Archive for the ‘Chemical Peels’ Category

Hypopigmentation from a chemical peel

Thursday, June 25th, 2009

This is a question that I answered for someone who had a procedure by another physician.

Hypopigmentation from a chemical peel about a month ago is a little early for permanent hypopigmentation. This condition can and usually shows up months later. If this is permanent there are some special treatment light systems that can help with bringing back the pigmentation. But these do not always completely help the pigmentation. Some others have attempted skin grafts with siginificant recovery and problems. I would wait to do anything extreme. I would consider topical skin medications to possibly cut down on the inflammation if there is any. This will help with the inflammation continuing to hurt the melanocytes and preventing their migration into the skin areas.  Melanocytes are the cells within your skin that produces the pigment melanin that is dispersed throughout the skin cells in the area.

Consulting a Board Certified Facial Plastic Surgeon would be something that I would recommend. We specialize in the face and are highly qualified to help you with this.

What is Jessner’s Peel and a TCA peel and what should I expect.

Thursday, June 25th, 2009

A Jessner’s peel is superficial and you should recover quickly. Peeling usually takes about 3-5 days and you won’t be red for more than a week or two at most.  TCA’s, tricholoracetic acid, usually depend on what concentration the TCA you are using. A 10% TCA peeel is superficial and recovery is about the same or a little more that the Jessner’s. 20% is a little deeper and can reach the papillary dermis and will require 5-7 days to peel. 30-35% is a medium depth peel and can reach the deeper papillary dermis and will take 7-10 days to peel. But I wouldn’t worry about the Jessner’s taking too long to recover.  During the recovery phase you will basically have a sunburn in varying degrees depending on how deep of a peel you receive.

Essentially with peels and resurfacing, you are taking away the top layers of the skin to then allow deeper skin cells from within hair units or deep within the hair follicle to resurface or create a new skin surface.  This allows the resurfacing to remove scars, wrinkles, unwanted pigmentation and decrease the size of the pores.

Accutane and Chemical Peels and Resurfacing.

Thursday, June 25th, 2009

If you do a chemical peel when you are on accutane you will greatly increase your chances for scarring. Your pilosebaceous units are greatly affected by accutane and this effects there ability to resurface your skin and hence can lead to an increase in scarring. Generally you should be off accutane for 1-2 years before you do any resurfacing type of procedure.