Peels vary by depth of effect

Michael A. Bogdan, MD answers: Best at home chemical peel?

There are many facial peels advertised and i wonder why these arent just as good as going to a facialist or spa. If you recommend home peels, what concentration is safe but effective at removing hyperpigmentation and sun damage?


Michael A. Bogdan, MD
21 days ago

All peels (whether they are chemical, laser, or mechanical) create a mild burn, somewhere between first and second degree.  The body's response to the burn is what yields the results.  With chemical peels, the depth is determined by the agent used, concentration of agent, and time applied.  The "at home" products are weak agents, as they have a wide safety margin.  They also yield a minimal result.  Deeper peels give more of a result because they result in a deeper second degree burn.  Agents used for deeper peels are dangerous, as they can result in scarring if used improperly.  For this reason, the more powerful agents are restricted to use by physicians.  It is certainly reasonable to use the home products (as directed), but if they are not giving the results that you desire, consult with a physician who performs deeper peels.

Regards,

Dr.B

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