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    What is a dermatologic surgeon?

    Part of a progressive medical subspecialty, ASDS member dermatologists perform medically necessary and cosmetic procedures to improve the health, function and beauty of skin through every stage of life.

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    From forehead furrows to frown lines…

    Performing more than 5 million cosmetic procedures each year, ASDS member dermatologists offer many treatments that are less intense, safer and have quicker recovery times than ever before.

  • 2016-2-960
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    3 million Americans are diagnosed with skin cancer every year

    Any suspicious new growths or changes should be examined by a dermatologist immediately. ASDS member dermatologists are trained to select the best treatment choice based on the individual patient.

  • 2016-1-960
    2016-1-768
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    From excess fat to wrinkles…

    Offering a range of office-based cosmetic procedures, ASDS member dermatologists can select the appropriate treatment choice to meet your individual goals.

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In This Section

Chemical Peels for Wrinkles

 

Treatment Options

 
 

Chemical peels improve the appearance of wrinkled skin by using a chemical solution to remove the outer layer of old skin. The new skin that replaces it is usually smoother and less wrinkled in appearance.

Why choose chemical peels for wrinkles

Chemical peel procedures typically are used on the face, neck and hands. Fair-skinned and light-haired patients are better candidates for the procedure. The procedure is non-surgical and can be performed in a doctor’s office.

croton oil-phenol deep chemical peel - perioral lines-wrinkles_BandA 
 Before(top) and after(bottom): Three and four months after phenol-croton oil deep chemical peel for perioral lines.

Photo courtesy of Harold J. Brody, MD- Atlanta,Georgia
 

What you should know about chemical peels for wrinkles

The practitioner who performs your peel will first cleanse your skin thoroughly. Next one or more chemical solutions will be applied to the skin. These solutions include glycolic acid, trichloroacetic acid, salicylic acid, lactic acid and carbolic acid. The process creates a controlled wound, allowing new skin to grow in place of the wrinkled skin.

During the procedure, patients may experience a burning sensation lasting five to 10 minutes. Cold compresses may be applied to lessen the pain. Pain medication may be required for deeper peels.

Possible risks

As with any treatment, there are risks associated it, though they are minimized in the hands of a qualified ASDS dermatologist. These include:

  • Temporary or permanent change in skin color, particularly for women on birth control pills who subsequently become pregnant or have a history of brownish facial discoloration.
  • Scarring.
  • Reactivation of cold sores.
deep chemical peel - patient 2_BandA 
Before(top) and four months after(bottom) phenol-croton oil deep chemical peel. 

Photo courtesy of Harold J. Brody, MD- Atlanta,Georgia    


Cost

 

The average cost for chemical peel ranges from $400 to $588. Since a chemical peel is usually considered a cosmetic procedure, the cost is not covered by most medical insurance companies.

How to prepare for the procedure

Before the procedure, you and your ASDS dermatologist should discuss expectations, potential risks and outcomes of the procedure. You also should:

  • Discuss your wrinkled skin condition and your treatment goals in order to determine the depth of chemical peel.
  • Reveal any history of scarring, persistent cold scores or facial X-rays.
  • Avoid any medications or supplements that can affect blood clotting – such as aspirin, ibuprofen or vitamin E – for 10 days before surgery.
  • Avoid using medications such as Retin-A, Renova or glycolic acid.
  • Determine in advance whether you will need to have someone drive you home following the procedure.

What to expect after the procedure

Afterward, patients experience a reaction similar to sunburn in the treatment area. Patients may experience:

  • Redness, followed by scaling within three to seven days.
  • Swelling.
  • Blisters that will crust, turn brown and peel off within seven to 14 days following medium and deep peels.
  • Bandages over treated areas for several days.
  • Chemical peel patients should avoid the sun for several months following a procedure.
  • Light peels may be repeated in one- to four-week intervals. Medium-depth peels may be repeated every six to 12 months.

Find a doctor for your chemical peels

Visit "Find a dermatologic surgeon" and choose "Chemical Peels" from the dropdown menu. In 2013, ASDS dermatologists performed nearly 517,000 chemical peels, up from 414,000 in 2012. Because ASDS dermatologists are trained in a variety of the best and latest techniques, they are the most qualified to evaluate and select the best treatment choice based on the individual patient's condition.

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