Botched Chemical Peel Job?

I had two chemical peels: first was 20% AHA peel + microdermabrasion, which went well; the second one, done 2 months later, was 30% Glycolic peel + Microdermabrasion, which left me with burns on my cheeks. It's been a month now and while there are no more swelling and scabbing, I'm left with brown patches and hyperpigmentation. Could this be a botched job or mishandling by the doctor? He said it's due to my skin sensitivity and I'm not the only case. Is this true? What recourse/redress should I take if it's indeed a botched job?

5 answers to “Botched Chemical Peel Job?”

A: Rare but possible reaction

Gregory Turowski, MD, PhD

It is very rare to have burns after superficial chemical peels. Discoloration can happen as a result of not applying sunscreen or not following the post-procedure instructions. Avoiding any exfoliating products before the peel is also very important. When the skin is hypopigmented, it takes up to six months... more

A: You are not necessarily unusually sensitive.

Kenneth D. Steinsapir, MD

A 30% glycolic peel with a microdermabrasion is still a relatively superficial treatment. However, it is still possible to have a post-inflammatory hyperpigmentation. As other physicians have noted, there are many options for dealing with this issue. It is also not uncommon for the hyperpigmentation to... more

A: Pigmentation after Chemical Peeling

Raffy Karamanoukian, MD

Chemical peels are effective in the treatment of aging skin including reduction of pigmentation, fine wrinkles, and acne scars.  Depending on skin type and complexion, patients may require pre and post-procedural treatment for hyperpigmentation.  Generally, Fitzpatrick skin type and ethnicity are... more

A: These are light peels. You must be sensitive.

John P. Di Saia, MD

Hello, It sounds like your skin is sensitive. Maybe you should try a series of very light peels without dermabrasion. Bleaching agents and Retin A before and after might help as well as well as sun avoidance.   Best Regards,   John Di Saia MD  

A: It's not a botched chemical peel job

David Hansen, MD

With all chemical peels there is the risk of post inflamatory hyperpigmentation, which means blotchy, dark spots. They occur when the skin gets irritated from too much rubbing makeup off or scrubbing off the exfoliating skin too early or sun exposure during the first 2 weeks when your skin is especially... more

Comments

sschultz
25 posts
3 Dec 2008

No skin care professional wants to second guess the treatment protocol or course of action of another professional.  However, if you have Post Inflammatory Hyperpigmentation (PIH) following an aggressive facial treatment, you should return to the physcian's office where you received treatment, as they may have an antidote to help with the PIH.  Also, check any consent forms or post care instructions you may have received before treatment; possible side effects are usually listed there.

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