What is the best chemical peel for someone with tanned skin and severe hyper pigmentation with oily skin?

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon because an in-person consultation is the only way to know which treatment is right for you. The light chemical peel is not going to remove deep wrinkles, dark spotting, or scarring.
Best wishes,

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Resurfacing is a general umbrella term for treatment of the skin to address skin texture concerns, such as fine or deep lines, enlarged pore size, color irregularity, and acne scarring.  Resurfacing encompasses chemical peels, laser treatments, and dermabrasion.  In general, phenol-based peels and TCA peels are my go-tos for resurfacing, but concentration of active ingredients is quite variable  and must be tailored to each patient and her specific concerns, physical exam, and health status.  It's difficult to advise patients without photos, a physical exam, and detailed knowledge of medical history.  Please consult with a Dermatologist, Plastic Surgeon, or Facial Plastic Surgeon regarding your skin resurfacing options, and have a thorough conversation about risks, benefits, number of treatments, and expectations.  Good luck!

In order to best answer your question, a physician who specializes in aesthetic medicine should look at your skin.  Having said that, one of my favorite peels for improving oiliness and hyperpigmentation is the melanage peel.  It comes in two strengths.  Full strength melanage peels have about seven days of intense peeling and redness.  Mini-melanage peels have about five days of mild sloughing.  A series of 3-4 mini peels usually equals the results of one full strength peel.I highly recommend that you stop tanning and begin using a good, physical-block sunscreen.  If you are not going to stop tanning, you should not waste money on chemical peels as you will only continue to damage your skin.Best of luck to you.

Chemical Peels can be tricky for individuals prone to hyperpigmentation. That being said, your best bet for a favorable outcome is proper preparation: your skin must not be tanned, should be using sunscreen with at least an SPF of 30, must be off all retinoic acid or retinol-containing products for one week, and you should be on a prescription-strength topical lightener two weeks prior to the peel. For at least two weeks after the peel and sometimes longer, you should continue the topical prescription-strength lightener and sunscreen.
As far as choosing the best peel for oily or acne-prone skin, you should opt for a Beta-salicylic acid peel, as the salicylic acid tends to be the best to reduce oil. Hope this helps!

The reality is that there is no one single best chemical peel. For best choice of peel to fit your need, consult with an aesthetic specialist with special expertise in treating hyperpigmentation. There are many peel formulations and some can be tuned or customized for patient tolerance. Be careful with "aggressive" peels as they could make hyperpigmentation worse. Good luck!!

Hello,It's is always but to consult with a professional first so that they may assess your skin properly. Make sure to stop any tanning or retinol use for one whole week before receiving a peel. There are different precautions to take when it comes to tan skin, please be sure to have your peel done by a professional so you do not receive permanent post-inflammatory hyperpigmentation.If one of your main concerns is photo-damage you will need to receive more than one peel to get the results you are looking for. For oily skin and sun damage pyruvic acid is a fantastic option. This will combat over stimulated oil production and give you a very nice glow.I have extensive experience in chemical peels, please see my Realself profile for examples of this procedure. We currently offer this service from $109-$149.All the best,Justin Harper, M.D.