Englewood Chemical Peel doctors

Michael Contreras, MD Michael Contreras, MD
Denver Dermatologist
499 East Hampden Ave. Suite 450, Englewood
2 answers
Stephen A. Goldstein, MD Stephen A. Goldstein, MD
Denver Plastic Surgeon
125 Inverness Dr E Suite 200, Englewood
2 answers
Gregory A. Buford, MD Gregory A. Buford, MD
Denver Plastic Surgeon
125 Inverness Dr E Dry Creek Medical Campus Suite 200, Denver
1 answer
Joel L. Cohen, MD Joel L. Cohen, MD
Denver Dermatologic Surgeon
499 E. Hampden Ave. Suite 450, Englewood
1 answer
Mario J. Imola, MD, DDS Mario J. Imola, MD, DDS
Denver Facial Plastic Surgeon
3600 So. Logan St. Suite 100, Englewood

Recent Answers

Can I Get Chemical Peels After Electrolysis?

Can I have electrolysis treatments after a series of chemical peels? If I do would it ruin the results of the peels and roughen my skin? And also does it matter if its a mild peel, medium peel, or deep peel? I have'nt done any peels yet just hypotheically speaking.

A: Yes, but you should wait a few weeks.

There are many different types of chemical peels, and many different concentrations. These can be great treatments for sundamage (pigment and mild wrinkles) as well as acne and melasma. But, we generally make sure that patients don't have irritated skin when these peels are done. It is best to wait a couple of weeks after electrolysis to make sure the skin and follicular structures have recovered. We also often discontinue topical retinoids (like tretinoin/RetinA) a week or so before most peels.

Joel L. Cohen, MD
Denver Dermatologic Surgeon
How Long Does a Chemical Peel Last?

Hi, I have been researching types of chemical peels, but I am confused about some things: Once you have a peel done, how long does it last? Does this vary by type? When they say 'recovery period' , i.e. 7 days, does that mean you have to stay in for 7 days? Thanks.

A: Duration depends on depth of peel

Light peels that affect only the superficial layer of the skin called the epidermis can be expected to show improved texture and tone for about 1-2 months. This is because it takes the skin cells approximately 30 days to repopulate the epidermis. Chemicals used for light peels include salicylic acid, glycolic acid (lower percentages), TCA 15%, Jessner's solution. Medium peels can have effects lasting anywhere from 2-6 months because they affect the epidermis and a portion of the underlying dermis. I will not repeat a medium peel any sooner than every 2 months.

The duration of the beneficial effects of light and medium peels can be extended by starting a regimen of gentle physical exfoliation (for example baking soda mixed with cetaphil cleanser rubbed gently on the skin 2-3 times weekly) and chemical exfoliation (for example daily use of glycolic acid containing moisturizer in the morning). Additionally, a retinoid containing product (for example Renova) will aid in diminishing fine lines and uneven pigmentation. Most importantly, a daily sunscreen SPF 30 or higher will help to prevent repigmentation and further sun damage that contributed to the problem in the first place.

Michael Contreras, MD
Denver Dermatologist
One High-strength Chemical Peel Vs. Several Low-strength Peels

To help with pigmentation issues, dull skin, and fine lines, I'm considering having either a series of 3 to 4 7% TCA + 2% salicylic peels, or just a single TCA peel at a higher strength (25% to 35%). What would you recommend? What are the advantages and disadvantages of a series of low-strength peels vs. one higher strength peel?

A: Stronger peels for lighter skin more effective

I have had great success treating patients with a single medium depth peel (Jessner's combined with TCA 20-35%) in the appropriate patients. These patients are fair skinned, do not tan, and don't mind a week of downtime with scaly, darkened, peeling skin.

For darker skinned patients and those that want a shorter 3-4 day recovery, lighter peels are effective but require more treatments. Either way, these peels are excellent for uneven pigmentation, texture, and fine lines. In the right patients peels can be a less expensive than laser procedures and with similar results.

Michael Contreras, MD
Denver Dermatologist
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