We use chemical laser peels to decrease the fine wrinkles that cannot be removed by a facelift or eyelid surgery. These wrinkles typically occur on the forehead, around the eyes (including “crow’s feet”), and the upper lip. Depending on the needs of each patient, part or all of the face may be peeled. After the treatment is applied to the skin, the top layer peels like a sunburn. However, it also affects the deeper layers by inducing the deposition of new collagen, the normal protein of the skin.
The texture of the skin is improved, rejuvenating the skin and giving it a more youthful appearance. The improvement achieved is long lasting because of the structural change in the skin. We feel that some types of skin lend themselves better than others to this procedure. Patients with fair complexions, for example blondes and redheads, get much better results than those with dark pigmentation. In fact, people with darker, olive skin may not be suitable candidates for this technique because there is frequently a slight decrease in the pigmentation of the skin depending upon the type of treatment used. With any patient, the inherent color of the skin is an important consideration. In patients with fair complexions, this slight decrease in pigmentation usually is not visible and creates no post-operative problems. We often use a weaker treatment with darker skin, thereby decreasing the risk of pigment changes. However, the results are not as dramatic.
There are different types of Chemical Peels. There is a TCA (Trichloroacetic) and then there are different levels of TCA peels (light, medium, deep). Then, there is the Phenol peel which is a much deeper peel. Chemical peeling is a very satisfying procedure, often producing remarkable results with fine lines of the face which are an obvious stigma of the aging process.