You may inadvertently have received a deeper chemical peel

Bryan K. Chen, MD answers: Facial burns from superficial Chemical Peel

I recently had a chemical peel (supposedly superficial). I followed the nurse's instructions in terms of using moisturizer and SPF 30 along with Cloderm 1%. I was wondering why my face would still burn every time I put on the SPF and Cloderm. I come to find out that I have a Chemical Burn on my face as a result of the chemical peel. The whole right side of my face is completely discolored to a point where you can see where the nurse wiped on the chemicals on my face.

Does anyone have any suggestions on what I should do to correct my face? I was once a DIVA but now I have a major complex about myself....The dermatologist finally admitted that I have a Chemical Burn on my face. Do I need to talk to a reconstructive surgeon now? Desperately seeking advice.


Bryan K. Chen, MD
9 months ago

Without actually seeing you, it is difficult to determine the extent of injury to the skin.  If hyperpigmentation (skin that is darker than your normal skin) is present, 2-3 weeks after your peel, consider applying hydroquinone with moisturizer in the morning, and tretinoin cream (retin-a) with moisturizer in the evening. If you are still in the healing phase following the peel, I would apply a thin layer of aquaphor healing ointment (available over-the-counter) daily. 

For a light chemical peel, it would be extremely unusual for permanent whitening of the skin to occur. Any darker pigmentation that you have should gradually correct, but will take time (sometimes up to 1 year). A board certified dermatologist or plastic surgeon should be able to differentiate between pigmentation changes and actual scarring that is developing.  If you have the latter, you would probably benefit from treatments with a laser e.g. pulsed-dye laser. 

Good luck.

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