In most cases Obagi Blue Peels and other trichloroacetic acid peels can be performed with topical anesthetics and/or sedation (oral or IV). If you have an unusually low pain tolerance, you could consider general anesthesia but I have found my patients do fine with topical...
The Obagi Blue peel stimulates collagen production and therefore reduces fine wrinkles. I am not aware of studies that show that it causes the skin to thicken in any appreciable manner.
My practice is in New Orlenas, so I treat a lot of darker skin. Darker skin is at greater risk of post-inflammatory hyperpigmentation. For this reason, I do a light peel series, or a SilkPeel series. Jessner and Theraplex peels are my favorite for safe results.
