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Chemical Peeling

Chemical peel is a technique used to improve the appearance of the skin. A solution is applied to the skin that causes it to exfoliate and eventually peel off. Chemical peels are used to remove damaged skin cells, revealing healthier skin underneath. There are different types of peels: superficial, medium depth and deep peels. The new skin is usually smoother and less wrinkled than the old skin.


A week prior to the peel, patient should stop;

  • retinoids.
  • Waxing, depilatories, electrolysis, bleaching.
  • Masques, loofahs and other sponges.
  • Hair dyeing, permanent wave or straightening treatments.
  • Other resurfacing or exfoliating treatments.

On the day of the peel, shaving and threading should be avoided before and after the procedure to avoid discomfort and burning.

Post peel

  • In the postpeel period, edema, erythema and desquamation occur. In superficial peels, this lasts for 1-3 days, whereas in deeper peels, it lasts for 5-10 days.
  • Mild soap or a non-soap cleanser may be used.
  • Patient told to use broad-spectrum sunscreens and only bland moisturizers until peeling is complete.
  • Avoid peeling or scratching the skin.
  • No facial procedures like steaming, scrubbing, waxing, bleaching or facials should be performed in the first week after the peel
  • Advised against getting into chlorinated water for at least 72 hours to prevent PIH.


  • Photoaging
  • Textural changes
  • Hyperpigmentation
  • Acne
  • Keratotic lesions (medium depth peels)
  • – Keratosis pilaris
  • – Warts
  • – Xanthelasma palpebrum
1.What is the treatment regimen? / How many treatments are generally required? How far apart?

Number of treatments depends on the indication to be treated and the skin type of the patient. 4 sessions are usually advised at a monthly interval. Maintenance sessions can be done after 2 to 3 months depending on the need.

Mild itching, burning and stinging sensation can be felt along with redness and edema. No permanent side effects are noted.

Patients are asked to follow strict post procedure protocol to achieve the desirable effect.

Peels like Glycolic peel (30 to 50%), Salicylic peel (not for larger area) and lactic acid (FDA approved) peels are safe in pregnancy. But it’s better to defer the procedure till delivery since lack of data. Peels are safe in lactation.

Depending on the condition treated, there will be improvement in the acne, pigmentation, fine lines, and wrinkles. Acne occur in cyclical pattern peels reduce the frequency and number of lesions. There will be enhancement of tone and texture of skin after peel.