Most aggressive of all peels?

Which among all the peels (chemical peel, laser peel, glycolic acid peel, etc.) is the strongest/most aggressive? I'm looking for a strong peel to address a severe condition. Thank you.

3 answers to “Most aggressive of all peels?”

A: Phenol peels are the most aggressive and problematic.

David Hansen, MD

Phenol peels are the most aggressive and problematic. Very few docs use them any more. A few 35% TCA chemical peels will give great results without the side effects of the phenol peel. The phenol peel depigmented the skin in many patients so they had a sharp demarcation where the peel ended and they also... more

A: Phenol Peel, CO2 Laser

Bryan K. Chen, MD

The most aggressive of all peels is the phenol peel.  The old Baker-Gordon formulation of phenol, however, is no longer used because of some major, unacceptable risks including cardiac arrhythmias and death.  Modifications of the Baker-Gordon formulation are available that have dramatically... more

A: Phenol peels

Mary Lupo, MD

Phenol peels are the most aggressive but cause permanent skin lightening, and so they can only be used on very light complexions. Next is TCA (trichloroacetic acid) at 35-50%. Layering less aggressive peeling agents like Jessner or Glycolic 70% with 25 % TCA is another option. 15-30% Glycolic, 10-15% TCA,... more

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