Can I Perform Chemical Peeling on My Back for Severe Pigmentation?

Yes, chemical peeling can be performed on various areas of the body. The thicker skin of the back and shoulders generally handles peeling quite well. However, from what you describe it sounds as though you are prone to what we call “post inflammatory hyperpigmentation” or “PIH”.

PIH occurs when the skin over-produces melanin as a part of the natural immune response to protect the cells and is much more common in people with darker skin tones. If this is the case, any type of resurfacing procedure could put you at risk for more PIH.

To achieve your goals, I would suggest beginning a regimen with a topical lightening agent prior to undergoing any additional procedures. A prescription strength lightener, such as hydroquinone, should improve this pigmentation, as well as protect the skin from developing additional PIH following future procedures. PIH will often resolve some on its own, but it can take up to 12 months. It would be best to wait at least a few months after the laser treatment to receive a chemical peel. Having said that, chemical peeling could further improve the issue when performed with the appropriate acids and there has been a satisfactory “resting period” for the skin.

Hope this helps
Nick Slenkovich MD, FACS

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

It usually takes several chem peels to even out the discoloration on the back.  Jessner's plus 20% tca is a common peel for the back every month for 4-5 sessions at 350-500 per treatment.