Morristown Chemical Peel doctors

Brian S. Glatt, MD Brian S. Glatt, MD
Morristown Plastic Surgeon
182 South St Suite 9, Morristown
3 answers
Emil Bisaccia, MD Emil Bisaccia, MD
Morristown Dermatologist
Morristown
David Evdokimow, M.D. David Evdokimow, M.D.
Morristown Plastic Surgeon
96 S. Finley Ave, Basking Ridge
Beverly Friedlander, MD Beverly Friedlander, MD
Short Hills Plastic Surgeon
636 Morris Turnpike Suite 2G, Short Hills
Janet M. Neigel, MD Janet M. Neigel, MD
West Orange Oculoplastic Surgeon
101 Old Short Hills Rd Ste 204, West Orange

Recent Answers

Is Hyperpigmentation After Chemical Peel Common?

After 4 weeks from a medium Chemical Peel, I'm starting to get large brownish, grayish spots all over my face. I've done everything including using sunscreen that my doctor has recommended.

Is this common? What can be done? I feel like I've defeated my purpose.

A: Can be

While hyperpigmentation after chemical peel can certainly occur, there are certain steps which are usually taken BEFORE the procedure to help guard against this. A typical pretreatment regiment will typically consist of at least Retin-A as well as a hydriquinone product to be used regularly for 6 weeks before a resurfacing procedure to "prepare" the skin for an injury. Were you placed on these prodcuts beforehand and did you use them? If not, then you would have a much higher risk of post-procedure hyperpigmentation, which spotty areas as well such as you describe. Hopefully this will resolve with time or at least significantly improve. You may want to inquire about using a lightening cream, but would discuss this with your doctor first regarding strengths of such products. Good luck

Brian S. Glatt, MD
Morristown Plastic Surgeon
Is It Safe to Have Chemical Peel While on Accutane?

I purchased a Chemical peel off eBay but I was using Accutane about a month or 2 ago. I only took 10 pills of it, does that make any difference?

A: Absolutely NOT

You must be off Accutane at LEAST one whole year before undergoing a chemical peel for your skin. Accutane can significantly affect the ability of your skin to repair itself and heal properly after an injury (which is what a chemical peel is - a controlled injury). The same goes for laser resurfacing or dermabrasion as well!

Brian S. Glatt, MD
Morristown Plastic Surgeon
Chemical Peel Recommendation for Fair Skin with Severe Sun Damage and Wrinkles?

What type of chemical peel would you recommend for someone with very fair skin, severe sun damage, wrinkles on top of lips and crow's feet? What concentration would you recommend and are there any risks? Does chemical peel thin the skin? I am 40 years old and I notice on each side of my cheekbone that I have light purple veins running vertical down my face. I have been using renova A. Thank you.

A: You have several peel options

The two main types of chemical peels are TCA or phenol/croton oil. Each can very in concentration depending on which area of the face is being treated. I prefer phenol/croton oil peels for treatment of lines/wrinkles/hyperpigmentation of the face, as this peel treats the isues beautifully and definitively. TCA may improve the situation somewhat, but likely will need to be repeated at some point.

Regardless of method, you will absolutely need to receive a full skin evaluation prior to undergoing resurfacing, and in my practice we require that you are using Retin-A as well as a hydroquinone 4% for at least 6 weeks prior to peeling to insure a good result. I have skin care specialists who evaluate your skin and map out a plan with you for pre and post peel skin care.

The resurfacing peel may or may not take care of the spider veinds. these may require the use of a special laser or sclerotherapy.

Good luck!

Brian S. Glatt, MD
Morristown Plastic Surgeon
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