Chemical peeling is a technique used to improve the appearance of the skin. A chemical solution is applied which causes layers of skin to separate, peel off, allowing new skin to regenerate. The new skin is smoother and less wrinkled than the old skin, and may also be more even in color.

Millions of chemical peels are performed each year. Dermatologists have used various peeling agents for decades. Today, with the public's increasing interest in rejuvenating skin and slowing the effects of the aging process, chemical peeling has emerged as an exciting anti-aging procedure. Results of chemical peels may also be combined with new laser/light-based rejuvenation techniques to achieve optimal outcomes.

Chemical peeling is used to treat fine lines, especially under the eyes and around the mouth. However, sags, bulges, and more severe wrinkles do not respond to peeling and may require other kinds of cosmetic surgical procedures. A dermatologist can help determine the most appropriate type of treatment for each individual concern.

Mild scarring and certain types of acne may also be treated with chemical peels. In addition, irregular pigmentation of the skin and skin that is dull in texture and color may be improved with chemical peeling. Sunscreens and sun blocks must be used in conjunction with chemical peels in order to decrease the chance of the reappearance of lesions.

In preparation for a chemical peel, 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, Jessners solution, trichloroacetic acid, salicylic acid, or lactic acid are used. Your dermatologist will suggest the proper peeling agent based upon the type of skin damage present and desired results. The Obagi Blue peel is a popular choice and involves a controlled application of several layers of trichloroacetic acid mixed with a proprietary blue peel base.

During a chemical peel, the solution is applied to various areas of the skin. During the procedure, most patients experience a warm to hot sensation that may last about five to ten minutes, followed by a stinging sensation. The deeper peels may be more uncomfortable and require medication during the procedure. After the treatment, you will experience various levels of peeling. With a superficial peel, there may be simply some redness, slight crusting and exfoliation. With deeper peels, there may be more crusting, possible blistering and swelling before peeling actually occurs. It is vital that the patient avoid sun after treatment and protect the skin with sunscreen after healing has occurred.

In certain skin types, there is a risk of developing a color change. Birth control pills, pregnancy, or a family history of brownish discoloration on the face may increase the possibility of developing abnormal pigmentation. Persistent redness may also occur and can last for months.

Although very low, there is a risk of scarring after chemical peels. If scarring does occur, it can usually be treated with good results. To reduce risks, it is important to inform the dermatologist of any past history of keloids, unusual scarring tendencies, extensive X-rays or radiation to the face, or recurring cold sores.