WHAT IS A DEEP CHEMICAL PEEL?
A deep chemical peel removes the outer and middle layers of skin by using a controlled and customized application of different ingredients to different parts of the face. As the skin heals, it gets thicker, tighter, smoother, and more luminous. Collagen and elastin fibers are formed over the following days, weeks, and months. Deep and fine wrinkles, pigment, pores, and laxity are substantially improved. Healthier skin emerges. The peel goes deep enough to remove sun damaged cells, so clinical experience has shown that it also reduces the risk of developing non-melanoma skin cancers. These types of deeper peels have been used with great success for the past 16 years since the recipe was re-formulated to be safer, more controlled, and more effective than decades ago. Dr. Vivian Schiedler, at her Oasis Eye Face & Skin office in Ashland, OR, may recommend a deep chemical peel to help rejuvenate your skin.
HOW DOES IT WORK TO IMPROVE SKIN QUALITY?
By harnessing the body’s natural repair mechanisms, the peel removes the damaged skin surface, but leaves the stem cells and growth layer behind, so it can build collagen and elastin.
WHAT CONDITIONS DOES A DEEP CHEMICAL PEEL TREAT?
- Pigmentation, freckles, and fine lines can be treated with a lighter peel that heals more quickly.
- Lower lid wrinkling can be tightened and smoothed out, which improves even when smiling.
- Upper lid extra skin folds can be substantially tightened, and if mild enough, can avoid surgery.
- Perioral lines or “smoker’s lines” are deep vertical wrinkles around the lips, which can be vastly improved or erased.
- Forehead wrinkles and brow furrows can be substantially improved or erased.
- Cheek etching or cross hatched wrinkles and bumpy texture can be substantially improved.
- Need for fillers and botulinum toxins (BOTOX® Cosmetic, Xeomin®, Dysport®) can be reduced.
WHEN WILL I SEE RESULTS?
Depending on the conditions being treated and the aggressiveness of the peel, the outer layers of skin heal within 5 to 14 days. Once the top layer of skin grows back, it is possible to see new tighter and smoother skin right away. It will be pink for a few weeks afterward, but this can be camouflaged with makeup.
IS IT PAINFUL?
In healthy people, a deep chemical peel can be performed safely and comfortably in the office with oral sedation when done very slowly. For patients with certain medical conditions, it is safer to do the peel with intravenous sedation. A combination of medications is given, and the first peel application is a very strong topical numbing anesthetic to allow the rest of the peel to be very comfortable. There is occasional mild stinging for about 1-2 hours after the peel, but then the rest of the healing period is without any pain. Special masks are applied to soothe the skin and reduce post peel care and prolonged redness.
HOW LONG DOES IT TAKE TO HEAL?
Most people in their 30s and 40s have lighter degrees of skin damage. They may heal in 5-7 days depending on the specific conditions being treated. If there is significant damage and severe wrinkles by age 60-80, it will take 10-14 days to heal. During the first week, there will be some swelling and possibly mild itching. After the initial healing phase, a pink hue will fade over the following 6 to 12 weeks. Prepping the skin ahead of time with prescription creams for 8 weeks is very helpful in making the peel successful and reduces the post-peel redness.
DO I HAVE TO TREAT MY FULL FACE, OR CAN I JUST TREAT CERTAIN PROBLEM AREAS?
If there is not a lot of pigment damage around the entire face, some people will be excellent candidates for treating just the lower lids, or just around the mouth. The peel will restore the skin back to its natural undamaged skin color, similar to the color under the upper arm. So in people with a lot of brown spots or freckles, it is best to treat the entire face.
HOW LONG DO THE RESULTS LAST?
For the deepest most aggressive peels, the skin and face can look 20-30 years younger. Because a lot of collagen and elastin is formed, and the health of the skin is restored, the results are long lasting. With proper care and maintenance, including sun avoidance, we can slow down how fast the skin ages again, but we cannot stop the aging process completely. The deepest peels do not typically need to be repeated for another 10-20 years. But if a few wrinkles remain, they can be re-peeled easily for additional improved results. Some patients may obtain remarkable enough results that they decide to postpone a surgical facelift, or may be able to reduce or even stop using fillers or BOTOX®.
HOW MUCH DOES IT COST?
The cost of the peel depends on several factors including whether the existing skin damage is mild, moderate, or severe. It also will depend on what areas of the face are being treated.
HOW IS THIS PEEL DIFFERENT FROM OTHER CHEMICAL PEELS?
Most chemical peels are done by estheticians or medical spas, but can only be done to superficial depths, which results in good improvements in pigmentation but are not able to address severe wrinkling. A deep chemical peel is more aggressive and needs to be performed by a physician.
If you are interested in learning more about this type of facial skin rejuvenation, or wondering if you are a suitable candidate, please contact us online or give us a call at 541.708.6393 to schedule a consultation with Dr. Schiedler.