Issaquah Chemical Peel doctors

Any exfoliating type of skin care procedure will help with acne. At your age, it is still very common for young adults to experience hormonal acne. I would schedule an appointment with a local Dermatologist or Aesthetician to discuss options.

Intense Pulse Light, Medium depth chemical peels, fractional co2 resurfacing, skin care can improve back pigmentation. With Fraxel resurfacing the pigmentation could be at many different levels. More superficially, I would consider more aggressive skin care light lightening products (retinol, hydroquinone, hydrocortizone), 15% alpha and beta hydroxy lotion, at home glycolic peels.  Also for superficial pigmentation, lighter chemical peels 10-25% TCA (Tricholoroacetic Acid) peels, and active / deep fx could help.  For dermal pigmentation, active and deep fx could improve the pigmentation intense pulse light with varying filters could improve this, as well as different longer length lasers from 585-1064.  Dermal depths are deeper and not accessible to most superficial treatments.

A chemical peel can cause a reactivation of the herpes virus that leads to cold sores. Some 90% of people are infected or have been infected by the Herpes Virus simplex 1 that cause oral herpes. Chemical peels, resurfacing, dermabrasion all stimulate the skin that can reactivate the virus that usually resides in the sensory nerves (dorsal ganglion).

These peels or procedures stimulate the nerves, decrease barriers and active the virus to come down the nerves to the cause the cold sores. They don't actually lead to a new infection, they just reactivate the virus that has been there since childhood. Usually if the peel is more than superficial, I will prescribe acyclovir, or vacyclovir as prophylaxis. I don't always do that for superficial peels like glycolic, low strenght tricholoracetic acid, or jessner peels, etc. Laser resurfacing, dermabrasion, and medium to deep depth chemical peels usually require prophylaxis.