The Woodlands Chemical Peel doctors

Narin (Joe) Apisarnthanarax, MD Narin (Joe) Apisarnthanarax, MD
Houston Dermatologist
450 Medical Center Blvd. Suite 309, Webster
1 answer
Joseph M. Perlman, MD Joseph M. Perlman, MD
Houston Plastic Surgeon
6319 Cypresswood Drive, Spring
1 answer
C. Bob Basu, MD C. Bob Basu, MD
Houston Plastic Surgeon
6400 Fannin Suite 2100, Houston
Melissa Chiang, MD Melissa Chiang, MD
Houston Dermatologist
17115 Red Oak Drive Suite 210, Houston
Sugene Kim, MD Sugene Kim, MD
Houston Plastic Surgeon
4185 Technology Forest Blvd. Suite 150, The Woodlands

Recent Answers

How Effective is a Chemical Peel For Scars on People of Color? (photo)

I have old scars and acne scars on my face. I'm light-skinned, and I'm looking into getting a chemical peel, but I'm just now sure how effective it will be for me or if there is something else I should try. I've looked into the different types of peels and I've determined that a doctor will have to tell me what level of treatment I should receive. I never had acne as a teenager, but soon as I turned 25 seems like that's when I finally started to get acne. And, nothing seems to work for it.

A: Chemical peels for acne scars

First off, I would first try to get your acne under control under the care of your local board certified dermatologist.  If your acne is not under control, you would simply be chasing after your scars.  The photo is unclear , but what most patients consider scars are actually post-inflammatory pigmentation, which is not true acne scarring.  Most of this discoloration goes away over time but takes many months.  Prescription fading creams may help.  Chemical peels can help the pitted and depressed acne scars by reducing the excess layers of skin and making these scars more shallow.  This is a more temporary effect and requires continued maintenance with peels.  Since your skin is more pigmented you are a little limited as to depth and aggressiveness of the peel.  The better treatment for depressed acne scars are the collagen-stimulating lasers like Fraxel which results in more permanent improvement and can be performed on darker types of skin.

Narin (Joe) Apisarnthanarax, MD
Houston Dermatologist
Chemical Peel on Neck and Chest Area

Can I get a chemical peel on my neck and chest?

A: Pigmentation changes. be careful with peels to the neck

The skin on your neck has a very thin epidermis and dermis. Superficial peels such as Alpha hydroxy (glycolic acid), Jessner's solution, or trichloroacetic acid (10-25%) should be used to prevent hypertrophic scarring more pigmentation changes. Trichloroacetic acid (TCA) peels very in depth depending on concentration, skin type, how the skin was prepped, and the method of applying the solution.

The same holds true for the chest area(decollate) although this skin is a little thicker. Ask your physician which type of peel he plans to use.

Joseph M. Perlman, MD
Houston Plastic Surgeon
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