Palo Alto Chemical Peel doctors

EYELID PIGMENTATION IS A DIFFICULT PROBLEM.  The best approach that leads to success is a combo approach which i will explain.  To give you a simple answer, NO IT WILL NOT CURE PIGMENTATION to do a chemical peel.  Temporarily the skin will appear clearere and lighter but it will repigment quickly in a monh or tpo and possibly worse.  Remember the melanin cells that produce pigemnt are in the deeper layers of the skin.   A peel only gets the upper epidermis and burns away the pigment that has risen to the surface.  The peel injury stimulates the melania cell to produce ever more pigment.  This is also true of Laser  treatments.  If the chemical peel is very deep it may get the melanin cells but a peel at this depth is dangerous about the eye and about other areas may cause blotchy depigmentation.   So what to do.  Very complicated.  Plan on a two year program with a 4% mix of the h-quinones.  Possible mix them with a little Retin A.  Get a PS or Dermatologist to help.  The Retin A gets the melanocyte supressorr H-Quinione into the area of the melanocytes.  This will in time paralyze melanocyte function permamently and no pigment will be produced. It take 2 year of evangelical enthusiasm.  Occasional.   chemical peel can seem to speed the process or at least make you look temporarily better.  Sun and UV light is your enemy.  This stimulates melanocytes and this is why we get tanned. You must meticulously use sun total or near total block all the time to speed the process along and not reverse it..   Sun is your enemy.  Again evangelical enthusiam is need to win.  But you can and will win if you want to and are committed.  Keep a ittle record book of daily activity.  Think. You and you PS or dermatologist can do it.  Good luck.   Dr Commons

Chemical peels are an excellent treatment for hyperpigmentation. In fact, I prefer chemical peels over any kind of laser treatment for management of hyperpigmentation alone. This can be done using a more gradual approach, with a series of “light” chemical peels (generally, in my practice, this is a combination of glycolic acid, salicylic acid, kogic acid, Jessner’s solution, hydroquinone, and resourcinal) or a more aggressive type of peel, known as trichloroacetic acid (also popularized as a “blue” peel or known as a TCA peel). The more aggressive of these two approaches – the TCA peel – will usually require pre-treatment of the skin for 3-4 weeks prior to the procedure, for best results and to ensure that there are no negative consequences from the peel itself. Pre-treatment involves home application of topical skincare products, including topical vitamin C serum and a product containing hydroquinone and Retin A. Often these products are used again after the procedure to help maintain and prolong your results.

It depends on how long the freckles have been there. If the freckles have been there your entire life, they likely involve full thickness hyperpigmentation. However, if they are more recent, perhaps due to sun damage, the likelihood of a TCA chemical peel being successful is greater. Certainly, a blue peel or TCA chemical peel would be expected to improve, if not completely eliminate, the freckles on your legs.