is the blue peel safe or are there side effects i should be careful of?
Obagi Blue Peel Side Effects
Doctor Answers 7
Complications following an Obagi Blue Peel: What to ask your physician
- The depth of a peel
- The patient's skin type and complexion
- Prolonged healing
- Uneven skin color
- Herpetic outbreak
We initiate most patients on Melarase creams after Obagi Blue peels to reduce any discoloration risk.
Complications are rare but possible
Blue Peel is one of the safest available for skin rejuvanation. However medicine is not an exact science and results are sometimes variable. Occasionally, there is no improvement and another form of treatment may be required.
Due to the nature of the peel, complications ususally sen with deeper peels, such as keloids or scarring is possible but unlikely to occur. Infection due to bacterial contamination or viral outbreak may occur. Temporary mild pigmentation problems may occur and can usually be corrected using the Obagi Nu-Derm System. Long term complications resulting from the peel are rare.
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The Blue Peel is a 15 - 25% TCA (tricholoroacetic acid) peel, safe if done properly.
Deaths can occur when pain from the peel causes high blood pressure/arrhythmias.
I prefer a single application of 30% TCA. It hurts less. To do a TCA/Blue Peel safely:
1. Oral sedation, eg. 5 mgm valium, 5 mg oxycodone before, ride home after.
2. Marcaine injection nerve blocks + continuous blood pressure monitoring.
3. Apply peel to forehead. Cool with fan. BP will rise 20-30 mm Hg.
4. Look for mid-level frost of skin. When BP returns to normal, treat next area.
Done this way, TCA peels are safe and results are good to outstanding.
Are Obagi Blue Peels Safe?
When properly administered, Obagi Blue Peels are extremely safe. As with any procedure, the results and risks of side effects are minimized by being treated by an experienced physician. However, all procedures have risks of side effects although an Obagi Blue Peel is considered to be quite safe. I recommend carefully choosing an experienced dermatologist or plastic surgeon for this procedure.
Obagi Blue Peel side effects are same with any TCA Peel
Side effects from the Blue Peel are the same as those seen from any TCA peel. The side effects include: pain, redness, peeling, sores, infection, pigmentary changes and flare of herpes simplex.
Peel Side Effects
It is important to understand that a Blue Peel is a deeper layer peel. These are significantly different than the peels you can purchase over the counter. In our office San Francisco area office they are administered only by the plastic sugeons.
With these stronger peels you can have any of the following (which Dr. Karamanoukian has summarized quite well):
Uneven penetration of the agent
Uneven skin depigmentation or peeling
Be sure that you are under the care of a board certified plastic surgeon or dermatologist.
I hope this helps.