Long Island Glycolic Peel doctors

Channing R. Barnett, MD Channing R. Barnett, MD
New York Dermatologist
163A East 70th St., New York
4 answers
Lawrence Bass, MD Lawrence Bass, MD
Manhattan Plastic Surgeon
568 Park Ave, New York
Ted Brezel, MD Ted Brezel, MD
New York Dermatologist
79-59 Myrtle Avenue, Glendale
Mark D. Epstein, MD Mark D. Epstein, MD
Stony Brook Plastic Surgeon
2500 Route 347 Building 22A, Stony Brook
Joshua L. Fox, MD Joshua L. Fox, MD
Long Island Dermatologic Surgeon
165 Roslyn Road, Roslyn Heights

Recent Answers

Are 50% Glycolic Peels Safe for Black Skin? Any Risks? (photo)

I'm a black male in my early thirties who has had four weekly courses of 20% salicylic peels. The results have been fresher more radiant looking skin. The purpose is to obtain youthful even toned skin. I'm considering a course of 50% glycolic peels. I'm wondering what the potential risks are with type IV skin (dark chocolate complexion). With the 20% salicylic peels there is noticeable flaking and peeling for a few days. Can I expect more or less of this with the 50% glycolic peel?

My aim is to have a clear even toned blemish free complexion. I've had decent results using 20% salicylic acid peels and have had four done so far on a weekly basis. The results have been good so far.  Being black male I'm wondering what the risks of hyper/hypo pigmentation are. I don't want to induce any light or dark patches on my face.

A: Glycolic Peels and Dark Skin

I routinely perform glycolic 50% and 70% peels on dark skin (types 4 -6), but always conservatively and for different lengths of time and at different time intervals depending on the skin type, their history, and the area(s) of concern being targeted.  The strength of a peel often has to do with how it is applied, how long it is left on the skin and the skin type it is being applied to. Generally speaking, a 50% or 70% glycolic  peel is stronger than a 20% salicylic acid peel and so with a stronger peel come increased risks of discoloration, especially in the hands of someone not properly trained.  However, that being said, I think you can definitely get more improvement of your tone and blemishes with glycolic peels as long as whoever is applying it for you does so in a very conservative fashion.  I recommend you consult with a board-certified dermatologist experienced in chemical peeling. 

Channing R. Barnett, MD
New York Dermatologist
Will PIH Heal Completely After Glycolic Peel?

Hi, my skin type is IV. I had 3 Glycolic peels at 70%. Three weeks after the last one, I developed a very sever PIH. Now I´ve been with HQ 4%, Tretinoin and Corticoteroid threatment + some microderm for around 25 days and full sun block. PIH has been reduced in around 70%, so I expect it to be solved in 25 days more.(Thank GOD) Now, once it´s over and I stop topical creams; how long before my skin can recieve sun without protection? Will it be normal again or some PIH will come back? Thanks.

A: Chemical Peeling, Post-Inflammatory Hyperpigmentation and Sun

Your skin should never be exposed to the sun without protection, especially considering what you have gone through with chemical peeling and post-inflammatory discoloration (hyperpigmentation, PIH). I have a strict post-peeling regimen for all my patients which includes strict sun avoidance.  Post-inflammatory hyperpigmentation (PIH) can be very difficult to treat and very difficult to predict.  No one can say for sure whether your PIH will completely go away and if it does, if it will come back. But one thing is for sure, sun exposure without protection will not help.  

Channing R. Barnett, MD
New York Dermatologist
Is Glycolic Acid 20 Percent Cream Safe for Me?

i am 22 years old and im using glycolic acid cream 20%, i used it morning and night, as what my derma had told me. i used retinoin acid cream for two weeks and after that my doctor added the glycolic 20% after applying the retinoin (still using retinoin). what worries me is that my skin is dry and peeling mostly on my chin and somewhat red. light dark color appear on my chin (something like burn). my doctor gave me a moisturizer and sunscreen after applying the cream.this is my 5th day using it.

A: Recommendations for Use of Glycolic Cream

If you are using some type of RetinA (tretinoin) or retinol cream in combination with a glycolic cream, it is very likely that your skin will become irritated.  While tretinoin and glycolic are very good for targeting different skin problems like acne, pores, photodamage and fine lines, they are both individually and especially in combination drying. Based on your description of red and peeling skin, it sounds like your skin is getting irritated and you need to decrease the frequency of both, and focus more on using your moisturizer and sunscreen, especially until your skin heals. 

Channing R. Barnett, MD
New York Dermatologist
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