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Facial

Chemical Skin Peels 

Skin Peel

Chemical skin peeling is a procedure where a chemical agent is applied to the skin's surface. Peels exfoliate the skin by removing the outer dead skin cells. This is followed by regeneration and remodelling of the skin.

 

Chemical skin peels result in an improvement of texture and reduction of any skin surface abnormalities.

 

Although chemical skin peels are traditionally used to treat the face, we can also use them around the eyes, around the lips [see our Tebskin Eye and Lip page] and even on the body, such as the cleavage [decolletage], chest and back.

Our Chemical Skin Peels

We only use superficial or medium-depth peels made by Enerpeel®. The most common superficial peels are known as the 'fruit acid' because they are derived from various fruits. Other deeper peels contain Trichloroacetic Acid (TCA). This is used to target deeper skin problems.

We also use specialised peels for the delicate skin around the eye and troubling ageing signs around the mouth. Click here to find out more about eye and lip peels.

Types of Peel

The type of peel used depends on the condition and concerns of your skin.

 

If you want a peel for rejuvenation, a one-off superficial peel will make your skin look brighter.

If you have acne or pigmentation, a course of peels at least three chemical peels is recommended 4-6 weeks apart.

Depths of Peel

Not all peels are the same. Some treat only the superficial layers of the skin, whilst others penetrate deeper. There is evidence that several superficial peels are much better than one or two deep peels. Regular maintenance is also recommended.

Common Peels

Alpha-hydroxy-Acids

AHAs produce shedding [exfoliation] of the uppermost layer of the skin. This encourages new cells to move to the top. The result is an improvement in the texture and feel of the skin.

Salicylic Acid

Salicylic Acid promotes exfoliation and unclogs blocked pores [by breaking down oils]. Salicylic Acid is also antibacterial and anti-inflammatory. These peels are suitable for acne-prone skin and can also be used on the back and chest.

Trichloroacetic Acid Peels [TCA]

TCA penetrates through the top five layers of the epidermis to the uppermost layer of the dermis. This depends on the strength and formulation used. Skin peeling is more likely with this peed, which usually begins three days later and lasts 2-3 days.

What are skin peels used for?

Chemical skin peels are used to treat  a variety of skin problems:

 

  • Dull, tired-looking skin

  • Pigmentation

  • Oily Skin

  • Dry Skin

  • Fine lines and wrinkles

  • Acne-prone skin

  • Open pores

  • Blocked pores

  • Lax skin

We mainly use Enerpeel® as this offers a complete program of clinically proven peels designed to perform various types of chemical exfoliation at different skin depths to exfoliate and stimulate dermal remodelling.

How many treatments do I need?

At least two to three treatments are recommended four weeks apart. Results are usually maximal four weeks after the second treatment.

Who can benefit from chemical peels?

Almost anyone can benefit from a chemical skin peel. If you have a darker skin type, it is imperative that the right type of peel is used. This will be discussed with you.

Can you combine peels with other treatments?

Yes absolutely. Certain peels can be combined with other treatments such as dermaplaning and microneedling.

Frequently Asked Questions About Chemical Peels
  • Where is the tear trough?
    The tear trough is a groove between the lower eyelid at the inner corner of the eye and the upper cheek. A tear trough deformity (or hollow) is not a deformity but is used to describe the deepening of this groove. This occurs as a typical result of ageing or may be inherited. It is caused by changes in the bone, fat and skin. It is one of the first areas of the face to show signs of ageing
  • How does dermal filler work in the tear trough area?
    As explained, the tear trough is a depression in the skin, which can cause abnormal shadowing and the appearance of dark circles. Dermal fillers work by creating a lifting effect and are injected in small volumes using a needle or cannula. Most dermal fillers are supplied in 1ml syringes; however, injecting more than this in one treatment session is not recommended. If additional correction is needed, this can be performed at a later treatment session which should be discussed during your consultation.
  • Am I suitable for tear trough treatment?
    You may not be suitable for treatment if you: Are pregnant or breastfeeding. Are undergoing IVF. Suffer from keloid scarring Have active skin conditions, such as infection, acne or psoriasis Are suffering from any other infection, including COVID. Are unwell on the day of treatment. Are taking any medicines which thin the blood, such as aspirin or warfarin. Have taken Roaccutane or isotretinoin for the past 6 months. Have certain allergies Have had recent facial surgery or other dermal fillers in the same area. Have permanent implants, such as silicone implants in the face or pins and plates. Tear trough treatment may also not be suitable if: The cause of the problem is predominantly pigmentation and dark circles. If you have prominent eye bags If you are prone to puffiness under the eyes. Your skin is very lax.
  • Can any filler be used to treat the tear trough?
    No. The eye is a sensitive area to treat, and some fillers are highly unsuitable, especially if they attract water. This can make the appearance of the tear trough much worse. You should only have a specific type of hyaluronic acid filler, such as Teosyl Redensity II or Juvederm Volbella. A less water-attracting [hydrophilic ] filler should be used in the tear trough to prevent the risk of creating too much volume and unsightly bulging. One size does not fit all. Another safe alternative is to use liquid platelets or a gel made from your platelets called a bio-filler.
  • How long does tear trough deformity treatment take?
    Treatment of the tear trough area will often take between 30-60 minutes to perform. Following your procedure, the practitioner may massage the area and clean the skin. Some practitioners might apply a cream post-treatment. After the treatment, your practitioner will book a follow-up appointment. You should also receive aftercare information either in paper form or electronically before or after your treatment.
  • Is injecting the tear trough deformity painful?
    This area may be sensitive during the injection. Most dermal fillers contain a local anaesthetic which lessens the discomfort as they are injected. Usually, a topical anaesthetic, such as LMX4 or Emla™, is used to provide additional pain relief. This will be applied to the skin and left on the surface for 20-40 minutes. Also, your injector may be able to offer you a nerve block. Once the anaesthetic has worn off, there may be some expected tenderness. There should not be any significant degree of pain. If you are in much discomfort, you must contact your practitioner as this could indicate that you are developing a complication.
  • How long does tear trough filler last?
    Because the tear trough is not very mobile, it takes your body longer to dissolve the dermal filler naturally. Saying that longevity varies between products and between individuals. Most hyaluronic acid fillers will last between 6 months and 18 months.
  • What side effects should I expect after tear trough deformity correction?
    The common side effects after tear trough treatment are: Pain Minor tenderness or discomfort after your treatment is entirely normal. If you have more pain than expected, you must contact your treating practitioner immediately. Redness This is normal and usually resolves within 24 hours. If the skin becomes red and warm, this may indicate an infection. Again contact your practitioner straight away. Swelling [Oedema] Some swelling is normal after treatment and may worsen the next day. The tear trough is more prone to swelling than other facial areas. If the swelling persists, tell your practitioner. Bruising Bruising is common after tear trough injections. This can be anything from a small skin mark to extensive bruising that extends beyond the tear trough, such as a black eye. This can take up to 2 weeks to resolve. Rarely, bruising can lead to permanent staining of the skin. Infection SIgn s of infection include a warm, red, swollen area over the area that has been injected. This usually happens a few days after your treatment. If this happens, contact your practitioner for a review as soon as possible. Lumps and Bumps Lumps may be present immediately after treatment. This, to some extent, is normal. Bumps can also appear months later due to filler migrating. Lumps may appear as soft swellings or as hard nodules. If you develop a lump, ask your practitioner for a review. Extremely rare side effects are listed for completeness: Vascular Occlusion Occlusion or blockage of a blood vessel is a rare but severe complication from all dermal filler injections. A blockage results in an interruption of normal blood flow. If this is not correctly managed, the skin and tissue supplied by the blood vessel can die, resulting in scarring. It usually occurs immediately, so your injector should know immediately if this has happened. In most cases, this can be treated. Blindness This is another infrequent but devastating complication. If blindness occurs, it is likely to be permanent. Stroke Another extremely rare but documented complication of dermal fillers.
  • What should I do before my tear trough treatment?
    Ensure your practitioner is informed of any changes in your medical history or medication before receiving your injection. For one week before: Avoid sunbeds and tanning For 3 days before: Avoid taking anti-inflammatories (such as aspirin, ibuprofen, and naproxen) Avoid fish oils, St. John’s Wort, Ginkgo Biloba, garlic and Vitamin E If you are prone to bruising, taking arnica orally for a few days before treatment may lessen the risk, but this is not proven. Contact your practitioner before your appointment if: If you are unwell on the day of your appointment, contact the practitioner to reschedule. You have a social event and want to delay your treatment until after (usually, having the treatment two weeks before is sufficient to allow swelling or bruising to disappear). You cannot commit to a two-week review.
  • What is the downtime after?
    This varies depending on a few things; however, generally speaking, within 1 to 2 days, any swelling or redness should have subsided. Within a week, the signs of being injected should have entirely disappeared. Please not if you get a bruise. This can take up to two weeks to fully resolve.
  • What should I do and not do after my tear trough correction? [after-care]
    After treatment, most people can resume their normal daily activities. Some redness, tenderness and swelling at the injection sites are pretty normal. Bruising may be apparent immediately after treatment. The standard advice which is not proven is listed: Do not apply make-up for 12 hours after treatment (reduces the risk of infection). Avoid touching or rubbing the treated area. Until the swelling has settled: Avoid saunas, swimming pools and sunbeds. void extremes of hot or cold and vigorous exercise.
  • Is tear trough filler high risk?
    All treatments carry a degree of risk. All risks and complications should be discussed with you at consultation and before any treatment is agreed upon. Even though there are blood vessels in this area, the risk of a vascular injection is much lower than people or injectors think. Also, the risk of blindness is much lower even if the filler is injected into a vessel.

Further information

For unbiased facts and information about chemical peels, click on the following links:

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