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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.
The Obagi Blue peel would be very painful without easy techniques to make if less so. In our office we use a combination of topical anesthesia, oral sedation and local anesthesia nerve blocks. Most patients are very comfortable and many do not even remember the specifics of the procedure.
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.
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.
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.
