In Miami, the land of the "Beautiful People" - where sun and sand mean that skin is always exposed, Dr. Andrea Trowers, Board Certified Dermatologist based in North Miami Beach, helps enhance all of her client's beauty.
Dr. Trowers exclusively addressesmany of your biggest skin care questions in our ongoing series of columns. Her latest column is about chemical peels. Dr. Trowers explains what you can expect from a peel, the different types of peels available, the best candidates for them and how they can help you achieve that healthy glow! - RLB
Chemical peels fall into three categories: superficial, medium and deep. Alphahydroxy acids are used for superficial peels. These include glycolic, lactic, salicylic and fruit acids. These peels have minimal down time and result in smoother, brighter skin.
Trichloroacetic (TCA) peels are medium strength and require more recovery time. Deep peels utilize phenol. These can be used for deep, coarse wrinkles but they carry more risks. Patients must understand that there is a permanent change in their skin coloring and they may lose the ability to tan. Also there are serious risks involved for phenol peels used on patients with a history of heart disease.
All of the chemicals used in peels come in varying concentrations and other ingredients can be used to alter the peels. The peel I most commonly use combines salicylic, lactic and retinoic acid. This combination allows the peel to penetrate deeper which allows for superior results, but without the risks of deeper peels.
Chemical peels should only be applied by licensed individuals. Remember this is your face and it can not be replaced! Even superficial peels carry the risk of permanent scarring if applied improperly.
The procedure starts with the face being thoroughly and properly cleansed. The peel is then applied, usually several layers are used. During this time it is normal to experience a tingling or light burning sensation in the areas being treated. The face may be flushed or slightly yellow afterwards. Depending on the type of peel used it may require washing the face after a timed interval, that can vary from several minutes to several hours. During the next several days the skin will flake and peel. It is important to keep the face well hydrated with moisturizers during this period and to not pick at the flaking skin.
After several days to a week the exfoliation is complete and that “pretty glow” is yours! - Dr. Andrea Trowers
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Office contact info: 10800 Biscayne Boulevard Suite #650 Miami, FL 33161