Chemical Peel

Chemical Peel Before & After Photo. Procedure by Dr. Baljeet K. Purewal (Oculoplastic Surgeon) in New Jersey.

Chemical Peel

 
Patient: Female Age 45-50

Concerns: Melasma of cheeks

Treatment: Fresh Face and Eye Brightening Peel

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Chemical Peel in New Jersey

 

Wishing for the smooth, soft skin of your youth?

Chemical peels are the perfect facial treatment to significantly improve the texture of your skin. Chemical peels remove damaged outer layers of skin to make skin smoother, reduce scarring and remove blemishes. Peels can be combined with other procedures, such as facelifts, for additional improvement to skin. Chemical peels have been proven to:

  • Improve the texture and appearance of skin
  • Reduce lines and wrinkles under the eyes and around the mouth
  • Address anti-aging and sun damage
  • Treat acne scars
  • Treat active acne flare ups
  • Improve age spots or pregnancy-related melasma

Because we offer many chemical peel options, we can formulate precisely the right treatment that will be the most effective for your individual skin.

How do chemical peels work?

Ranging from mild to strong, there are three types of chemical peels: alpha hydroxy acid (AHA), trichloroacetic acid (TCA) and phenol. Chemical peeling agents resurface the skin by inducing a controlled wound and removing superficial layers of the skin. As the skin heals, chemical peels promote the growth of a new healthy top skin layer and improve skin problems like hyperpigmentation, fine lines and wrinkles, uneven texture and skin impurities. The strength of each peel is tailored to the patient.

Is a Chemical Peel Right for Me?

If you are looking to improve the texture and appearance of your skin due to damage from aging, the sun, acne, acne scarring, or dark spots from pregnancy, you are a good candidate for a face peel. It is important to work with our specialists to customize the right peel treatment for your concerns and skin type.

What should I expect after a chemical peel?

Chemical peel recovery times vary based on the type and strength of the peel and how your skin responds to the treatment. Immediately after the peel, your skin will feel tight and may be red. Any visible peeling will be light and fluffy and easily controlled with moisturizer. Peeling usually lasts 3-5 days, depending on the actual peel treatment. Use of gentle cleanser, moisturizer and sunscreen is important, as it will enhance the healing process and results. Normal activity may be resumed after the peel, however strenuous exercise and heavy sweating should be avoided for 2-3 days. Sun exposure should be avoided while skin is peeling; exposure of treated skin to a lot of heat should also be avoided as it may induce swelling, redness and deeper peels blisters under the skin. Peeling skin should be allowed to slough off naturally; DO NOT pick peeling or flaking skin as it may lead to scarring. Use of prescription topicals should be avoided for 3-5 days post peel.

Who is NOT a Good Candidate for a Chemical Peel?

You are NOT a good candidate for a chemical peel if any of the following apply at the peel site:

  • Infection or disease
  • Cut or broken skin
  • Sunburn
  • Currently have an active Herpes simplex 1 sore
  • If you are nursing or pregnant
  • If you have taken Accutane in the past 6 months
  • If you currently have Psoriasis, Eczema, Dermatitis or Rosacea.
  • If you have used any of the following drugs in the last 48 hours: Retin-A, Renova, Prescription skin care products, Products that contain ascorbic acid, bleaching or skin-lightening agents, Other acid products.

What chemical peel do you offer?

We offer the SKIN MEDICA VITALIZE PEEL. The Vitalize peel is a superficial peel designed to improve the texture and appearance of skin. (Salicylic acid, Resorcinol, Lactic acid). 

FAQ: Chemical Peel

What is a chemical peel?

Chemical peels are a popular treatment for skin rejuvenation and maintenance. Chemical peels can be superficial, medium or deep. The most popular peels are superficial because they can require minimal to no recovery time and are safe for most skin types.

What do superficial chemical peels treat?

Superficial peels are recommended to treat a variety of superficial skin conditions. These peels can achieve an improved appearance of the skin by treating fine wrinkles, dark spots, large pores, and acne.

What should I expect after a superficial chemical peel?

Following superficial peels, patients typically feel slightly tight and very “clean,” and on occasion may feel mild irritation when stronger concentrations are used. Healing time can vary depending on the patient, but is usually very fast (1 to 2 days). There may be some flaking of the skin during this time.

When can I resume my normal skincare routine?

Initially, only gentle cleanser, moisturizer and a sunblock are required. Patients may resume their normal skincare routine with more active ingredients after 5-7 days.

What is the difference between microdermabrasion and peels?

Each method removes the most superficial layer of the skin. Microdermabrasion does this mechanically while peels do this chemically. The two techniques can be combined in experienced hands for enhanced results.

Which peel is the best for me?

There is specific criteria we take into consideration when selecting a peeling agent. This includes skin type, age, lifestyle, current skincare regimen, and previous skin treatments. Once your specific needs are understood, we can establish realistic expectations and healing times and make the best recommendation.

How many chemical peel treatments will I need?

The effects of chemical peels are cumulative with time and augmented with the use of good homecare products. Series of peels are recommended over a specified period of time. We recommend a minimum of 3-6 peels for best results.

New Jersey Chemical Peels (Facial Peels)

As the demand for non-surgical facial rejuvenation procedures continues to rise, the number of individuals choosing to have a chemical peel (i.e., facial peel) has increased as well. Dr. Baljeet K. Purewal is a Board-Certified Oculoplastics and Reconstructive Surgeon, and non-surgical facial rejuvenation specialist who performs this minimally invasive procedure at her New Jersey office. With this revolutionary treatment, Dr. Purewal can address a variety of skin issues and rejuvenate the skin.

What is a New Jersey Chemical Peel?

This is a cosmetic treatment that is used to remove the damaged skin cells (i.e., exfoliate) on the surface of the skin. These skin cells negatively affect the patient’s appearance, however, by removing these skin cells, the new skin that lies beneath is brought to the surface. Therefore, once healing is complete, the patient enjoys a smoother skin surface and brighter, more youthful-looking skin.

Types of Chemical Peels

There are three types of chemical peels available in New Jersey: superficial, medium-depth and deep. During the patient’s initial consultation, Dr. Purewal examines his or her skin to determine which treatment will provide optimal results. With a NJ chemical peel, Dr. Purewal can improve the texture of the patient’s skin, reduce the visibility of wrinkles and fine lines, remove skin impurities and address skin inconsistencies like hyperpigmentation.

How Popular Are Chemical Peels?

The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) states that from 2018 to 2019 there was a 13 percent increase in the number of non-surgical procedures performed and the number of minimally invasive non-surgical procedures performed during that time increased by nearly 40 percent. Furthermore, according to the AAFPRS, 52 percent of the facial plastic surgeons surveyed state that chemical peels are in high demand.

Issues a Chemical Peel in New Jersey Can Address

After this treatment, the patient’s skin will look clearer, more vibrant and youthful.

A New Jersey chemical peel can address an array of skin issues, including:

  • Mild scarring.
  • Certain kinds of acne.
  • Sun damage.
  • Enlarged pores.
  • Rosacea.
  • Hyperpigmentation.
  • Redness.
  • The fine lines that develop beneath the eyes and around the mouth.

Benefits of having this minimally invasive treatment include:

  • The skin’s appearance improves.
  • A reduction in the visibility of the wrinkles that result from the natural aging process and sun damage.
  • The way the skin feels improves.
  • A decrease in the visibility of freckles, age spots and the dark patches that result from the use of birth control pills or pregnancy (melasma).

How Does a Chemical Peel Rejuvenate the Skin?

The goal of this treatment is to prompt the body’s natural healing process by creating what is referred to as a controlled wound.

This controlled wound is created by applying a chemical solution to the patient’s face.

As the face heals, the damaged outer skin peels off, exposing the healthy new skin that lies beneath. This new layer of skin is typically smoother and brighter than the damaged skin was.

Types of Chemical Peels Available in NJ

A chemical peel can be superficial, medium-depth or deep. How deeply the peel exfoliates the skin determines its classification level.

These treatments affect the first two layers of skin. The term epidermis is used when referring to the visible outer layer of skin and the dermis is the layer of skin just beneath the epidermis.

A superficial peel removes damaged skin cells from the patient’s epidermis, however, there are chemical peels available that penetrate deeper.

What is the Difference Between the Superficial, Medium-Depth and Deep Peels?

The depth at which a chemical peeling agent removes skin is what determines the treatment classification.

The three types of chemical peeling agents are:

  • Trichloroacetic acid (TCA) – This agent is used for medium and deep peels.
  • Alpha-hydroxy acid (AHA) – Alpha-hydroxy acids include lactic acid, glycolic acid and citric acid. These agents are used for superficial peels.
  • Phenol – This is the most powerful chemical agent and is used for deep skin peels.

Regardless as to treatment depth, the damaged cells are removed from the treatment area in a uniform manner, which ensures the patient receives a consistent result.

The treatment level that a patient receives is determined by his or her skin characteristics and specific needs.

Determining Treatment Level: Superficial, Medium-Depth or Deep

During the initial consultation, to establish which treatment will provide an individual with optimal results, his or her skin type and shade of skin are both taken into consideration.

The Fitzpatrick Scale: Classifying Skin Type

The Fitzpatrick Scale is frequently used to classify an individual’s skin type. Using this scale helps Dr. Purewal determine which chemical peel will provide the patient with optimal results.

The Fitzpatrick Scale offers six skin-type classifications:

1. White skin that never tans and always burns.
2. White skin that can tan, but usually burns.
3. Darker white skin that tans, but can slightly burn.
4. Moderate brown skin that can tan easily and rarely burns.
5. Dark brown skin that tans easily and very rarely burns.
6. Black skin that tans very easily and does not burn.

Individuals who have skin types one, two or three are at a lower risk of experiencing color changes in their skin or scarring following a chemical peel, therefore, all three types of peels may be a safe option for these individuals.

People with skin types four, five or six are at an increased risk of experiencing skin color changes (i.e., patches) or scarring when the deeper chemical peels are used. Therefore, the more superficial facial peels are recommended for those with these skin types.

A Superficial Peel

This treatment is used when the top layer of skin is the only layer affected by the issue being addressed. Since this treatment does not penetrate the deeper layers of skin, the risk of experiencing side effects decreases and the recovery process is quick. The American Academy of Dermatology (AAD) states that treatment healing time ranges from one to seven days.

After having this treatment, it is crucial that patients protect the new skin from UV rays. For this reason, it is essential that patients wear sunscreen following this treatment.

It can take from three to five professional treatments for patients to see results.

This treatment can be performed every two to five weeks.

A Medium-Depth Peel

With a medium-depth treatment, Dr. Purewal can address a variety of skin issues.

Issues that can be addressed with this treatment include:

  • Minor hyperpigmentation.
  • Fine lines.
  • Sun damage.
  • Minor acne scars.

This treatment can reach the papillary dermis, which is the second layer of skin that is closest to the surface. Due to the depth of this treatment, inflammation increases. This increase in swelling continues for 48 hours. Some patients will develop blisters after this treatment.

According to the AAD, healing time for this treatment ranges from seven to 14 days.

After this treatment, patients may receive a special solution: This solution should be used as recommended.

Sometimes antiviral medication is prescribed to the patient. This medication is taken for 10 to 14 days after the treatment.

Avoiding sun exposure during the healing process is vital to the health of the new skin as well as to the overall results.

Patients can usually begin wearing makeup five to seven days after this medium-depth treatment.

This treatment can be repeated every four to six months.

A Deep Peel

These treatments are used to address moderate to severe wrinkles, sun damage and hyperpigmentation.

Recovery time for this treatment is 14 to 21 days.

After this treatment, patients need to recuperate at home. If applicable, patients should continue taking the antiviral medication.

Sun exposure must be avoided for three to six months.

Patients who have this treatment must avoid wearing makeup for at least two weeks after their procedure.

This treatment can be repeated every six to 12 months.

Aftercare and What Patients Can Expect as They Recover from a New Jersey Facial Peel

Properly caring for the controlled wound created during treatment is vital to attaining the best results possible, this is especially true following the deep skin treatment.

Proper care can prevent infection and speed up the healing process.

Wound Care

Patients need to wash their face from four to six times a day using the special solution supplied by Dr. Purewal.

After washing, patients apply an ointment to their skin. This ointment is used for two weeks.

Following application of the ointment, a thick moisturizer is applied.

Swelling and Medication

Dr. Purewal may recommend oral pain relievers after a chemical peel.

Some patients experience a great deal of swelling, with most of it localized around their eyes. This swelling can usually be reduced by raising the head.

Individuals experiencing severe swelling may receive corticosteroids.

To prevent infection, patients may receive a short course of antibiotics and antiviral medications.

Patients may need to return to Dr. Purewal’s office for a follow-up visit. During this appointment, Dr. Baljeet Purewal will clean and evaluate their face.

What Patients Can Expect After Their New Jersey Peel

Directly following treatment the patient’s skin will feel tight. In addition, the skin may appear red.

Exposing the treatment area to an extreme amount of heat is not recommended because this could induce swelling. Patients who had a deep treatment may even develop blisters beneath the skin.

Moisturizer can help control the amount of peeling that occurs.

Strenuous exercise must be avoided for 48 to 72 hours after treatment.

Patients need to avoid picking at the skin that is flaking off because this picking could result in the formation of scars.

After a medium-depth or deep peel some patients experience a skin reaction that is similar to a sunburn.

After treatment, bandages may be used for a few days.

What Does the Term Frosting Mean in Reference to the Aftereffects of This Treatment?

Some of the agents used during this treatment cause a white coating to develop. This white coating is frequently referred to as frosting. Frosting has three levels.

Levels of frosting:

  • White patches over red skin.
  • A white coating over red skin.
  • Complete facial coverage with very little redness beneath.

Frosting occurs at the end stage of the healing process and its presence helps Dr. Purewal determine how effective the peel has been for the patient.

Recovery times vary and are based on treatment depth as well as how well the patient’s skin responds to the chemical agent used.

What Makes Someone a Good Candidate for a New Jersey Chemical Peel?

Typically, an individual with fair skin and light hair is an ideal candidate, however, depending on the reason an individual with a darker skin tone is considering treatment, he or she may also be able to benefit from this procedure.

Is There Anyone Who Should Not Get a New Jersey Facial Peel?

Yes, some people are not good candidates for this treatment.

Individuals who are not good candidates for this treatment include:

  • Women who are pregnant or nursing.
  • Those who have taken Accutane in the six months leading up to the potential treatment.
  • Individuals who have used Retin-A, prescription products for skin care, products containing ascorbic acid or some other type of acid and agents that are designed to bleach or lighten the skin.
  • Individuals with skin conditions like Eczema, Psoriasis, Rosacea or Dermatitis.

If any of the following apply to the potential treatment area, the individual should not have this procedure:

  • There is broken or cut skin at the treatment site.
  • The treatment area is sunburned.
  • There is a disease or infection affecting the treatment area.
  • The presence of a cold sore.

A Personalized Chemical Peel at New Jersey’s Fresh Face & Eye

The skin is thoroughly cleaned.

Topical numbing cream may be applied to the face.

The chemical agent is applied, which causes the controlled wound to develop.

Most patients feel a burning sensation: This sensation lasts for about 10 minutes.

This burning is followed by stinging. Cold compresses may be placed on the skin. These compresses can help ease the stinging sensation. In addition, the patient may receive oral pain medication.

Results

After healing, vibrant skin takes the place of the dreary-looking, damaged skin that was removed.

Potential Complications and Side Effects Associated with a Chemical Peel

Side effects following this treatment are usually quite mild. That said, there is always a possibility for the development of more serious side effects.

Patients who have darker skin may experience changes in the color of their skin. These changes can be temporary or permanent. Women who take birth control pills, have recently been pregnant and those who have a family history of facial discoloration may be more likely to experience this complication.

The risk of scarring is low and usually occurs in the most sensitive areas of the face. If scarring does occur, treatment results tend to be favorable.

Individuals who have a history of developing cold sores may experience an outbreak. However, Dr. Purewal can provide the patient with medication to prevent this breakout or medication to treat the cold sores in the event that a breakout occurs. For this reason, patients need to inform Dr. Baljeet Purewal if they are prone to these outbreaks during their initial consultation.

Which Chemical Peel is Available at Fresh Face & Eye?

The SKIN MEDICA VITALIZE PEEL is the peel that Dr. Purewal offers at her New Jersey office. This peel is designed to improve the appearance and texture of the skin. It is superficial and consists of Salicylic Acid, Lactic acid and Resorcinol.

How much Does a Chemical Peel Cost?

In order to determine the cost of treatment, Dr. Purewal needs to examine the patient’s skin and find out what he or she would like to accomplish.

Would Health Insurance Pay for This Kind of Treatment?

Since this is a cosmetic treatment, health insurance does not cover it.

If you are in the Northern NJ area and you are thinking about having a facial peel, contact Fresh Face & Eye today. Dr. Baljeet Purewal and her medical staff are dedicated to providing each patient with the most innovative products and services available.

Dr. Purewal is known for her exceptional skills and her warm presence. She specializes in performing non-surgical facial rejuvenation procedures and cosmetic eyelid surgery. In addition, Dr. Baljeet Purewal is an expert injector as well as a Board-Certified Oculoplastics and Reconstructive Surgeon. Call (973) 635-4000 or click here to make an appointment at her state-of-the-art New Jersey office. Dr. Purewal’s office is at 82 Main Street in Chatham, NJ.

 

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