, as extended use can inhibit healing. Check with your Esthetician or Doctor before using any products after a peel.
Obagi’s Tolereen has a 0.5% Hydrocortisone cream, and can be applied before moisturizer or mixed with in with the moisturiser.
Obagi Action is appropriate after most peels and is generaly my first choice.
Skin Medica’s Ceratopic Replenishing cream is ultra hydrating and can be used after most peels.
Sun Protection
After a chemical peel your skin is more vulnerable to Ultra Violet Rays. You should avoid sun exposure as much as you can, hats and sunglasses are helpful. Depending on the depth of the peel, you may be instructed to avoid sunscreen until the skin has completed the peeling phase. You will find that your skin is sensitive to chemical sunscreens, so look for a physical sunblock that contains zinc oxide. A pure mineral makeup such as Jane Iredale, contains a Titanium Dioxide 14% and Zinc Oxide 3% and can be used immediately after chemical peels, when other sunscreens may not be appropriate. Keep in mind that the depth of your peel will determine when you can start to use sunblock.
Anti viral
Herpes simplex infection can occur on the face after skin resurfacing procedures, including chemical peels. A viral outbreak is more common with deeper procedures. You may be prescribed an antiviral medication such as Zovirax to help prevent breakouts. If you do have a history of cold sores or any herpes breakout be sure to mention this to your Esthetician or Doctor before your peel. Many skin professionals prefer to treat all patients with antiviral agents regardless of a positive history. Don’t be insulted or embarrassed if you are prescribed an antiviral medication, it is often standard protocol. It is important to understand that some people may carry the virus, even if they have never had an outbreak.
Antibiotics
It is not unusual to see milia or small acne breakouts after deep resurfacing procedures, including deep chemical peels. There are chemical peels, such as Skin Medica’s Vitalize peel that are appropriate for treating skin with active acne. Deep chemical peels should be put off until acne is under control, without any active breakouts. Topical antibiotics can not be used immediately after a chemical peel, so if you have a recent history, you may be prescribed an oral antibiotic.
Domeboro Astringent Soaks
Domeboro Astringent solution is an over the counter product that can be found at most drug store. Domeboro Astringent Solution, when applied as a wet dressing or compress, cools and cleanses irritated skin and soothes inflammation. Domeboro contains Aluminum acetate which helps to reduce itching, stinging, and inflammation. Domeboro powder can be mixed with water, the solution is then applied topically as cold compresses to the treated area. I usually recommend using sterile gauze dipped in the solution and gently press onto the treated area for about 5-10 minuets, twice a day. The skin should first be cleansed with a gentle cleanser, after treating skin with the compress solution you can apply an appropriate moisturizer and Hydrocortisone.
Cosmetics
Generally, cosmetics such as foundation, concealer and powder are not recommended after resurfacing procedures and chemical peels. There are some mineral cosmetics that can be used immediately post procedure. It is important to know that not all mineral makeup is created equal, many are simply mineral based. Jane Iredale is an excellent mineral makeup, that is safe to use after cosmetic procedures and provides SPF protection. Jane Iredale is also antimicrobial and anti inflammatory, offering several benefits after a chemical peel.
[ Chemical Peels 101: A lesson in skin anatomy, chemical peel levels, and peeling agents ]
Deep Chemical Peels
If you have a deep chemical peel, such as a 30% – 35% TCA peel, Standard or Designed Obagi Blue Peel, you will be instructed to follow additional instructions. Avoid “cracking” by keeping the skin moist and minimizing facial expressions. You can use Aquaphor in the corners of the mouth. Aquaphor can be used if the skin becomes tight or over areas that cracking may have occurred. When you shower, do not let the water strike you in the face. You will also need to sleep on your back with your head slightly elevated. If you have a deep chemical peel, it is important to make follow up appointments with your skin care professional and address any concerns immediately.
After the peeling phase
The first stage of a peel is the peeling stage, this is complete when the skin is no longer peeling and reepithelialization has occurred. After the skin has completed peeling, you may begin a skin care regimen. Again, if you have had a superficial peel you will most likely continue with your normal skin care regimen. If you have had a deeper peel, the next stage is when dermal changes begin. You may be instructed to use products like Hydroquinone, tretinoin and a good sunblock. You should avoid exfoiliating treatments and products for about 6 weeks, depending on the depth of the peel.
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Skin Medica’s Vitalize Peel has been a popular skin treatment for many years, however you may not be familar with Skin Medica’s newer Illuminize and Rejuvenize Peels.
SkinMedica Rejuvenize Peel™ launched in October 2009.
Skin Medica’s Vitalize Peel In The Press
Level of Skin Medica Chemical Peels
Illumenize Peel, Very Superfical with little to no peeling
Vitalize Peel, Superficial with 2-3 days peeling
Rejuvenize Peel, Superficial with 2-5 days peeling
Rejuvenize Peel
Rejuvenize Peel™ is a blend of Salicylic Acid, Lactic Acid, Resorcinol, Panthenol and Isoceteth-20 with the addition of .3% Retinoic Acid. Deeper than SkinMedica Vitalize Peel®, Rejuvenize Peel™ produces a moderate amount of peeling for 2-5 days, and can be repeated every 4-6 weeks.
Rejuvenize Peel is an advanced formulation of peeling agents, with a built-in anti-irritant and penetration enhancer that provides controlled exfoliation of the uppermost damaged layers of the skin to reveal fresher and healthier skin. Provides predictable results with minimal down time.
Effective for use on skin with sun damage, melasma, pigmentary changes and acne scarring
Noticeable improvement with just one peel
Recommended for Skin types I-VI
Well tolerated with minimal “down time”
Isoceteth-20, creates more uniform peeling while controlling penetration of salicylic acid, and reduceing skin irritation associated with the stronger chemical peels without diminishing peeling effect
CLINICAL STUDY:
A recent clinical study of female subjects, aged 23-62 years, with mild to moderate facial photoaging, melasma, hyperpigmentation, or mild acne receiving three consecutive peels (once every four weeks) discovered the following results:
80% felt it improved evenness of skin tone and appearance of age spots and pigmentation
85% felt it made skin look healthier and more youthful
90% felt it improved smoothness of skin
90% felt it improved overall condition of skin
Vitalize Peel
Blend of Salicyclic Acid, Resorcinol, Lactic Acid, Panthenol, Isoceteth-20 and Retinoic acid.
Vitalize Peel helps fight the effects of time, sun damage, and environmental assaults. This powerful yet non-damaging peel can take years off aging skin.
Addresses various skin conditions, such as acne, pigmentation abnormalities, post-inflammatory hyperpigmentation, melasma, and photodamage
Effective (achieve visible improvement after one treatment, significant results after a series of treatments)
Can be customized for the treatment of each specific condition
May be performed on Skin types I- VI
Little or no or down time
Peeling solution combined with Retinoic acid creates more exfoliation than other chemical peels same depth
Well tolerated (minimum or no burning)
Illuminize Peel
This non-invasive very superficial chemical peel utilizes a novel approach to chemical peeling with a newer generation of alpha-hydroxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation.
Increase skin glow and radiance
Tightens the skin and restores a more youthful appearance
Improves clarity, color and skin texture
Patients achieve enhancement of skin appearance with minimal downtime and discomfort
Appropriate for first-time chemical peel patients or patients looking for a gentle, very superficial peel
May be performed on Skin types I- VI
Little or no visible peeling
Paradise Valley Skin Klinic offers all of the Skin Medica Peels as well as Skin Medica products.
Call to schedule a treatment or consultation. 480 421-1701
www.shapiroplastic surgery.com
You can follow Paradise Valley Skin Klinic on facebook.
Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com
Very Superficial
Penetrates to Stratum Corneum, Peeling is complete in 0-3 days. Very superficial peels can usually be done as often as once a week. This type of “peel”, generally produces little to no peeling and is ideal for anyone that can’t afford any downtime.
VIVITÉ® Glycolic Chemical Facial Peel is a buffered 70% glycolic compound. This is a very superficial peel, with little to no visible peeling. Its advanced formulation helps improve overall skin clarity and smoothness and helps reduce the appearance of fine lines and wrinkles. This peel is also ideal for
mild – moderate acne.
MICRO PEEL/AHA
The mildest of peels that corrects minor problems such as rough or dry skin and sun damage. A gentle, three step exfoliation rehy- drates below the skin’s surface to stimulate collagen production. This treatment begins with (dermaplaneing) gently scraping the skin with a surgical blade to exfoliate skin and remove hair. After dermaplaning the skin, a light AHA peel is applied. This is a very superficial peel with little to no peeling. Ideal for most skin types, not recommended for skin with active acne.
Sensi Peel® Exfoliating Treatment
This gentle TCA solution is formulated primarily for ethnic skin, and other extremely sensitive skin types. Sensi Peel® will strengthen and brighten the skin while helping to treat sun damage and other forms of hyperpigmentation (skin discoloration). This multi-faceted treatment also provides anti-inflammatory, anti-acne and antibacterial action, making it an excellent choice for helping calm rosacea, as redness and inflammation can subside substantially after treatment. This peel creates very mild peeling.
Key Ingredients
Lactic Acid
Trichloroacetic Acid (TCA)
Azelaic
Kojic Acid
Arbutin
Illuminize Peel
This non-invasive very superficial chemical peel utilizes a novel approach to chemical peeling with a newer generation of alpha-hydroxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation.
Increase skin glow and radiance
Tightens the skin and restores a more youthful appearance
Improves clarity, color and skin texture
Patients achieve enhancement of skin appearance with minimal downtime and discomfort
Appropriate for first-time chemical peel patients or patients looking for a gentle, very superficial peel
May be performed on Skin types I- VI
Little or no visible peeling
Paradise Valley Skin Klinic offers a wide variety of peels at all depths.
Call to schedule a treatment or consultation. 480 421-1701
www.shapiroplastic surgery.com
You can follow Paradise Valley Skin Klinic on facebook.
Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com
Do go to an experienced skin professional with a successful reputation.
Be sure that the Aesthetician or Physician is experienced with the type of peel you are having, and with your specific skin type.
Don’t attempt to do a chemical peel yourself.
If done incorrectly Chemical Peels can cause hyperpigmentation, hypopigmentation and scars. You can find just about anything on the internet these days, however just because you can do something, doesn’t mean you should. I can go to Home Depot and buy a bag of cement, that doesn’t make me qualified to pave your driveway.
Do precondition your skin.
If you are having a deeper peel, such as an Obagi Blue Peel or Zo controlled depth peel, you will likely be instructed to precondition in advance. Preconditioning often involves using Tretinoin (Retin-A) and hydroquinone along with a comprehensive skin care regimen, to restore skin health, enhance the results of the peel and reduce risk of complications. You may also be instructed to start antiviral medications a few days before deeper peels, skin trauma can cause herpe blisters (cold sores) on face and lips.
Don’t have a chemical peel if..
Don’t have a chemical peel if you are pregnant or on Accutane. Avoid deeper peels if you have active acne, superficial peels are generally recommended when treating skin with acne.
Don’t exfoliate.
Don’t have exfoliating treatments or use exfoliating products until the recommended time, based on the depth of your peel. With deeper peels you may be instructed to wait up to 6 weeks before exfoliating.
Do follow post treatment instructions.
Use a gentle facial cleanser, and a mild moisturizer. A hydrocortisone cream and antiseptic compresses may also be recommended. An occlusive ointment, such as Aquaphor may be used around areas such as the mouth, to prevent cracking from deeper peels. With deeper peels a 4% hydroquinone may be recommended, after peeling has been completed to reduce the chance of post inflammatory hyper pigmentation. You may also be instructed to use tretinoin (Retin-A). Post treatment care varies depending on level of peel, skin condition and skin type. Always discuss appropriate post treatment care with your provider.
Don’t assist peeling.
Don’t pick, pull or prematurely remove peeling skin. Removing skin prematurely can cause complications including hyper and hypo pigmentation. Removing skin prematurely will also put you at increased risk for infection.
Do wait for skin to peel off on it’s own.
Treat the skin almost as if you are trying to keep the peeling skin on.
Don’t hesitate to call if you have questions or concerns.
If you are unclear about your post treatment instructions, or are concerned about your reactions contact your Aesthetician, Physician or skin care provider.
Do avoid cracking and trauma.
Minimize making facial expressions, sleep on your back and avoid letting the shower hit you in the face.
Don’t expose your skin to heat or UV rays.
Avoid sun exposure and heat, your skin will be photosensitive post peel and heat will increase skin inflammation and increase the risk of post inflammatory hyper pigmentation.
Do use a pure mineral SPF and a pure mineral powder with SPF.
It is generally recommended to avoid chemical sunscreens immediately post peel, as the can be irritating. A pure Physical (mineral sunscreen) will have Titanium Dioxide and Zinc Oxide as the only active ingredients. Epionce Daily Shield Lotion Tinted SPF 50 is a great option.
Most cosmetics are contraindicated to cosmetic procedures, however a pure mineral makeup can be used immediately after most cosmetic procedure. Mineral makeup such Jane Iredale or Color Science have an SPF protection and are not irritating. They also do not contain talc, that can increase skin dryness while peeling. Cosmetic marketing and labeling can be misleading, be careful that you do not use a mineral based make-up, it needs to be a pure mineral.
Don’ Sweat
Avoid strenuous exercise until peeling is complete.
The old skin that is preparing to peel off acts kind of like an occlusive barrier, trapping sweat underneath. The sweat can bead up underneath and may even look similar to a blister, this can cause the dead skin to separate prematurely and may lead to complications.
Do make sure you understand what to expect
Some peels are very superficial with little to no peeling, while others may have more significant peeling and down time. The terms used to describe the depth of chemical peels are not generally agreed upon, which can cause some confusion, in terms of a peel being considered light, medium depth or deep. It helps if your provider can give you an idea how much peeling can be expected and for how many days. They may be able to tell you, which layer of the skin the peel generally reaches and what is achieved by a peel at that level. Deeper peels offer more correction, but also inherently come with more risk.
Don’t forget to follow up with skin care professional
Your Aesthetician or skin care provider can recommend products and follow up treatments to help enhance and maintain results. If you suspect any complications, contact your aesthetician or skin care provider immediately.
Do have realistic expectations.
If you are having a superficial peel, you would not expect the same results as you would with a deep peel. Even a deep peel can not replace a surgical procedure, botox or fillers. All aesthetic treatments have their place and limitations, a comprehensive approach will always provide the best results. It is the patients responsibility to follow post treatment instructions, non compliant patients can expect complications. Unless you are having a very light peel, you should obviously expect to peel.
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