Considering a deep peel. Why do some people get bad burns and scars from medium to deep peel but others get great results?

Question

I have been looking into Modified deeper peels to get rid of wrinkles and scars in my face. I’m terrified to damage my skin more. But seeing all these great results on the internet from deeper peels are so tempting. But then some warn me of getting horrible results and permanent damage. Why do some burn and scar from medium peel like TCA peel and Phenol peel, but other have amazing results?

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about chemical peels.There are several different factors that can affect the out come of chemical peels.  1.  The technique of the person doing the peel.  Be sure you are seeing an experienced provider.  2.  The state of the skin prior to the peel.  It is advised with most peels that you stop using some topical skin products such as retinoic acid.  3.  The care of the skin post procedure.  It is very important to follow the skin care instructions given by your provider.  A couple of important directions are to avoid the sun, avoid vigorous exercise (sweating), and do not scrub or "peel" the skin as it begins to peel.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.
 
 I hope this helps.

Kyle S. Choe, MD, FACS · Answer

The result depends on type of your skin (you may or may not be a good candidate for a deep peel) and who is doing your peel. Patients can achieve a great result if appropriate medium to deep chemical peel is chosen and performed correctly. At our center, physician performs the deep peel under IV sedation and the lighter peels are done by medical estheticians. I would not necessarily believe everything you see or read on line either about deep peels. They can be safely performed with excellent result.

Glenn Messina, MD · Answer

I use the Vi peel system they have 3 strengths and like most peels require 3-5 sessions. The High% TCA and especially the phenol should only be done by a trained MD. This is especially true for the phenol peel and you may need a cardiac evaluation before having the phenol. 
Deep peels give the best wow factor but have risks. If you pick at the peeling skin essentially tearing off pieces that haven't peeled yet you risk scars. Infection can also occur. Its very important if you want one of these to see a medical doctor trained in the administration and performs the procedure fairly often.

Considering a deep peel. Why do some people get bad burns and scars from medium to deep peel but others get great results?

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Everything you need to know about Chemical Peel

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Considering a deep peel. Why do some people get bad burns and scars from medium to deep peel but others get great results?

Answers (3)

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Recommended reading

Everything you need to know about Chemical Peel

Our mission is to create a world where every investment in modern beauty is Worth It.