How many Jessner peels are needed to see results in 45 year old ageing skin?

Dear patient, Jessner peels are really fascinating. They are very much operator dependent. Please allow me to explain. I have been practicing dermatology and cosmetic surgery for over 17 years. I have also performed thousands of Glycolic, Jessner, TCA, and yes even Phenol peels. Jessner peels are ideal for people with darker skin color. They are much milder than higher percentage TCA peels and phenol. One or two passes or layers achieved a mild to moderate peel. Applying 4-5 layers result in a more aggressive peel. I often use Jessner peels in conjunction with TCA. Jessner is great in degreasing the skin and remove the top Corny layer. This way TCA gets absorbed more evenly. Please don't expect Jessner peels (even aggressive ones) to remove deeper lines. Jessner is ideal for fine lines and discolorations, Downtime or peeling can be 5-7 days on the face. Another useful thing about Jessner peels is that areas off the face (neck, chest, hands, arms, legs) can easily and safely be treated with Jessner peel. Peeling can last 10-14 days on the legs and arms I often prep my patient with Hydroquinone and Retin A before a TCA or deeper peel. Jessner peels need no prepping. I hope this was helpful. 

Jessner's peel is a long time formulation topical treatment for skin, including sun damaged skin. It is one of the lighter, more mild or subtle peels, and can augment or enhance other treatments. By itself, it is not aggressive and is usually low risk for problems.  Sometimes flaking occurs for several days, and some patients do like to see this. 

A Jessner's peel  is a light peel meant to refresh the skin, take care very fine lines and acne. If you have courser lines then other methods should be used to soften these. You can have a Jessner's peel at least once a month.  You made need a deeper peel such as a TCA peel or laser therapy such as a CO2 laser/erbium laser.  

peels will not be enough to tighten skin but they will improve complexion and fine lines.  I suggest laser combinations and radiofrequency treatments (Thermage/Venus Legacy) to promote collagen.  Best, Dr. Emer.