Chemical peels vs Laser Peels

L. Mike Nayak, MD answers: Chemical peel vs. Laser peel - which is better for fine lines, sun damage?

I am a Caucasian woman with medium skin (can burn, but will tan). I am considering a medium medical grade peel to help with lines, pigment changes and sun damage.

Is a chemical peel better than a laser peel for these skin issues? Will one treatment promote collagen more than the other?


L. Mike Nayak, MD
4 months ago

As a general rule, the deeper the skin is peeled:

1. The more dramatic the improvement in wrinkling

2. The longer the healing period

3. The greater the risk of scarring or irregular pigmentation after the peel.

For pigment and fine wrinkling, a superficial papillary dermal peel should be appropriate. Experienced physicians can accomplish a such a peel predictably with either chemicals such as TCA or perhaps Hetter's very light solution, or with an Erbium:YAG laser. The tool that does the peeling isn't what matters - it's predicably peeling the skin to the appropriate layer that determines risks, recovery, and results.

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