Looking for a Doctor in Northern Va, Washington D.C Metro Area or MD, Who Offers Melanage Peel?

Jessner's +35% TCA is a very helpful peel to improve eye creases but needs to be done 3-5 times about 2-4 weeks apart and run $350/session. A good cortisone cream such as triamcinolone cream applied twice a day helps reduce the redness and SPF every morning is important. Sincerely, David...

I perform many chemical peels in my Los Angeles office and regularly speak about hyperpigmentation with deep peels during cosmetic meetings.  I would begin treatment with Melarase cream asap to prevent discoloration. Raffy Karamanoukian, Los Angeles

TCA peels can do some serious magic. They can also mess up your skin. Although it is easier now than ever before to buy professional level peels outside of a doctor's office or qualified facial spa, that does not mean they have suddenly become safe for a non-professional to use.  As to...

Chemical peels may be slightly more invasive after microdermabrasion as the oil is removed and the top layers of skin have already be exfoliated. I perform many chemical peels in conjunction with microdermabrasion.    Raffy Karamanoukian, Los Angeles

The first step would be to go to a burn specialist to heal the wounds. The second stage would be to begin topical skin lighteners such as Melarase to reduce discoloration. Raffy Karamanoukian, Los Angeles

Dear patient, Please see a board certified Dermatologist right away. You have a superficial chemical burn that can leave blotchy discoloration if not treated correctly. I treat my patients with topical Silvadene ointment for a few days followed by a light steroid cream. Strict sun avoidance is a...