Which chemical peel is best for sun spot and minor hyperpigmentation?

Hi doctors. Which chemical peel is best for sun spot and minor hyper pigmentation? Is it safe for people who have been using Clindamycin gel and hydrocortisone cream daily? Thank you

Doctor Answers 3

Chemical peels for sun damage

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Thank you for your question ppppoo. Chemical peels work well for sun damage and hyperpigmentation. They are safe for people using clindamycin and hydrocortisone. Avoiding products that may irritate the skin such as retinoids and hydroxyl acids before and after a peel is important. Many different peels are available and would work well. Light peels include fruit peels and light glycolic peels. Medium strength peels include various strengths of salicylic acid, TCA, Jessner solution, and the Monheit peel (Jessner solution followed by TCA). Deep peels include 100% TCA CROSS (for targeting icepick acne scars) and phenol peels; these are seen less frequently now that fractional laser technology is available. In our office we use the Red Carpet Peel. This is a combination of various ingredients including salicylic acid, lactic acid, recorcinol, mandelic acid, TCA, vitamin C, and retinoic acid. It contains a numbing ingredient so neutralization is not required. Most people peel on days three to five after the treatment, but this can vary considerably; some people do not peel at all. The strength of the peel and the amount used is varied from person to person depending on their skin type, goals, and recovery time. All of these peels would help to a certain extent for sun damage and hyperpigmentation. Please consult with a doctor for specific recommendations. Good luck!

TCA peels come in a variety of strengths and are very good for these issues.

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However, there is no substitute for a personal assessment of your concerns.  In addition to the concerns that you report here, an assessment of the skin is needed to determine which treatment is best for you.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Best Chemical Peel

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I find that TCA peels which are a medium strength peel are the best type of peel for overall pigmentation and sun spots. A different strength can be used on the isolated sun spots as well.  Strict sun avoidance is mandatory.  Please consult an expert.  Best, Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.