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Chemical Peels 
Chemical Peeling  involves the application of a chemical agent to the skin to create an injury to a specific depth that promotes the growth of new skin with improved surface characteristics. A chemical peel is a safe, fast, and effective way to brighten, refresh, and hydrate skin while reversing the effects of sundamage and aging while providing a more uniform appearance of your  skin.                                                                                                                                
Chemical peels can be used to treat melasma, dark spots, blemishes, fine wrinkles, dull skin, acne flares, and to remove some atypical or precancerous growths.  Your healthcare provider or RN can help you decide which peel would be the best for you. 

Glycolic Acid Peel (35-70%) $55 per treatment
Glycolic acid is an alpha hydroxy acid derived from sugar cane that can be used safely on all skin types. It is very safe and requires little to no downtime for healing. The face may remain a little red immediately after treatment in some patients.  Best results are typically obtained by multiple treatments several weeks apart.
Great for: acne, acne scarring, melasma, keratosis pilaris, seborrheic keratosis, rough texture, wrinkles, post inflammatory hyperpigmentation, freckles, age spots.

Salicylic Acid Peel $55 per treatment
Salicylic acid is a beta hydroxy acid derived from sweet birch, willow bark, and wintergreen leaves that is safe to use in all skin types. It is an excellent peel for all types of acne and acne scarring. It also helps to open large, clogged pores and to make pores smaller. This peel requires little to no downtime. 

Jessner's Peel $120 per treatment 
​A combination peel containing lactic acid, salicylic acid, and resorcinol. The combination of ingredients  provides a synergistic effect to provide an excellent superficial to "deep" peel depending on skin type and number of treatment layers applied. This peel requires more recovery and down time than the aforementioned peels. It is an excellent option for the treatment of softening of fine to medium depth lines, improving the tone and texture of  aging and photodamaged skin, for decreasing active acne, acne scarring and other superficial scars, decreasing large pore size, and keratosis pilaris of the face and arms. It can be used in the face, arms, hands, chest, or any other location on the body.
Level 1- mild redness of the skin will develop with a mild skin flaking in 1-2 days
Level 2- Intense redness of the skin with a overlying white appearance. The face will have mild to moderate stinging  for 15-30 minutes post peel. Next, a brownish red discoloration and thick exfoliation of skin will occur for 2-4 days. 
Level 3- intense redness of the skin and overlying white appearance will develop, followed by deep brownish red discoloration. Significant exfoliation  lasts for 8-10 days. 


TCA Resurfacing Peel $160 per treatment 
​Trichloroacetic Acid can be used to create superficial, medium, or deep peels. It can be used for facial and non facial skin to treat photoaging, textural changes, dark spots, and acne. Depending on the depth of the peel, it can treat fine wrinkles, wrinkles at rest, rough uneven skin texture, seborrheic keratosis, precancerous skin changes, pigmented and superficial acne scars, melasma, freckles, enlarged pores, and uneven skin tone. This peel may require topical anesthetic as it can cause moderate to intense burning sensation. Maximum benefits can be obtained through repeated treatments with this peel. This peel will require more down time than all the other peels and may be 5-10 days depending on the depth. Depending on your skin type, you may also require pre and post topical skin care treatments to maximize desired results. 
Level 1- mild redness of the skin will develop with a mild skin flaking and healing in 2-4 days
Level 2- Intense redness of the skin with a overlying white appearance. The face will have mild to moderate stinging for 15-30 minutes post peel. Next, a brownish red discoloration and thick exfoliation of skin will occur for 2-7 days.
Level 3- intense redness of the skin and overlying white appearance will develop, followed by deep brownish red discoloration. Significant exfoliation lasts for 8-10 days. 




Pre Peel Instructions 
Things to avoid 1 week prior to your chemical peel
Use of retinoids or glycolic acids on skin/face, Laser therapy, microdermabrasion, other facial peels
Hair removal, hair dye or perm treatments, Tanning booth, excess sun  

Things to do prior to peel:
Limit sunexposure, Remove contact lenses prior to procedure, take prophylactic medicine if you get cold sores the day before and of your appointment, apply bleaching agent to skin if directed by your healthcare provider 

Contraindications to chemical peels:
Pregnancy, breastfeeding, photosensitizing medications, previous tendency to scar, active cold sores, recent cosmetic surgery, open wounds, current or previous use of Accutane (isotretinoin)

*If you have rosacea, seborrheic dermatitis, atopic dermatitis/eczema, or psoriasis you may have experience an increase in redness, contact hypersensitivity, disease exacerbation, or prolonged healing 


Signs of Photodamage and Aging 

Visible Signs
*dry skin
*wrinkles 
*dark spots or freckling
*blood vessels or telangectasias
*loss of elasticity

Microscopic Signs
*epidermal flattening
*atrophy (thinning)
*dysplasia pre-cancer or cancer changes
*enlarged sebaceous glands
*decrease in fibroblasts and GAGs
*decrease in collagen, elastin
 Acne Scars
All peels will help improve skin texture and appearance, but acne scars come in a variety of presentations ranging from mere discoloration to actually pitting and skin structural changes. All peels will help diminish the discoloration but, red marks are a little different than dark marks. Here are a couple of things you can do to help fade red acne marks:

• USE SUNSCREEN
 That skin might still be healing and UV exposure can compromise that process and even worsen the mark

• USE EXFOLIATION
 Make sure the skin is completely healed before applying a peel/daily exfoliator. If you have oily skin, Salicylic is your acid. Normal and drier skin types should consider either Glycolic acid (best for younger skin or new peel users) or Fusion Peel (mature skin or advanced peel users).

• USE HYALURONIC 
 This ingredient has amazing wound healing properties and can dramatically reduce the intensity of the marks left behind after an acne lesion has healed. It also promotes skin health and can contribute to a reduction in outbreaks. 
FAQs 

Do they hurt? 
It varies on the acid used and every individual, but it can vary from a mild itching sensation to an intense burning. It also depends on your skin type, if you are fair the pain level tends to be more intense. 

Will I be red or look bad after a peel? 
This depends on your skin type, the type of chemical peel/acid applied to your skin, any medications you might be taking, recent sun exposure, and certain medical conditions. 
Typically, a light peel looks like you were in the sun with mild redness and a light flaking or appearance of dry skin for a few days. A deep peel has intense redness and you can actually see the separation of the skin that is going to peel off, with redness and an overlying white appearance of the face. The deeper peel will then progress to a dark brown color and become scaly prior to peeling off and down time is usually required. 

Are there any side effects?
Side effects include pain, a deeper peel than expected ( if you do not disclose all info about yourself and your skin correctly), dark or hyperpigmented areas called post inflammatory hyperpigmentation, skin infection, or scarring. 

What Should I do before a chemical Peel? 
Avoid any sun exposure for 2 weeks prior to a chemical peel and discuss all of your medications prior to a chemical peel.  

Stop the use of topical retinol, glycolic acid, and hydroquinone 2 days prior to the chemical peel.

Occasionally, certain medications will be prescribed to help prepare or stabilize your skin before and after a chemical peel to improve results and minimize potential side effects.