Blue peel on Mediteranean skin, very much damaged (Photo)
Doctor Answers 9
Thank you for your question and the photos.
Prepping the skin before performing the Obagi Blue Peel gives the best results. You will have a deeper more even peel which is important if you have pigmentation concerns.
You could have the peel without but you risk having suboptimal results.
Melarase creams before Obagi Blue Peel
Without question, you should start prep with Melarase AM, Melarase PM, and Melapads for at least one to two weeks. Sometimes, the peels can be performed without prep under strict supervision.
Blue Peel & Hyperpigmentation
Undergoing the Blue Peel without prep would likely come with an increased risk of worsening the very hyperpigmentation that you're trying to improve. I would recommend using the Obagi NuDerm System with tretinoin for a period of 12 weeks before considering a Blue Peel. Wishing you a beautiful result.
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Blue peel - no skin prep
Thank you for asking about your Blue Peel.
I would never do a Blue Peel or any TCA peel without skin preparation. It puts you at risk of pigmentation changes that will be hard to correct.
Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
Preconditioning before Obagi peel
Either way it is acceptable although the generalized consensus is preconditioning with retinoids (RR Retinoid Complex) and I also recommend Melarase creams (see link).
H Karamanoukian MD FACS
Skin conditioning prior to Obagi Blue Peel
The skin should be conditioned prior to any medium strenght peel which the Obagi Blue Peel is. It should be for at least 4 weeks in order to avoid pigmentary complications.
Rebound after a Blue Peel is likely.
You have melasma hyper pigmentation. Sure this can be treated with a Blue Peel, but rebound is likely unless you use a prep before, and very strict after care including the use of HQ after your skin heals up. Even then you have a good chance of rebound re pigmentation. Look up melasma as this is a unique form of skin pigmentation that we treat with less aggressive methods-peels- laser. All the best, Dr Davin Lim. Brisbane. Australia.
Prep Is Necessary Before a Blue Peel
The Blue Peel is one of my favorite treatments for melasma, skin discoloration/hyperpigmentation, and sun damage. However, it is very important to prepare your skin with excellent sun protection, hydroquinone (a skin lightening agent), and tretinoin (a vitamin A derivative) for several weeks prior to the peel for best results, particularly in patients with darker skin types. Without adequate prep, you run the risk of actually worsening your skin discoloration. I typically recommend at least 6-8 weeks of prep prior to the Blue Peel. I would recommend that you seek a consultation with a board-certified dermatologist or plastic surgeon to discuss your peel further.
Thank you for sending us your question regarding pre treatment prior to a peel. Though it is not mandatory, treating your skin with the proper products may give you a better resulting peel and reduce your chances of hyper pigmentation.
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.