The Obaji Blue Peel is a deeper layer peel (in comparison to most glycolic or ascorbic acid peels).
The agents that work to destroy the outer layers of skin can cause discomfort.
In my practice we have employed a number of techniques to keep patients comfortable, including topical anesthesia, injected local anesthesia, oral sedation, narcotics and conscious sedation.
We would not recommend a patient attempt this level of peel without some sort of anesthesia.
I hope this helps.
Obagi Blue Peel and Anesthesia in Los Angeles
Chemical peels are an important part of the cosmetic armamentarium. Chemical peels utilize acids (glycolic acid, salicylic acid, retinoic acid, trichloroacetic acid) to coagulate the epidermis and parts of the dermis. They effectuate an improvement in overall skin quality and resiliency.
Chemical peels are well tolerated in a clinic setting if they do not extend deep into the papillary dermis. Deeper peels often require local anesthetic, conscious sedation, or even general anesthesia. The basic theme is that the deeper the peel, the more anesthetic is required. There are ways to minimize pain. Raffy Karamanoukian, Los Angeles
If you are considering a chemical peel, do not compromise on anesthesia. Proper anesthesia is an important part of keeping these procedures safe and ultimately reduces the incidence of complications.
A blue peel is a deeper peel using TCA. Depending on the depth of treatment, a deep or medium-depth peel will require some form of anesthesia.
I usually prep my blue peel patients with topical Melarase before the peel.
Obagi Blue Peel and discomfort
In a standard Obagi Blue Peel, a 20% titrated solution of TCA/Peel is utilized. This has the desired effect of penetrating beyond the epidermis into the papillary dermis and even the junction to the deeper dermis. Peeling occurs for around 7-9 days on average. During the procedure 2 layers are typically utilized. In my hands, I recommend patient's take a single valium 30 minutes before the procedure to help with relaxation. During the actual treatment patient's are underneath a cooling fan as well. Despite these two options, patient's will feel as if the room is heating up during the first layer of the peel. Typically discomfort is only on the order of a 5/10 for just a minute or so. During the second layer, typically patient's truly feel warm and uncomfortable stating it can raise to an 8/10 for a few minutes. But it dissipates quickly and you walk out of the office completely pain free. Some valium is provided for the first few days afterwards as needed. The results are predictable, safe, and definitely worth it. I only use one peel in my office because of these features and patient's are typically thrilled with their outcomes.
Blue Peel Facts...and a few alternatives
The Blue Peel is known as a type of medium chemical peel. Chemicals (TCA) used are those stronger than those used for micro peels. Due to this, they may be more effective in improving skin texture, vitality, and freshness. They also impose a recovery period that may require a few days off from work and other social activities.
The advantage of a Blue Peel it that it can revitalize skin, brightening one's complexion while eliminating fine wrinkles, brown spots and other discolorations. Peeling agents may cause a burning sensation and there are risks involved, however the Blue Peels have built-in safety mechanism to prevent the provider from allowing the chemical agent to over penetrate.This is the reason for the blue dye, which is applied along with TCA. The blue color helps the provider who is applying your peel know how deep the chemical has penetrated and is therefore helpful in determining when to stop.
Blue peels will turn skin blue for a few days. Flaking and peeling begin 4-5 days after your peel and finish within 7-9 days. You may engage in your normal activities immediately following your peel, but, if you have an important event planned, you will not want to have a peel within 2-3 weeks of that event.
In my practice, we do not to offer the Blue Peel because patients are not willing to have blue skin for a number of days. Instead we offer:
Vi Peel, Which improve the tone, texture and clarity of skin • Reduce or eliminate age spots, freckles, and hyper-pigmentation, including melasma • Soften lines and wrinkles • Clear acne skin conditions, reduce or eliminate acne scars • Stimulate the production of collagen, for firmer, more youthful skin
Apeele. Which differs from other peels for these reasons: Indicated for all skin types with photodamage, hyperpigmentation and acne • Ideal for skin rejuvenation of face, neck and hands • Balanced combination of ingredients provide a uniform, consistent and predictable peel • Allows depth control and customization for each individual patient • Hydroquinone addresses pigmentary disorders and supresses PIH • Built-in topical anesthetics designed to provide a comfortable and pain-free procedure • Skin permeation enhancers provide deeper and even penetration of active ingredients
•Improve the tone, texture and clarity of your ski •Reduce or eliminate age spots, freckles, and hyper-pigmentation, including melasma
•Soften lines and wrinkles
•Clear acne skin conditions, reduce or eliminate acne scars
•Stimulate the production of collagen, for firmer, more youthful skin
Apeele to patients seeking similar results without the blue tint. In addition, if pain is a factor for you- the Apeele contains a topical numbing agent that makes the application pain free.
A few simple tricks make it easy to tolerate!
Blue peels are traditional TCA (trichloroacetic acid) peels with a blue additive to both buffer and make the depth of the peel easier to predict. This in turn increases the safety to the patient.
The blue peel is great for improving skin texture and shrinking pore size.
Good for fine wrinkles around the eyes and mouth.
Offers a quick recovery and little downtime.
There is some discomfort involved, but we have been able to significantly decrease this by use of the following:
Pretreatment with topical anesthetics to help minimize the sting.
Use of a chilled air fan to decrease heat buildup.
Post procedure use of a "chill mask" to chase away any residual stinging sensation.
If the depth of peel is moderate there should be less than 2-3 minutes of a mild to moderate stinging sensation!
This is a great procedure to improve your appearance for a special event! Allow about 2 weeks for a full return to normal!
There is some discomfort associated with any TCA peel as a burning sensation. In my experience,we use a topical anesthetic.
Obagi Blue Peel is not painful
The blue peel is a great way to make your skin fresh & bright with a quick recovery.
It helps with pigmentation, pore size, fine lines, and even can help clear up acne.
The Obagi Blue Peel may be uncomfortable, but is done quickly with good results
The Obagi Blue Peel is a very powerful procedure to improve texture and pigmentation of the skin. In my practice, Blue Peels are only done after a patient has been pretreated with the Obagi NuDerm system for at least 8 weeks prior to the peel. This prepares the skin to heal quickly and well afterwards. The peel is done in the office, without anesthesia although some patients take an oral pain medication beforehand, but most do not need even that. The procedure is done within minutes and after application, an ice pack is used to immediately cool the skin.
I do many Blue Peels and while the patients do not love the actual procedure, every one has gotten through it and all have been really pleased with the results.
Blue peels are basically TCA peels and they do hurt. The pain is temporary and subsides with the frost. However, some people find TCA peels especially additive layer peels to be very uncomfortable while undergoing the peel.
Blue Peel pain depends on depth of treatment
Blue peels are Obagi's additive to TCA to do a chemical peel. I like the blue additive, as it lets me see more objectively how deep I am, which is key to a safe even result after a peel.
Peels hurt when applied. It is a controlled burn of the skin. They don't hurt after. The amount of pain varies based on your pain tolerance and how deep you go. A superficial peel, where you heal in a day or two doesn't hurt as much as a deeper peel which takes 7 days to heal from. The "burning" of the peel is helped by doing a facial block with numbing medication, and is only bad for a minute or two.
But, as with many things, no pain, no gain. And I think the results are worth it.