Newport Beach Chemical Peel doctors
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Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
20072 SW Birch St Suite 110, Newport Beach |
7 answers | |
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Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
267 W Hillcrest Dr, Thousand Oaks |
2 answers | |
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Anne Marie McNeill, MD
Newport Beach Dermatologist
1441 Avocado Ave. Suite 702, Newport Beach |
2 answers | |
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Siamak Agha, MD, PhD
Orange County Plastic Surgeon
2121 East Coast Highway Ste 260 260, Corona del Mar |
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1 answer |
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Edward J. Domanskis, MD
Orange County Plastic Surgeon
1441 Avocado Ave, Suite 307 Ste 307, Newport Beach |
1 answer |
Recent Answers
I am 47, fair skinned, red headed with freckles. I have an alarming amount of small seborheic keratoses on my entire stomach, from under my breasts to my privates, under my arms, both of my sides and lower back. They are all pin dot to pin head size, but quite alot. Thousands. How do I get rid of so many? A laser peel? A chemical peel? How many peels would I need? Also, how do I prevent more from growing? I can see tiny pindots of keratoses starting on my upper thighs...help!!
Multiple seborrheic keratoses (SKs) are a common cosmetic problem. Unfortunately, there is no cream, pill or laser that prevents them. Peels or tretinoin cream may thin them, so they feel a bit smoother, but are not likely to completely remove them.
I usually remove larger SKs with light curettage or shave excision under local anesthesia. This is best for people with a few, larger SKs. Each one must be injected with local anesthetic, and is then scraped off in a controlled manner. You are left with a raw spot which is bandaged and heals very nicely without a scar.
It sounds like you have multiple tiny ones. These are best treated with a quick spray of liquid nitrogen on each one. In general, each one will raise up like a bug bite, then peel off over a week or two. It may require 3 or 4 sessions of treating them until they are all gone. This also heals very nicely with no scar.
Unfortunately, you will probably get more in the future, it is just in your genetics or skin type. But at least this will treat the ones you have, and you can get new ones treated with liquid nitrogen every year or two.
This is a cosmetic treatment and not generally covered by insurance. There are exceptions to this: most PPOs and Medicare will cover treatment if they are inflammed, irritated on the braline or waistline. It doesn't sound like that is the case for you. In general, in my office the cost is $250-$350 per treatment of multiple SKs with liquid nitrogen.
I am a professional, very busy. Cannot afford to be out of work for long recovering from a chemical peel. How much downtime can I expect from chemical peels of different depths?
The "down time" or time it takes to heal after a chemical peel is multifactorial. It depends on the acid or agent used, the concentration of the agent, the number of times the agent was applied, whether the skin was pretreated before the peel with retin A, whether acetone was applied before the peel to degrease the skin, and even what was used to apply the peeling agent (cotton swabs, larger swabs, guaze pads, sable brushes).
In a nutshell...
- Superficial Peels heal the quickest with perhaps just some mild flaking for a few days. But again.. lot of factors (see above) might impact this.
- Medium Depth Peels usually heal in 4-7 days.
- Deep Chemical Peels may take 7-10 days
Even after healed the area may still be pink or red and that will take some time to resolve. Given your inability to take time off, it sounds like your best option might be a series of superficial chemical peels (e.g. salicylic acid, glycolic acid, Jessner's formula, etc). You should see a board-certified dermatologist with extensive experience in chemical peels. That person can evaluate your problem, your skin type, etc and determine what is the best option.
