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CAUTION
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FYI: The TCA Peel instructions are near the bottom, but it would behoove you to read thru this entire guide.
Please note that Salicylic Acid Peels are not recommended for use during pregnancy or lactation. Pregnant individuals consult your physician before using any other chemicals peel also. If you have any of the below conditions or any other sicknesses or health conditions please consult a trained physician knowledgeable in chemical peels before performing a chemical peel.
• Facial Warts
• Prior bad reaction to a peel or dermabrasion
• Past herpes simplex (including cold sores)
• If you have a history of sun allergies
• Recent radiation treatment for cancer
• If you form keloid or hypertrophic scars (thick scars)
• If you are now pregnant or breast feeding
• Accutane use within the past six (6) months
• Sun burn or significant sun exposure in the last two days
• Surgery or cryosurgery within the last six weeks to the area that you plan to have treated
Note about Rosacea: If you have Rosacea or very dry and sensitive skin, then Lactic Acid may be the better choice. Lactic Acid only works to help the symptoms of Rosacea, and does not offer a cure.
Note about Retin-A: If you are using Retin-A cream/gel/ointment DO NOT use them on the same days that you use chemical peel products and MOST DEFINITELY DO NOT mix them with chemical peel products . This will irritate your skin badly! It will cause extreme itching & redness along with peeling. Retin-A makes the skin very sensitive to the sun and to chemical peel products. Retin-A exfoliates/peels the skin on it’s own. You can use Retin-A daily & do a weekly chemical peel but DO NOT use Retin-A the day of your peel.
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WHAT IS A CHEMICAL PEEL?
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Chemical peel uses a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. It is helpful for those individuals with facial blemishes, wrinkles and uneven skin pigmentation. Chemical peels have been around for centuries. Cleopatra and the ancient Romans used various food acids to peel their skin. Lactic acid, an active ingredient of sour milk, was used topically as part of an ancient skin rejuvenation regimen. It is said that Cleopatra, Queen of Ancient Egypt, took bathes of asses’ milk to preserve the beauty and youth of her skin. Old wine was used for the same purpose, tartaric acid being the active ingredient.
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ACIDS USED FOR CHEMICAL PEELS
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Today there are lots of different acids used in different strengths and combinations to improve skin problems. Below are some common acids used alone or combined (with each other and/or fruit acids like citric acid or ascorbyl acid “vitamin C”)
• Lactic Acid
• Glycolic Acid
• Salicylic Acid
• TCA
• Phenol
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Lactic Acid -(AHA)-
Strengths: 10% – 50% Duration of Peel: 5-15min
Glycolic Acid -(AHA)-
Strengths: 10% – 70% Duration of Peel: 5-15min
Salicylic Acid -(BHA)-
Strengths: 0.5% – 40% Duration of Peel: 5-20min
TCA -(Acetic Acid)-
Strengths: 10% – 50% Duration of Peel: 5-15min
Phenol -(Carbolic Acid)-
Strengths:30%-55% Duration of Peel: 1 – 2hrs
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• Lactic Acid
• Glycolic Acid
• Salicylic Acid
• TCA
• Phenol
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ALPHA & BETA HYDROXY ACIDS
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The main difference between Alphahydroxy Acids (AHA) and Betahydroxy Acids (BHA) is their lipid (oil) solubility. Alphahydroxy acids are water soluble. Betahydroxy Acids are oil soluble.
•Betahydroxy Acids are best for oily & combination skin types
•Alphahydroxy Acids are best for normal & dry skin types
Using a combination of both AHA’s and BHA’s can achieve a full spectrum chemical peel that can more effectively treat your skin type and problem.
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ACIDS STRENGTHS
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Lactic Acid -(AHA)-
Strengths: 10% – 50% Duration of Peel: 5-15min
Glycolic Acid -(AHA)-
Strengths: 10% – 70% Duration of Peel: 5-15min
Salicylic Acid -(BHA)-
Strengths: 0.5% – 40% Duration of Peel: 5-20min
TCA -(Acetic Acid)-
Strengths: 10% – 50% Duration of Peel: 5-15min
Phenol -(Carbolic Acid)-
Strengths:30%-55% Duration of Peel: 1 – 2hrs
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ACIDS STRENGTHS EXPLAINED
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LACTIC ACID
Lactic Acid is derived from sour milk, and is much milder on the skin versus Glycolic and Salicylic peels. Those with sensitive skin can apply this peel. Lactic acid peel helps eliminate germs, toxins and dead cells. The peeling process is very similar to how Glycolic Acid works.
Lactic Acid is derived from sour milk, and is much milder on the skin versus Glycolic and Salicylic peels. Those with sensitive skin can apply this peel. Lactic acid peel helps eliminate germs, toxins and dead cells. The peeling process is very similar to how Glycolic Acid works.
Used For: Acne, Acne Scars, Blackheads/Whiteheads, Dry Skin, Sun-damaged Skin, Blotchy Pigmentation, Fine Wrinkles, Loss of Elasticity, Large Pores, in-grown hairs, Age Spots, Eczema, Seborrheic Keratosis, Hyperkeratosis, and Actinic keratosis.
GLYCOLIC ACID
Glycolic acid is derived from sugar cane and, because of its smaller molecular size, effectively works to stimulate growth of new skin and collagen by penetrating the skin and decreasing the bonds that hold dead skin cells on the surface. This allows dead cells to be gradually removed, leaving behind a layer of healthy smooth skin. Glycolic acid also reduces the amount of surface skin oil, which aids in the removal of blackheads and other skin impurities and may help stimulate collagen production within the dermis, the layer of the skin located below the epidermis.
Used For: Acne, Acne Scars, Blackheads/Whiteheads, Dry Skin, Sun-damaged Skin, Blotchy Pigmentation, Fine Wrinkles, Loss of Elasticity, Large Pores, in-grown hairs, Age Spots/Dark Spots, Seborrheic Keratosis, Hyperkeratosis, and Actinic keratosis.
Glycolic acid is derived from sugar cane and, because of its smaller molecular size, effectively works to stimulate growth of new skin and collagen by penetrating the skin and decreasing the bonds that hold dead skin cells on the surface. This allows dead cells to be gradually removed, leaving behind a layer of healthy smooth skin. Glycolic acid also reduces the amount of surface skin oil, which aids in the removal of blackheads and other skin impurities and may help stimulate collagen production within the dermis, the layer of the skin located below the epidermis.
Used For: Acne, Acne Scars, Blackheads/Whiteheads, Dry Skin, Sun-damaged Skin, Blotchy Pigmentation, Fine Wrinkles, Loss of Elasticity, Large Pores, in-grown hairs, Age Spots/Dark Spots, Seborrheic Keratosis, Hyperkeratosis, and Actinic keratosis.
SALICYLIC ACID
Salicylic Acid resides deep in the heart of Willow Bark (and other plants) and is a highly effective peeling agent and an excellent pore cleanser with anti-wrinkle and anti-acne properties. It works by gently removing old cells from the skin allowing it to be replaced with healthy skin; boosts collagen production and in turn balances oil production (less acne and blemishes); and lessens the appearance of wrinkles and fine lines. Salicylic Acid is less irritating than other acid peels like glycolic acid because it has an anti-inflammatory effect. This acid is able to penetrate the oily material blocking pores and flush it out. Unlike Glycolic and Lactic Acids which are gradual peels, using a Salicylic peel will cause visible peeling that can last up to 3 days, which some people actually prefer. One of the major properties of salicylic acid is its ability to remove skin cells of the most upper layer of the skin, the stratum corneum. This keratolytic effect is dependent on the concentration of salicylic acid used in a cream. For example, at a concentration of 10 – 15% salicylic acid shows a keratolytic effect already after 2 or 3 days. At 5% and 1% desquamation of skin cells is seen after 7 and 10 days, respectively. Hence, salicylic acid is widely used as major ingredient for peelings or other exfoliant or abrasive skin treatments. Such
peeling products contain salicylic acid usually at concentrations between 0.5 – 3%. Whereas the upper limit of 20% of is applied only in dermatological (prescription) products, the use of salicylic acid at this level has also been recommended for face masks. For anti-warts & corn/callus products salicylic acid is usually used between 12 – 40%.Besides removing old cells and horny debris from the skin, keratolysis has also the advantage that it facilitates the penetration of other active ingredients into the skin. Salicylic acid is therefore often added to skin care products that contain active ingredients in order to increase their absorption and efficacy.
Used For: Acne, Acne Scars, Blackheads/Whiteheads, Dry Skin, Sun-damaged Skin, Blotchy Pigmentation, Fine Wrinkles, Loss of Elasticity, Large Pores, Bumps, Rosacea, Age Spots/Dark Spots, Seborrheic Keratosis, Hyperkeratosis, and Actinic keratosis.
Salicylic Acid resides deep in the heart of Willow Bark (and other plants) and is a highly effective peeling agent and an excellent pore cleanser with anti-wrinkle and anti-acne properties. It works by gently removing old cells from the skin allowing it to be replaced with healthy skin; boosts collagen production and in turn balances oil production (less acne and blemishes); and lessens the appearance of wrinkles and fine lines. Salicylic Acid is less irritating than other acid peels like glycolic acid because it has an anti-inflammatory effect. This acid is able to penetrate the oily material blocking pores and flush it out. Unlike Glycolic and Lactic Acids which are gradual peels, using a Salicylic peel will cause visible peeling that can last up to 3 days, which some people actually prefer. One of the major properties of salicylic acid is its ability to remove skin cells of the most upper layer of the skin, the stratum corneum. This keratolytic effect is dependent on the concentration of salicylic acid used in a cream. For example, at a concentration of 10 – 15% salicylic acid shows a keratolytic effect already after 2 or 3 days. At 5% and 1% desquamation of skin cells is seen after 7 and 10 days, respectively. Hence, salicylic acid is widely used as major ingredient for peelings or other exfoliant or abrasive skin treatments. Such
peeling products contain salicylic acid usually at concentrations between 0.5 – 3%. Whereas the upper limit of 20% of is applied only in dermatological (prescription) products, the use of salicylic acid at this level has also been recommended for face masks. For anti-warts & corn/callus products salicylic acid is usually used between 12 – 40%.Besides removing old cells and horny debris from the skin, keratolysis has also the advantage that it facilitates the penetration of other active ingredients into the skin. Salicylic acid is therefore often added to skin care products that contain active ingredients in order to increase their absorption and efficacy.
Used For: Acne, Acne Scars, Blackheads/Whiteheads, Dry Skin, Sun-damaged Skin, Blotchy Pigmentation, Fine Wrinkles, Loss of Elasticity, Large Pores, Bumps, Rosacea, Age Spots/Dark Spots, Seborrheic Keratosis, Hyperkeratosis, and Actinic keratosis.
TCA (Trichloroacetic Acid)
TCA peel is much stronger than lactic, glycolic & salicylic acids combined. TCA Is a carbolic acid and is produced by the reaction of chlorine with acetic acid in the presence of a suitable catalyst. Depending on the depth of scars or wrinkles, TCA will greatly improve the appearance, if not remove them altogether. TCA removes the outer 2 layers of skin and therefore decreases the depth of wrinkles and fine lines, also removes discolorations and age spots. The higher the concentration, the deeper the peel. When used in a controlled fashion, TCA peels produce improvement in collagen and elastin in the skin and reduction of fine wrinkling, acne scars
and dark spots. It will lighten, diminish even remove tattoos (depending on darkness, depth & size of tattoo). Medium peels produce a deeper penetration than light peels such as glycolic. A medium peel causes the skin to appear to have a severe sunburn for about one week. A person having a medium peel must keep the treated skin out of the sun and protected with antibacterial ointment for about one week.
TCA peel is much stronger than lactic, glycolic & salicylic acids combined. TCA Is a carbolic acid and is produced by the reaction of chlorine with acetic acid in the presence of a suitable catalyst. Depending on the depth of scars or wrinkles, TCA will greatly improve the appearance, if not remove them altogether. TCA removes the outer 2 layers of skin and therefore decreases the depth of wrinkles and fine lines, also removes discolorations and age spots. The higher the concentration, the deeper the peel. When used in a controlled fashion, TCA peels produce improvement in collagen and elastin in the skin and reduction of fine wrinkling, acne scars
and dark spots. It will lighten, diminish even remove tattoos (depending on darkness, depth & size of tattoo). Medium peels produce a deeper penetration than light peels such as glycolic. A medium peel causes the skin to appear to have a severe sunburn for about one week. A person having a medium peel must keep the treated skin out of the sun and protected with antibacterial ointment for about one week.
Used For: Tattoo removal & more severe cases of the above skin problems under the AHA’s/BHA’s.
PHENOL
Phenol is the strongest of ALL acids used in chemical peels. The solution most commonly used is the Baker/Gordon formula, in which the phenol is diluted to a concentration varying from 45% to 55% and which contain other ingredients to aid in penetration. A full-face phenol peel generally takes one or two hours to perform, while a phenol peel to a smaller facial region takes only 10 – 15 mins.
Used For: Used mainly to treat patients with coarse facial wrinkles, areas of blotchy or damaged skin caused by sun exposure, or removal of pre-cancerous growths.
Phenol is the strongest of ALL acids used in chemical peels. The solution most commonly used is the Baker/Gordon formula, in which the phenol is diluted to a concentration varying from 45% to 55% and which contain other ingredients to aid in penetration. A full-face phenol peel generally takes one or two hours to perform, while a phenol peel to a smaller facial region takes only 10 – 15 mins.
Used For: Used mainly to treat patients with coarse facial wrinkles, areas of blotchy or damaged skin caused by sun exposure, or removal of pre-cancerous growths.
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STRENGTHS COMPARISON
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BRIEF FYI
AHA: Alpha-Hydroxy-Acid: Alpha hydroxy acids are naturally derived from various foods sources (e.g., sour milk, sugarcane). AHA’s are water soluble so they only work on the skin’s surface. AHA’s are best for dry skin due to their ability to enhance natural moisturizing factors within the skin (BHA’s can also be hydrating, but they hydrate skin in a different way than AHA’s do). AHA’s Include: Glycolic Acid, Lactic Acid, Malic Acid, Citric Acid, Tartaric Acid, Mandelic Acid.
BHA: Beta-Hydroxy-Acid: Beta hydroxy acids are naturally derived from various plant-based sources (e.g., willow bark). BHA’s are lipid or oil-soluble. Which make BHA’s more effective on oily and acne infected skin. BHA works on the skin’s surface and also deep inside the pores, and can even enter the blood stream if abused & used incorrectly. Being oil-soluble, BHA’s are most often preferred for use on oily skin prone to bumps, clogs, blemishes, milia, and enlarged pores. BHA’s also have natural skin-calming properties, so it’s gentle enough for skin that is sensitive or prone to redness or rosacea. BHA’s Include: Salicylic Acid – is a naturally occurring BHA derived from willow bark (the same place we get aspirin) It is both highly keratolytic and comedolytic, which means it not only dissolves dead skin cells on the surface of the skin, but it’s also able to get down into the pore, dissolve the oil and break apart the debris inside that commonly cause skin infections like acne..
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In equal percentages the order of weakest to strongest is – Lactic Acid : Glycolic Acid : Salicylic Acid : TCA : Phenol : AHA’s & BHA’s in varying percentages can be stronger or weaker than another. Example: Lactic Acid 70% solution is much stronger than a Glycolic Acid 20% solution, but lactic acid itself in equal solution is a weaker acid than glycolic acid.
AHA: Alpha-Hydroxy-Acid: Alpha hydroxy acids are naturally derived from various foods sources (e.g., sour milk, sugarcane). AHA’s are water soluble so they only work on the skin’s surface. AHA’s are best for dry skin due to their ability to enhance natural moisturizing factors within the skin (BHA’s can also be hydrating, but they hydrate skin in a different way than AHA’s do). AHA’s Include: Glycolic Acid, Lactic Acid, Malic Acid, Citric Acid, Tartaric Acid, Mandelic Acid.
BHA: Beta-Hydroxy-Acid: Beta hydroxy acids are naturally derived from various plant-based sources (e.g., willow bark). BHA’s are lipid or oil-soluble. Which make BHA’s more effective on oily and acne infected skin. BHA works on the skin’s surface and also deep inside the pores, and can even enter the blood stream if abused & used incorrectly. Being oil-soluble, BHA’s are most often preferred for use on oily skin prone to bumps, clogs, blemishes, milia, and enlarged pores. BHA’s also have natural skin-calming properties, so it’s gentle enough for skin that is sensitive or prone to redness or rosacea. BHA’s Include: Salicylic Acid – is a naturally occurring BHA derived from willow bark (the same place we get aspirin) It is both highly keratolytic and comedolytic, which means it not only dissolves dead skin cells on the surface of the skin, but it’s also able to get down into the pore, dissolve the oil and break apart the debris inside that commonly cause skin infections like acne..
In equal percentages the order of weakest to strongest is – Lactic Acid : Glycolic Acid : Salicylic Acid : TCA : Phenol : AHA’s & BHA’s in varying percentages can be stronger or weaker than another. Example: Lactic Acid 70% solution is much stronger than a Glycolic Acid 20% solution, but lactic acid itself in equal solution is a weaker acid than glycolic acid.
LACTIC ACID
This peel is the gentlest & weakest of all peels. If you have never done a peel before & you decide to start with a Lactic Acid peel (and if you have sensitive skin). You should begin with a lower percentage (10% – 30%) peel and work your way up to higher percentages. The lower percentage peels will give the same results as the stronger peels, but slower & more gradual peel. If you have experience with lactic acid peels and have normal skin, then you might choose to use the higher percentages (40% – 50%).on your lower extremities (i.e. legs, buttocks, etc.)
This peel is the gentlest & weakest of all peels. If you have never done a peel before & you decide to start with a Lactic Acid peel (and if you have sensitive skin). You should begin with a lower percentage (10% – 30%) peel and work your way up to higher percentages. The lower percentage peels will give the same results as the stronger peels, but slower & more gradual peel. If you have experience with lactic acid peels and have normal skin, then you might choose to use the higher percentages (40% – 50%).on your lower extremities (i.e. legs, buttocks, etc.)
GLYCOLIC ACID
This peel is stronger than the lactic acid peel. If you have never done a peel before & you decide to start with a Glycolic Acid peel (and if you have sensitive skin). You should begin with a lower percentage (10% – 30%) peel and work your way up to higher percentages. The lower percentage peels will give the same results as the stronger peels, but is a more gradual peel. If you have experience with glycolic acid peels and have normal skin, then you might choose to use the higher percentages (40% – 70%) on your lower extremities (i.e. legs, buttocks, etc.)
This peel is stronger than the lactic acid peel. If you have never done a peel before & you decide to start with a Glycolic Acid peel (and if you have sensitive skin). You should begin with a lower percentage (10% – 30%) peel and work your way up to higher percentages. The lower percentage peels will give the same results as the stronger peels, but is a more gradual peel. If you have experience with glycolic acid peels and have normal skin, then you might choose to use the higher percentages (40% – 70%) on your lower extremities (i.e. legs, buttocks, etc.)
SALICYLIC ACID
This peel is stronger than both lactic acid. It is more gentle than glycolic acid & less irritating due to it’s anti-flammatory effect. However, it causes the skin to peel MUCH much and for a longer period after application. Other peels are much more gradual. 20% Salicylic Acid (Stronger Peel) Is a deeper exfoliation, perfect for acne and mature skin. It’s recommended that you start at a lower percentage unless you are an experienced user of Salicylic Acid. 10% Salicylic Acid (Medium Peel)
Used for all skin types. 5% Salicylic Acid (Light Peel) If you have never done a peel before & you decide to start with a Salicylic Acid peel (and if you have sensitive skin). You should begin with a 5% peel and work your way up to the higher percentages. If you have experience with salicylic acid peels and have normal skin, then you might choose to use the higher percentages. This peel will give the same results as the stronger peels, but is a more gradual peel. A 5% solution is usually a cleanser that can be used on a daily bases.
The above acid peels require no down time and peeling/flaking of the skin is minimal and unnoticeable when the skin is moisturized
This peel is stronger than both lactic acid. It is more gentle than glycolic acid & less irritating due to it’s anti-flammatory effect. However, it causes the skin to peel MUCH much and for a longer period after application. Other peels are much more gradual. 20% Salicylic Acid (Stronger Peel) Is a deeper exfoliation, perfect for acne and mature skin. It’s recommended that you start at a lower percentage unless you are an experienced user of Salicylic Acid. 10% Salicylic Acid (Medium Peel)
Used for all skin types. 5% Salicylic Acid (Light Peel) If you have never done a peel before & you decide to start with a Salicylic Acid peel (and if you have sensitive skin). You should begin with a 5% peel and work your way up to the higher percentages. If you have experience with salicylic acid peels and have normal skin, then you might choose to use the higher percentages. This peel will give the same results as the stronger peels, but is a more gradual peel. A 5% solution is usually a cleanser that can be used on a daily bases.
TCA (Trichloroacetic Acid)
This acid is much stronger than all of the above peels, it goes much deeper into the skin layers and does require some down time (at least 10 days). The percentage chosen to use depends on (1.) what part of the body is being treated and (2.) the condition/problem being treated. Typically strengths of 8% – 50% TCA are used to treat a plethora of skin issues and for maintenance of non-problematic skin. TCA 8% – 12.5%: These strengths are light TCA peels and are usually applied to the face & neck, but can be applied to other areas (chest, back, legs, etc..) Light peeling & crusting of the skin is observed following these peels. Post peel discomfort is very minimal compared to the deeper (higher percentage) TCA peels. (8%-12.5% TCA is comparable to a 30% glycolic treatment)
TCA 18%-35%:This strength of TCA is the strength typically used for TCA peels in a cosmetic surgeons office. A 25%-30% solution will result in a medium peel, whereas the 8%-12.5% will give you a much lighter “lunchtime” peel. The procedure is either performed by the physician themselves or the trained tech on staff. This peel is much deeper & requires down time for healing (10-14 days). A light oral sedative may be given before this procedure to alleviate the stinging while the peel is being performed. The following week the area treated area will scab/crust & peel, as with any open wound it is susceptible to infection. The physician might prescribe an anti-biotic before hand to be taken post peel. This strength is applied to the face neck & other areas.TCA 40% – 50%: These strengths are very strong and are usually put on areas other than the face (back, legs, etc..) being that the skin is much thicker & less sensitive than on the face. These strengths are mainly used for tattoo removal (several treatments will need to be done depending on tattoo size, depth & color. Follow up with a laser treatment may be needed to remove the remainder of the tattoo).
This acid is much stronger than all of the above peels, it goes much deeper into the skin layers and does require some down time (at least 10 days). The percentage chosen to use depends on (1.) what part of the body is being treated and (2.) the condition/problem being treated. Typically strengths of 8% – 50% TCA are used to treat a plethora of skin issues and for maintenance of non-problematic skin. TCA 8% – 12.5%: These strengths are light TCA peels and are usually applied to the face & neck, but can be applied to other areas (chest, back, legs, etc..) Light peeling & crusting of the skin is observed following these peels. Post peel discomfort is very minimal compared to the deeper (higher percentage) TCA peels. (8%-12.5% TCA is comparable to a 30% glycolic treatment)
TCA 18%-35%:This strength of TCA is the strength typically used for TCA peels in a cosmetic surgeons office. A 25%-30% solution will result in a medium peel, whereas the 8%-12.5% will give you a much lighter “lunchtime” peel. The procedure is either performed by the physician themselves or the trained tech on staff. This peel is much deeper & requires down time for healing (10-14 days). A light oral sedative may be given before this procedure to alleviate the stinging while the peel is being performed. The following week the area treated area will scab/crust & peel, as with any open wound it is susceptible to infection. The physician might prescribe an anti-biotic before hand to be taken post peel. This strength is applied to the face neck & other areas.TCA 40% – 50%: These strengths are very strong and are usually put on areas other than the face (back, legs, etc..) being that the skin is much thicker & less sensitive than on the face. These strengths are mainly used for tattoo removal (several treatments will need to be done depending on tattoo size, depth & color. Follow up with a laser treatment may be needed to remove the remainder of the tattoo).
PHENOL
This acid is much stronger than all of the above acid peels, it requires sedation & vital signs monitored during this procedure. The ending results of this type of peel is skin depigmentation (including freckles) without the ability to regain pigmentation. It also removes moles & any type of skin appendages. Anti-biotics, medication for pain & swelling are prescribed to be taken post peel.This type of peel is ONLY done on individuals with VERY fair skin to begin with (i.e. Caucasions – red heads & natural blondes).Phenol 45% to 55%: Are strengths used for phenol peels. The acid solution is applied and left on for 1 – 2 hours
There are specially formulated peels that have been created by physicians that have phenol as one of the
ingredients. Amounts are 5% or lower & said combination peels are left on for shorter amounts of time (10 – 15
min) like the TCA peels (ex: the VI Peel by KMP)
This acid is much stronger than all of the above acid peels, it requires sedation & vital signs monitored during this procedure. The ending results of this type of peel is skin depigmentation (including freckles) without the ability to regain pigmentation. It also removes moles & any type of skin appendages. Anti-biotics, medication for pain & swelling are prescribed to be taken post peel.This type of peel is ONLY done on individuals with VERY fair skin to begin with (i.e. Caucasions – red heads & natural blondes).Phenol 45% to 55%: Are strengths used for phenol peels. The acid solution is applied and left on for 1 – 2 hours
ingredients. Amounts are 5% or lower & said combination peels are left on for shorter amounts of time (10 – 15
min) like the TCA peels (ex: the VI Peel by KMP)
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TYPES OF PEELS
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LIGHT • MEDIUM • DEEP
LIGHT PEEL
Alphahydroxy Acids (AHAs) & Betahydroxy Acids (BHAs) such as glycolic, lactic, or fruit acids are the mildest of the peel formulas and produce light peels. These types of peels can provide smoother, brighter-looking skin for people who can’t spare the time to recover from a phenol or TCA peel. AHA peels may be used to treat fine wrinkling, areas of dryness, uneven pigmentation and acne. Various concentrations of an AHA or BHA may be applied weekly or at longer intervals to obtain the best result. Your doctor will make this decision during your consultation and as the treatment proceeds. AHA’s & BHA’s can also be mixed with a facial wash or cream in lesser concentrations as part of a daily skin-care regimen to improve the skin’s texture.
Uses & Benefits:
• Smoothes rough, dry skin
• Improves texture of sun-damaged skin
• Aids in control of acne
• Can be mixed with bleaching agent to correct pigment problems
• Can be mixed with cleansers to correct pigment problems & acne
• Can be used as TCA pre-treatment
Considerations:
• A series of peels may be needed to get desired effects
• As with most peel treatments, sunblock use is recommended
Alphahydroxy Acids (AHAs) & Betahydroxy Acids (BHAs) such as glycolic, lactic, or fruit acids are the mildest of the peel formulas and produce light peels. These types of peels can provide smoother, brighter-looking skin for people who can’t spare the time to recover from a phenol or TCA peel. AHA peels may be used to treat fine wrinkling, areas of dryness, uneven pigmentation and acne. Various concentrations of an AHA or BHA may be applied weekly or at longer intervals to obtain the best result. Your doctor will make this decision during your consultation and as the treatment proceeds. AHA’s & BHA’s can also be mixed with a facial wash or cream in lesser concentrations as part of a daily skin-care regimen to improve the skin’s texture.
Uses & Benefits:
• Smoothes rough, dry skin
• Improves texture of sun-damaged skin
• Aids in control of acne
• Can be mixed with bleaching agent to correct pigment problems
• Can be mixed with cleansers to correct pigment problems & acne
• Can be used as TCA pre-treatment
Considerations:
• A series of peels may be needed to get desired effects
• As with most peel treatments, sunblock use is recommended
MEDIUM PEEL
Trichloroacetic Acid (TCA) can be used in many concentrations, but it is most commonly used for medium-depth peeling. Fine surface wrinkles, superficial blemishes, severe acne, pock marks, scars, melasma and pigment problems are commonly treated with TCA. TCA Peels can be used on normal skin with none of the above issues, just to maintain skin health & beauty. A 25%-35% solution will result in a medium peel, whereas the 13% will give you a lighter “lunchtime” peel (10%-12.5% TCA is comparable to a 30% glycolic treatment)
Uses & Benefits:
• Smoothes out fine surface wrinkles
• Removes superficial blemishes
• Corrects pigment problems
• Helps removes superficial Scars
• Treats severe acne
Considerations:
• Can be used on neck or other body areas
• Requires pre-treatment with:
~ Retin-A Or Hydroquinone Cream
~ AHA or BHA Cleansers/Creams/Peels
• Treatment takes only 10-15 minutes
• Preferred for darker-skinned patients
• Peel depth can be adjusted
• Repeat treatment may be needed to maintain results
• Sunblock must be used for several months
• Healing is usually quick, much quicker than with a phenol peel
Trichloroacetic Acid (TCA) can be used in many concentrations, but it is most commonly used for medium-depth peeling. Fine surface wrinkles, superficial blemishes, severe acne, pock marks, scars, melasma and pigment problems are commonly treated with TCA. TCA Peels can be used on normal skin with none of the above issues, just to maintain skin health & beauty. A 25%-35% solution will result in a medium peel, whereas the 13% will give you a lighter “lunchtime” peel (10%-12.5% TCA is comparable to a 30% glycolic treatment)
Uses & Benefits:
• Smoothes out fine surface wrinkles
• Removes superficial blemishes
• Corrects pigment problems
• Helps removes superficial Scars
• Treats severe acne
Considerations:
• Can be used on neck or other body areas
• Requires pre-treatment with:
~ Retin-A Or Hydroquinone Cream
~ AHA or BHA Cleansers/Creams/Peels
• Treatment takes only 10-15 minutes
• Preferred for darker-skinned patients
• Peel depth can be adjusted
• Repeat treatment may be needed to maintain results
• Sunblock must be used for several months
• Healing is usually quick, much quicker than with a phenol peel
DEEP PEEL
Phenol is the strongest of the chemical solutions and produces a deep peel. A phenol peel is to be applied by a trained physician only. It is used mainly to treat patients with coarse facial wrinkles, areas of blotchy or damaged skin caused by sun exposure, or removal of pre-cancerous growths. It is considered a deep peel, and requires sedation and monitoring of your vital signs. One of the drawbacks of a phenol peel is that it leaches your skin and leaves a distinct demarcation line around the edge of where it was used. Your skin will never regain its ability to tan after a very deep phenol peel. This means that not only will the skin be devoid of color, but you’ll always have to protect it from the sun like a vitiligo sufferer, so consider this before committing to it. You should discuss with your doctor whether some other form of skin resurfacing may be a better choice for you. A phenol peel is usually reserved for the face and is not used elsewhere on the body. It is reported that scarring can result when used on non facial areas. Phenol may pose a special risk for patients with a history of heart disease. It’s important that you make your surgeon aware of any heart problems when your medical history is taken.
Uses & Benefits:
• Corrects blotches caused by: sun exposure, birth-control pills, aging
• Smoothes out coarse wrinkles
• Removes pre-cancerous growths
Considerations:
• Used on the face only
• Not recommended for dark-ethnic-skinned individuals
• Procedure may pose risk for patients with heart problems
• Full-face treatment may take one hour or more
• Recovery may be slow – Complete healing may take several months
• Will permanently remove facial freckles
• Sun protection, including sunblock, must always be used
• Results are dramatic and long-lasting
• Permanent skin lightening and lines of demarcation will occur
NOTE:Small concentrations of phenol (5% or less) are sometimes used in chemical peel formulations (The V.I. Peel), cosmetics including sunscreens, hair dyes, and skin lightening preparations. It is also used in phenolization, a surgical procedure used to treat an ingrown nail, in which it is applied to the nail bed to prevent regrowth of nails. 5% Phenol is sometimes injected near a sensory nerve in order to temporarily (up to a year) stop it from transmitting impulses in some intractable cases of chronic neuropathic pain.
Phenol is the strongest of the chemical solutions and produces a deep peel. A phenol peel is to be applied by a trained physician only. It is used mainly to treat patients with coarse facial wrinkles, areas of blotchy or damaged skin caused by sun exposure, or removal of pre-cancerous growths. It is considered a deep peel, and requires sedation and monitoring of your vital signs. One of the drawbacks of a phenol peel is that it leaches your skin and leaves a distinct demarcation line around the edge of where it was used. Your skin will never regain its ability to tan after a very deep phenol peel. This means that not only will the skin be devoid of color, but you’ll always have to protect it from the sun like a vitiligo sufferer, so consider this before committing to it. You should discuss with your doctor whether some other form of skin resurfacing may be a better choice for you. A phenol peel is usually reserved for the face and is not used elsewhere on the body. It is reported that scarring can result when used on non facial areas. Phenol may pose a special risk for patients with a history of heart disease. It’s important that you make your surgeon aware of any heart problems when your medical history is taken.
Uses & Benefits:
• Corrects blotches caused by: sun exposure, birth-control pills, aging
• Smoothes out coarse wrinkles
• Removes pre-cancerous growths
Considerations:
• Used on the face only
• Not recommended for dark-ethnic-skinned individuals
• Procedure may pose risk for patients with heart problems
• Full-face treatment may take one hour or more
• Recovery may be slow – Complete healing may take several months
• Will permanently remove facial freckles
• Sun protection, including sunblock, must always be used
• Results are dramatic and long-lasting
• Permanent skin lightening and lines of demarcation will occur
NOTE:Small concentrations of phenol (5% or less) are sometimes used in chemical peel formulations (The V.I. Peel), cosmetics including sunscreens, hair dyes, and skin lightening preparations. It is also used in phenolization, a surgical procedure used to treat an ingrown nail, in which it is applied to the nail bed to prevent regrowth of nails. 5% Phenol is sometimes injected near a sensory nerve in order to temporarily (up to a year) stop it from transmitting impulses in some intractable cases of chronic neuropathic pain.
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WHAT STRENGTH PEEL IS RIGHT FOR ME?
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A good rule of thumb is to begin by choosing a low strength BHA or AHA exfoliator like Glycolic or Lactic Acid. You can always buy a higher strength peel & dilute it, with distilled water, to your desired strength. The depth of the peel depends on the chemical used and your experience using peels. It is advisable to not use a strong chemical peel treatment if you have never used peeling agents. Many times, we want quick results, not realizing what this might mean in terms of applying a chemical peel. The peeling agent produces controlled damaged to the skin’s surface. This can result in excess flaking, stinging, sunburn-type effect or, in some cases, breaks in skin, leaving us frustrated and even more dissatisfied with our skin than before we started. Therefore, it is vital to understand that chemical peeling is a process that typically occurs over the course of a few weeks. A 2oz. bottle of chemical solution (used straight) will give you approximately 5-7 facial peels. Combining a daily regimen with a series of skin peels is the most effective way to treat your skin and choosing the right strength of product is vital to performing professional quality skin rejuvenation treatments.
Salicylic Acid:
• Strength of Salicylic 10% is recommended for those new to this type of chemical peel or for those who only need light skin rejuvenation. Can be applied (and left on) once every 7 days (on the face). This strength of peel can be excellent for use in conjunction with the Glycolic or Lactic peel for a superior peel result. Oil-soluble to penetrate sebum filled pores and cleanse thoroughly, reducing acne and blemishes.
• Strengths of Salicylic 20% – 30% are stronger deeper peels and can be performed every 2 weeks. They assist in the rapid shedding of dead skin cells. Use of a light daily exfoliator in between peel treatments will further assist in this process of skin cell renewal. Excellent for oily/acne prone skin.
Lactic Acid:
• Is the best to use for daily & weekly chemical peels. Strengths of 10% or less are considered daily exfoliators and they will keep your skin fresh and healthy. These are recommended for those new to chemical peels or for those who only need light skin rejuvenation.
• Strengths of 20% – 40% are considered medium peels and can be performed every 2 weeks. They assist in the rapid shedding of dead skin cells. Use of a light daily exfoliator in between peel treatments will further assist in this process of skin cell renewal.
• Strengths of 50% – 70% are considered deeper peels and should only be used on lower extremities (arms,legs,feet,back,etc). This type of peel is great for corns, calluses & thick dead skin on feet or hands. Initially, this type of peel can be used daily or every other day on feet that have really thick dead skin. Please follow our “Pretty Feet Guide” for more info &
instruction.
• Strength of Salicylic 10% is recommended for those new to this type of chemical peel or for those who only need light skin rejuvenation. Can be applied (and left on) once every 7 days (on the face). This strength of peel can be excellent for use in conjunction with the Glycolic or Lactic peel for a superior peel result. Oil-soluble to penetrate sebum filled pores and cleanse thoroughly, reducing acne and blemishes.
• Strengths of Salicylic 20% – 30% are stronger deeper peels and can be performed every 2 weeks. They assist in the rapid shedding of dead skin cells. Use of a light daily exfoliator in between peel treatments will further assist in this process of skin cell renewal. Excellent for oily/acne prone skin.
Lactic Acid:
• Is the best to use for daily & weekly chemical peels. Strengths of 10% or less are considered daily exfoliators and they will keep your skin fresh and healthy. These are recommended for those new to chemical peels or for those who only need light skin rejuvenation.
• Strengths of 20% – 40% are considered medium peels and can be performed every 2 weeks. They assist in the rapid shedding of dead skin cells. Use of a light daily exfoliator in between peel treatments will further assist in this process of skin cell renewal.
• Strengths of 50% – 70% are considered deeper peels and should only be used on lower extremities (arms,legs,feet,back,etc). This type of peel is great for corns, calluses & thick dead skin on feet or hands. Initially, this type of peel can be used daily or every other day on feet that have really thick dead skin. Please follow our “Pretty Feet Guide” for more info &
instruction.
TCA:
Once you decide to do a TCA peel start with a light TCA peel of 12.5% to see how your skin handles it and what your recovery time is like. Then graduate to the deeper TCA peels of 18%-35%. The deep TCA peels can be performed at every 8 weeks . This peel can be used in addition to your weekly peels. Weekly peels are actually necessary to prepare for TCA Peels. Tattoo Removal: TCA peels of 40% – 50% are typically used for this. Now , your tattoo isn’t going to magically disappear with one treatment. Just like “laser tattoo removal”, a series of peels will need to be done. With each treatment the tattoo will get lighter & lighter until it either fades significantly or fades completely away. In some case you may need to follow up with laser tattoo removal to remove the remainder of the more difficult tattoos. This would save you a lot of money doing a series of peels to remove the majority of the tattoo than to pay for the vast series of laser treatments ($100-$250 per laser treatment!) it would take to totally remove the tattoo. Number of treatments & timely results depend on tattoo darkness & depth.
Once you decide to do a TCA peel start with a light TCA peel of 12.5% to see how your skin handles it and what your recovery time is like. Then graduate to the deeper TCA peels of 18%-35%. The deep TCA peels can be performed at every 8 weeks . This peel can be used in addition to your weekly peels. Weekly peels are actually necessary to prepare for TCA Peels. Tattoo Removal: TCA peels of 40% – 50% are typically used for this. Now , your tattoo isn’t going to magically disappear with one treatment. Just like “laser tattoo removal”, a series of peels will need to be done. With each treatment the tattoo will get lighter & lighter until it either fades significantly or fades completely away. In some case you may need to follow up with laser tattoo removal to remove the remainder of the more difficult tattoos. This would save you a lot of money doing a series of peels to remove the majority of the tattoo than to pay for the vast series of laser treatments ($100-$250 per laser treatment!) it would take to totally remove the tattoo. Number of treatments & timely results depend on tattoo darkness & depth.
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FREQUENCY OF CHEMICAL PEELS
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Depending on the acid used, chemicals peels can be applied weekly or in 6-8 week intervals. For the the peels that involve down time, this DOESN’T mean 6-8 weeks after the actual acid is applied to the skin. This means 6-8 weeks AFTER your skin has crusted, peeled & fully healed.
DAILY
Creams or Lotions (face)
Lactic Acid 5%
Glycolic Acid 5%
Salicylic Acid 2%-5%
Creams or Lotions (body*)
Lactic Acid 15%
Glycolic Acid 15%
Salicylic Acid 15%
Cleansers (face & body*)
Lactic Acid 10%-15%
Glycolic Acid 10%-15%
Salicylic Acid 10%-15%
Chemical Peels (body*)
Lactic Acid 30% & higher
Glycolic Acid 30% & higher
Salicylic Acid 30% & higher
TCA 10%-12.5%
WEEKLY
Chemical Peels (face)
Lactic Acid 30% & higher
Glycolic Acid 30% & higher
Salicylic Acid 30% & higher
Every 8 WEEKS (face & body)
TCA 25% & higher
*Body – Doesn’t include sensitive areas like the nipples, arm pits or skin folds near the groin buttocks or breasts.
DAILY
Creams or Lotions (face)
Lactic Acid 5%
Glycolic Acid 5%
Salicylic Acid 2%-5%
Creams or Lotions (body*)
Lactic Acid 15%
Glycolic Acid 15%
Salicylic Acid 15%
Cleansers (face & body*)
Lactic Acid 10%-15%
Glycolic Acid 10%-15%
Salicylic Acid 10%-15%
Chemical Peels (body*)
Lactic Acid 30% & higher
Glycolic Acid 30% & higher
Salicylic Acid 30% & higher
TCA 10%-12.5%
WEEKLY
Chemical Peels (face)
Lactic Acid 30% & higher
Glycolic Acid 30% & higher
Salicylic Acid 30% & higher
Every 8 WEEKS (face & body)
TCA 25% & higher
*Body – Doesn’t include sensitive areas like the nipples, arm pits or skin folds near the groin buttocks or breasts.
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CHEMICAL PEEL SUPPLIES
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DO A PATCH TEST FIRST before doing a full application with your chemical peel solution. Directions on how are on the following pages. You won’t need ALL of the
below items, but you will need the items specific to the type of peel that you’re doing which will be indicated below.
• Fan Brush
• Cotton Pads
• Q-tips
• Glass Bowl
• Electric Fan (large, med or small)
• Timer or Clock
• Vinyl Gloves
• Cotton Pads
• Acetone
• Neutraliser for AHA & BHA (mix:2 tbs of baking soda
& 1 cup of distilled water)
• Plastic Cap or Terri Head Band
• Neosporin, A&D ointment & Vaseline (plain,unscented)
• Tamanu Oil
• Emla Cream
• Eucerin “Redness Relief” Skincare line
• Skin Lightening Soap
• Skin lightening Cream (natural or hydroquinone based)
• Organic Chamomile Tea
• Cetaphil cleanser or soap (gentle,no fragrance) or
African Black Soap
• Cetaphil “UVA/UVB Defense Spf 50”
(cetaphil.com has coupons) OR Neutrogena SunScreen
• Distilled water
(can find at the grocery store in the bottled
water or baby food section. Don’t get the one
with fluoride in it)
• Prescription of Anti-biotic
(ask your physician)
• Over the counter pain meds
(Advil, tylenol, etc..)
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Assemble your supplies
• Gloves
• Glass Bowl
• Fan Brush or cotton pads
• Timer
• Fan
• Neutralizer
• Paper Towels
• Cetaphil Cleanser or
Shea Butter Soap
• Vaseline (plain,unscented)
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below items, but you will need the items specific to the type of peel that you’re doing which will be indicated below.
• Fan Brush
• Cotton Pads
• Q-tips
• Glass Bowl
• Electric Fan (large, med or small)
• Timer or Clock
• Vinyl Gloves
• Cotton Pads
• Acetone
• Neutraliser for AHA & BHA (mix:2 tbs of baking soda
& 1 cup of distilled water)
• Plastic Cap or Terri Head Band
• Neosporin, A&D ointment & Vaseline (plain,unscented)
• Tamanu Oil
• Emla Cream
• Eucerin “Redness Relief” Skincare line
• Skin Lightening Soap
• Skin lightening Cream (natural or hydroquinone based)
• Organic Chamomile Tea
• Cetaphil cleanser or soap (gentle,no fragrance) or
African Black Soap
• Cetaphil “UVA/UVB Defense Spf 50”
(cetaphil.com has coupons) OR Neutrogena SunScreen
• Distilled water
(can find at the grocery store in the bottled
water or baby food section. Don’t get the one
with fluoride in it)
• Prescription of Anti-biotic
(ask your physician)
• Over the counter pain meds
(Advil, tylenol, etc..)
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AHA & BHA PEELS
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AHA & BHA peels require no “down time”, are a lot simpler to perform and you only need a few of the supplies listed above. Please be aware that by using chemical peel products, your skin will be more photo-sensitive than normal. It is recommended that you use a sunscreen with an SPF of at least 15 (preferably SPF 30 or higher) after using skin peel products. The FDA recommends using sunscreen for at least one week post-peel. DO A PATCH TEST FIRST before doing a full application. Wait at least 24 hours after application & if there is no allergic reaction (severe redness,pustules,etc…) you can then proceed with a full application.
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PROCEDURE
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Assemble your supplies
• Gloves
• Glass Bowl
• Fan Brush or cotton pads
• Timer
• Fan
• Neutralizer
• Paper Towels
• Cetaphil Cleanser or
Shea Butter Soap
• Vaseline (plain,unscented)
First LIGHTLY cleanse your face (or area of application) with the Cetaphil cleanser or African Black Soap. Then LIGHTLY pat dry with a paper towel. Put on gloves and lightly agitate bottle of acid solution then pour into the glass bowl, just enough for the area that you’re applying it to. Saturate fan brush (or use a folded cotton pad & dip the edge in the solution. Squeeze off excess) with the acid solution, then dab the excess off on the side of the bowl. Apply one even coat to area, for the face start at the less sensitive areas (forehead, jaw line, neck, cheeks, nose bridge). Then the more sensitive areas (nose folds & above the upper lip) For the eye area: Carefully apply the solution to your eye area LAST. The area that you’re applying it to is where your “eye bags” would be, if you have them. Close the eye that you’re applying the solution to while applying it. DO NOT go all the way down to your eyelashes or “water line”, you may accidentally get the solution in your eye.
::: This whole process takes no longer than 45 secs :::
After applying the chemical peel solution, turn on the fan and position it towards your face so that you feel the breeze. Have the fan on a low-medium setting ,and at an appropriate distance so that it won’t blow your supplies around or blow chemical particles in your eyes (If you are performing the peel on someone else you can put the fan on a higher setting because that person would have their eyes closed during the procedure)
After the first layer of acid solution is absorbed (30 secs later or whichever comes first) you can repeat the above process for a second layer. Set your timer for 60 secs, turn the fan on high while positioned on your face (or treated area) and close your eyes. When the timer rings, turn off the fan, get a cotton pad and saturate it with the neutralizer. Close your eyes & LIGHTLY wipe/dab around the eye area then LIGHTLY wipe the other areas. Discard the cotton pad and gloves then rinse your face (or area) with warm water. Lather your hands with cleanser/soap then GENTLY MASSAGE into your face with your finger tips. Rinse well with warm water then pat dry with a paper towel. (if your face is really stinging, you can choose to go straight to the sink & rinse your face OR fill your sink with warm water & 2 table spoons of baking soda before you start your peel. After your done, dip your hands in the water and wash your face with it. This will immediately stop the stinging/burning. Then move on to the cleanser/soap) Get your Vaseline & apply to your eye area first, DAB & PAT don’t rub. Then GENTLY apply to the rest of your face.
::::::::: And you’re done ! :::::::
After this chemical peel your skin is consider to be “raw” so DO NOT apply any harsh cleansers, topical acne meds or acidic liquids (like lemon juice) to your face until the next day because this will irritate your skin badly. If you wear make-up, don’t apply any until the next day (although the whole point of a chemical peel is to beautify the skin & eliminate the need for make-up within the near future ). Any redness or sensitivity will subside in a few hours completing the peel. When you do go outside, make sure you apply your sunscreen (Cetaphil or Neutrogena) to your face or any treated areas that will be exposed to sunlight. (Cetaphil products are made for sensitive skin types and are perfect for use after a chemical process being that the skin is raw & sensitive afterwards. For daily/regular use, Neutrogena has a light oil-less screen that fully absorbs without a greasy residue, that can be worn under other creams or make-up “Neutrogena Ultra Sheer Dry-Touch Sunblock SPF 100”)
::: This whole process takes no longer than 45 secs :::
After applying the chemical peel solution, turn on the fan and position it towards your face so that you feel the breeze. Have the fan on a low-medium setting ,and at an appropriate distance so that it won’t blow your supplies around or blow chemical particles in your eyes (If you are performing the peel on someone else you can put the fan on a higher setting because that person would have their eyes closed during the procedure)
After the first layer of acid solution is absorbed (30 secs later or whichever comes first) you can repeat the above process for a second layer. Set your timer for 60 secs, turn the fan on high while positioned on your face (or treated area) and close your eyes. When the timer rings, turn off the fan, get a cotton pad and saturate it with the neutralizer. Close your eyes & LIGHTLY wipe/dab around the eye area then LIGHTLY wipe the other areas. Discard the cotton pad and gloves then rinse your face (or area) with warm water. Lather your hands with cleanser/soap then GENTLY MASSAGE into your face with your finger tips. Rinse well with warm water then pat dry with a paper towel. (if your face is really stinging, you can choose to go straight to the sink & rinse your face OR fill your sink with warm water & 2 table spoons of baking soda before you start your peel. After your done, dip your hands in the water and wash your face with it. This will immediately stop the stinging/burning. Then move on to the cleanser/soap) Get your Vaseline & apply to your eye area first, DAB & PAT don’t rub. Then GENTLY apply to the rest of your face.
::::::::: And you’re done ! :::::::
After this chemical peel your skin is consider to be “raw” so DO NOT apply any harsh cleansers, topical acne meds or acidic liquids (like lemon juice) to your face until the next day because this will irritate your skin badly. If you wear make-up, don’t apply any until the next day (although the whole point of a chemical peel is to beautify the skin & eliminate the need for make-up within the near future ). Any redness or sensitivity will subside in a few hours completing the peel. When you do go outside, make sure you apply your sunscreen (Cetaphil or Neutrogena) to your face or any treated areas that will be exposed to sunlight. (Cetaphil products are made for sensitive skin types and are perfect for use after a chemical process being that the skin is raw & sensitive afterwards. For daily/regular use, Neutrogena has a light oil-less screen that fully absorbs without a greasy residue, that can be worn under other creams or make-up “Neutrogena Ultra Sheer Dry-Touch Sunblock SPF 100”)
TCA PEEL DISCLAIMER
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Skin condition and overall health are factors in determining whether you are a good candidate for a TCA Peel (see below). Pre-treatment medications (if needed), the strength of solution to be used, and duration and depth of the peel may need to be determined by a qualified skincare practitioner. Applying this product without proper medical consultation constitutes using it at your own risk. The seller of this product (Isis.gold) is not familiar with buyer’s skin type, condition, skin history, or sensitivity and can not make personal recommendations of any kind to any buyer. Isis.gold is not liable for negative or damaging results that may be obtained by proper or improper use of this product on any person. Misuse of chemical products can cause injury and burns. Information provided within this guide is intended to be used as general information only and is in no way intended to replace medical advice, is not to be used as a medical treatment program, nor to diagnose or cure any disease or medical condition. Always consult with a qualified physician for medical advice. You are solely responsible for the use or misuse of our TCA Peels and for all actions and consequences of that use or misuse. Because each person’s skin is unique, we make no warranties, expressed or implied, regarding your personal results. ALWAYS perform a patch test with chemical peels before use. Keep chemical products out of reach of children!
AGREEMENT: You agree to indemnify and hold harmless Isis.gold, its officers, employees, agents, and suppliers from and against any and all claims, charges, demands, damages, liabilities, losses, expenses, and liabilities of whatever nature and howsoever arising (including but not limited to any legal or other professional fees and the costs of defending or prosecuting any claim and any other direct or consequential loss) incurred or suffered directly or indirectly as a result of use or misuse of our TCA Peel products.
AGREEMENT: You agree to indemnify and hold harmless Isis.gold, its officers, employees, agents, and suppliers from and against any and all claims, charges, demands, damages, liabilities, losses, expenses, and liabilities of whatever nature and howsoever arising (including but not limited to any legal or other professional fees and the costs of defending or prosecuting any claim and any other direct or consequential loss) incurred or suffered directly or indirectly as a result of use or misuse of our TCA Peel products.
TCA PEEL DISCLAIMER
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TCA PEEL: Explained
The Trichloroacetic Acid (TCA) Peel, a medium peel, is one of the most popular and reliable treatments for skin imperfections. Trichloroacetic acid treatments can be used in varying concentrations from as low as 8% to as high as 50%. When used in a controlled fashion, TCA peels produce improvement in collagen and elastin in the skin and reduction of fine wrinkling, acne scars and dark spots. It will lighten or even diminish tattoos (depending on darkness and depth of tattoo). Medium peels (TCA 18% & higher) produce a deeper penetration than light peels such as glycolic acid & salicylic acid. A medium peel causes the skin to appear to have a severe sunburn. It will take about 7-10 days to fully scab/crust-over, peel & heal. A person having a medium peel must keep the treated skin out of the sun and protected with antibacterial ointment for at least one week.
Side Effects:
For the first week after a deep TCA peel the skin will be red and swollen. Major swelling should subside after 48 hrs. The skin may also burn and may weep slightly. Peels can sometimes cause persistent redness of the skin. The most common side effect after a peel is brown discoloration of the skin. This is usually reversible, and this side effect occurs only in those who have (1) had excessive sun exposure after the peel (2) are not protecting the skin with sunscreen SPF 25 or higher. (3) picked at their skin as it was crusting over and (4) didn’t pre-treat the skin as instructed. F.Y.I: Using Tamanu Oil will heal your skin MUCH quicker & lesson down time post-peel. (Search “tamanu oil benefits” on Google, and search “tamanu oil” on YouTube for more info) If you are prone cold sores (frequent out breaks), a peel can cause them to flare. You are to consult a dermatologist &/or cosmetic surgeon before doing a TCA peel.
Precautions:
If you have any of the following issues or contraindications, DO NOT perform a TCA Peel. For some of the below issues, a TCA peel can be performed AFTER they are cleared/healed but please consult your physician before proceeding.
• Recurring Facial Warts
• Drug Allergies
• Prior bad reaction to chemical peels or dermabrasion
• Past herpes simplex (cold sores)
• History of sun allergies
• Recent radiation treatment for cancer
• Keloid or hypertrophic scars (thick scars)
• Pregnant or breast-feeding
• Accutane use within the past six (6) months. Accutane should not be taken for at
least six months after the peel either. There are reports of scarring in people who have
• Taken Accutane after a peel.
• Sunburn or significant sun exposure in the last two days
• Surgery or cryosurgery within the last six weeks to the area that is to be treated.
The Trichloroacetic Acid (TCA) Peel, a medium peel, is one of the most popular and reliable treatments for skin imperfections. Trichloroacetic acid treatments can be used in varying concentrations from as low as 8% to as high as 50%. When used in a controlled fashion, TCA peels produce improvement in collagen and elastin in the skin and reduction of fine wrinkling, acne scars and dark spots. It will lighten or even diminish tattoos (depending on darkness and depth of tattoo). Medium peels (TCA 18% & higher) produce a deeper penetration than light peels such as glycolic acid & salicylic acid. A medium peel causes the skin to appear to have a severe sunburn. It will take about 7-10 days to fully scab/crust-over, peel & heal. A person having a medium peel must keep the treated skin out of the sun and protected with antibacterial ointment for at least one week.
Side Effects:
For the first week after a deep TCA peel the skin will be red and swollen. Major swelling should subside after 48 hrs. The skin may also burn and may weep slightly. Peels can sometimes cause persistent redness of the skin. The most common side effect after a peel is brown discoloration of the skin. This is usually reversible, and this side effect occurs only in those who have (1) had excessive sun exposure after the peel (2) are not protecting the skin with sunscreen SPF 25 or higher. (3) picked at their skin as it was crusting over and (4) didn’t pre-treat the skin as instructed. F.Y.I: Using Tamanu Oil will heal your skin MUCH quicker & lesson down time post-peel. (Search “tamanu oil benefits” on Google, and search “tamanu oil” on YouTube for more info) If you are prone cold sores (frequent out breaks), a peel can cause them to flare. You are to consult a dermatologist &/or cosmetic surgeon before doing a TCA peel.
Precautions:
If you have any of the following issues or contraindications, DO NOT perform a TCA Peel. For some of the below issues, a TCA peel can be performed AFTER they are cleared/healed but please consult your physician before proceeding.
• Recurring Facial Warts
• Drug Allergies
• Prior bad reaction to chemical peels or dermabrasion
• Past herpes simplex (cold sores)
• History of sun allergies
• Recent radiation treatment for cancer
• Keloid or hypertrophic scars (thick scars)
• Pregnant or breast-feeding
• Accutane use within the past six (6) months. Accutane should not be taken for at
least six months after the peel either. There are reports of scarring in people who have
• Taken Accutane after a peel.
• Sunburn or significant sun exposure in the last two days
• Surgery or cryosurgery within the last six weeks to the area that is to be treated.
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TCA PEEL: WHAT TO DO BEFORE THE PEEL
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At least 1 week before the peel stop using exfoliating sponges or buff pads. All forms of hair removal should be discontinued at least 2 weeks before the peel. DO NOT shave the day of the peel.
Skin Preparation
This preparation is for TCA peels 18% & higher. The below procedures condition the skin and begin the exfoliation process. This will enhance the TCA treatment by allowing it to penetrate more deeply, resulting in a more even peel. Using AHA/BHA products for at least a week prior to your TCA peel will help to “prime” the skin for the TCA peel. DO NOT use any of these exfoliating acids the same day as your TCA peel. If you are using a TCA peel primarily for hyper-pigmentation issues (including blemishes/dark spots), use an AHA or BHA peel along with a skin whitening cream for at least 2-3 weeks before your deep TCA peel (18% & higher). Regardless of hyper-pigmentation issues ethnic skinned individuals should still use bleaching cream pre-peel.
Ethnic Skinned Individuals: FITZ III-FITZ VI
● Use a Bleaching Cream for at least 2 weeks before (apply everyday 2ce/day) – daily
(the drugstore hydroquinone 2%-3% or the prescription 4% OR any
other type of bleaching cream if you’re allergic to hydroquinone)
● Use Mild AHA/BHA Cleanser daily (5%-10% LA, GA or SA) – daily
● Perform a light chemical peel 1ce/week (30%-35% LA, GA or SA or 8% TCA) – weekly
::: Make sure you wear sunscreen (SPF 15 or higher):::
Caucasian/European Skinned Individuals: FITZ I-FITZ II
● Use Mild AHA/BHA Cleanser daily (5%-10% LA, GA or SA) – daily
● Perform a light chemical peel 1ce/week (30%-35% LA, GA or SA or 8% TCA) – weekly
● Use Retin-A gel/cream/ointment (apply only 1ce/day) – every other day
OR
● Use Retin-A gel/cream/ointment DAILY (1ce/day) & perform a
light chemical peel 1ce/week (30%-35% LA, GA or SA or 8% TCA)
(DO NOT use Retin-A on the same days as your BHA/AHA peel, cream
or cleanser is applied. This with irritate your skin VERY badly!)
::: Make sure you wear sunscreen (SPF 15 or higher):::
Skin Preparation
This preparation is for TCA peels 18% & higher. The below procedures condition the skin and begin the exfoliation process. This will enhance the TCA treatment by allowing it to penetrate more deeply, resulting in a more even peel. Using AHA/BHA products for at least a week prior to your TCA peel will help to “prime” the skin for the TCA peel. DO NOT use any of these exfoliating acids the same day as your TCA peel. If you are using a TCA peel primarily for hyper-pigmentation issues (including blemishes/dark spots), use an AHA or BHA peel along with a skin whitening cream for at least 2-3 weeks before your deep TCA peel (18% & higher). Regardless of hyper-pigmentation issues ethnic skinned individuals should still use bleaching cream pre-peel.
Ethnic Skinned Individuals: FITZ III-FITZ VI
● Use a Bleaching Cream for at least 2 weeks before (apply everyday 2ce/day) – daily
(the drugstore hydroquinone 2%-3% or the prescription 4% OR any
other type of bleaching cream if you’re allergic to hydroquinone)
● Use Mild AHA/BHA Cleanser daily (5%-10% LA, GA or SA) – daily
● Perform a light chemical peel 1ce/week (30%-35% LA, GA or SA or 8% TCA) – weekly
::: Make sure you wear sunscreen (SPF 15 or higher):::
Caucasian/European Skinned Individuals: FITZ I-FITZ II
● Use Mild AHA/BHA Cleanser daily (5%-10% LA, GA or SA) – daily
● Perform a light chemical peel 1ce/week (30%-35% LA, GA or SA or 8% TCA) – weekly
● Use Retin-A gel/cream/ointment (apply only 1ce/day) – every other day
OR
● Use Retin-A gel/cream/ointment DAILY (1ce/day) & perform a
light chemical peel 1ce/week (30%-35% LA, GA or SA or 8% TCA)
(DO NOT use Retin-A on the same days as your BHA/AHA peel, cream
or cleanser is applied. This with irritate your skin VERY badly!)
::: Make sure you wear sunscreen (SPF 15 or higher):::
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IMPORTANT: PATCH TEST
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ALWAYS do a patch test close to the area you wish to peel to determine the skin’s reaction to the solution. A number of factors come into play, such as allergies, previous peels, etc. Always do a patch test before undergoing a complete/full facial peel. Not everyone’s skin reacts the same to chemical peels. Some peel more than others and some less. A 25% -35% solution will result in a ”Strong TCA Peel”, whereas the 8%-12.5% will give you a lighter “lunchtime” TCA peel. Also, using too strong of a solution could will cause rebound-darkening of the skin and scarring. Stronger is not always better with skin peels. NEVER do a full facial treatment with 50% TCA ! TCA 50% solutions may be used for spot issues such as tattoos, skin tags, moles or growths. Treat the patch test as you would a complete TCA peel. Keep it moist with ointment and out of the sun for at least 1 week. Then determine whether to use that percentage TCA or to dilute it to a weaker solution for your full face treatment. DO NOT begin with a 18%-50% TCA peel unless you have used a 8%-12.5% TCA peel several times successfully. TCA 18% & higher are much more aggressive peels and should not be applied to skin not previously treated with TCA peels. Understand that dealing with TCA Peels you have to “graduate” from low to high percentage peels. Your skin needs to become acclimated to TCA peels.
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TCA PEEL: PROCEDURE
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PREPARATION:
You can take your pain killers and/or prescription of antibiotics (if you have them) at this time. It takes about 30 mins for medication to get into your system and the below procedure takes about 15 mins. Doing this will help to relieve discomfort post-peel.
Assemble your supplies:
• Gloves • Glass Bowl • Fan Brush • Q-tips • Cotton Pads • Acetone • Timer • Fan • Neutraliser • Paper Towels • Ice Water Cetaphil Cleanser or Shea Butter Soap • Neosporin or A&D ointment • Fan • Emla Cream (numbing cream) • Timer • Tamanu Oil
A 25% TCA solution is the average strength used for normal skin and gives good results without a prolonged recovery period. Using too strong a solution may result in scarring or discoloration. The skin around the eye area is thinner, a weaker solution should be used there (10%-12%). You can dilute more solution to use for your eye area. Avoid getting the solution too close to the eyes. Use the results of your patch-test as a guide for which “strength” & length-of-time you leave it on the skin. Remember to store your TCA Peels in a cool, dry place for 24 month shelf-life.
You can take your pain killers and/or prescription of antibiotics (if you have them) at this time. It takes about 30 mins for medication to get into your system and the below procedure takes about 15 mins. Doing this will help to relieve discomfort post-peel.
Assemble your supplies:
• Gloves • Glass Bowl • Fan Brush • Q-tips • Cotton Pads • Acetone • Timer • Fan • Neutraliser • Paper Towels • Ice Water Cetaphil Cleanser or Shea Butter Soap • Neosporin or A&D ointment • Fan • Emla Cream (numbing cream) • Timer • Tamanu Oil
A 25% TCA solution is the average strength used for normal skin and gives good results without a prolonged recovery period. Using too strong a solution may result in scarring or discoloration. The skin around the eye area is thinner, a weaker solution should be used there (10%-12%). You can dilute more solution to use for your eye area. Avoid getting the solution too close to the eyes. Use the results of your patch-test as a guide for which “strength” & length-of-time you leave it on the skin. Remember to store your TCA Peels in a cool, dry place for 24 month shelf-life.
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APPLICATION
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First, to remove oils from the skin saturate a cotton pad with acetone and LIGHTLY wipe your face (or area). Use a cue-tip to apply Vaseline across your eyelash area & to your lips. Pour solution in a glass bowl, saturate the fan brush & dab the side of the bowl to remove the excess. Apply ONE even coat of the TCA solution to your face (or area). DO NOT scrub any areas that may need more exfoliation than others. Now apply the weeker solution to your eye area. The treated skin should frost (turn white) after just a minute or so. Apply a second coat of TCA to problem areas or if the skin is not frosting. The frost indicates that the TCA has penetrated and working as it should.
Fan the treated area at this time before burning becomes intense. The solution should be left on the skin for several minutes (3-4 min), depending on the skin type, condition, and results desired. 3-4 mins after full application, rinse the treated area thoroughly with cool water then apply cool compress (paper towel in ice water), gently blotting to cool the skin. Do not rub the area, as it is now sensitive. A neutraliser is not necessary, TCA is self neutralizing the white frost indicates this. The treated area will soon begin to take on a pink/brownish color.
TIMING
TCA is a self-regulating acid which typically stops working after 5 – 8 minutes. However, we do recommend the neutralizing solution of baking soda and water (listed above) to ensure complete neutralization at any time during the process. If the burning from the product is too much for you, neutralize with the baking soda recipe provided above. Once the acid is off the skin, the burning sensation will stop.
COMPLETE
Next apply a good layer of neosporin or A&D ointment. During this time the skin will begin to feel better, although a very slight burning sensation may continue for a while. Reapply the neosporin (or A&D ointment) as it is absorbed for the next 48 hrs. DO NOT apply your Emla Cream yet, wait until 24hrs before you start doing this.Advil, Nuprin, or Ibuprofen (200 mg) may be taken 3-4 times daily with food to reduce swelling and discomfort, if needed. ::: Swelling should be expected, some individual’s (those prone to swelling) eyes MIGHT even swell shut. We suggest using Aleve (Naproxen Sodium version) as your over the counter pain killer, Naproxen is an anti-anflamatory (reduces swelling). Aleve (Naproxen Sodium) doesn’t contain prescription strength Naproxen, but it works just fine as a pain killer & anti-inflamatory:::
Note: If you are only applying a 12.5% solution for a “lunchtime peel,” there is no need to apply neosporin. Just use vaseline. DON’T apply any creams, lotions or caustic liquids to your face (or area) until at least the next day. Also don’t wear any make-up until at least the next day. DO apply a sunblock for at least week following the “lunchtime peel” treatment. Lunchtime peels lightly flake. They do not peel the same as the 18%-35% TCA treatment.
HOW LONG WILL IT LAST?
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Fan the treated area at this time before burning becomes intense. The solution should be left on the skin for several minutes (3-4 min), depending on the skin type, condition, and results desired. 3-4 mins after full application, rinse the treated area thoroughly with cool water then apply cool compress (paper towel in ice water), gently blotting to cool the skin. Do not rub the area, as it is now sensitive. A neutraliser is not necessary, TCA is self neutralizing the white frost indicates this. The treated area will soon begin to take on a pink/brownish color.
TIMING
TCA is a self-regulating acid which typically stops working after 5 – 8 minutes. However, we do recommend the neutralizing solution of baking soda and water (listed above) to ensure complete neutralization at any time during the process. If the burning from the product is too much for you, neutralize with the baking soda recipe provided above. Once the acid is off the skin, the burning sensation will stop.
COMPLETE
Next apply a good layer of neosporin or A&D ointment. During this time the skin will begin to feel better, although a very slight burning sensation may continue for a while. Reapply the neosporin (or A&D ointment) as it is absorbed for the next 48 hrs. DO NOT apply your Emla Cream yet, wait until 24hrs before you start doing this.Advil, Nuprin, or Ibuprofen (200 mg) may be taken 3-4 times daily with food to reduce swelling and discomfort, if needed. ::: Swelling should be expected, some individual’s (those prone to swelling) eyes MIGHT even swell shut. We suggest using Aleve (Naproxen Sodium version) as your over the counter pain killer, Naproxen is an anti-anflamatory (reduces swelling). Aleve (Naproxen Sodium) doesn’t contain prescription strength Naproxen, but it works just fine as a pain killer & anti-inflamatory:::
Note: If you are only applying a 12.5% solution for a “lunchtime peel,” there is no need to apply neosporin. Just use vaseline. DON’T apply any creams, lotions or caustic liquids to your face (or area) until at least the next day. Also don’t wear any make-up until at least the next day. DO apply a sunblock for at least week following the “lunchtime peel” treatment. Lunchtime peels lightly flake. They do not peel the same as the 18%-35% TCA treatment.
HOW LONG WILL IT LAST?
A 25%, or higher, peel will last about 6 months, but still can be performed every 60 days. Using glycolic or lactic acid peels on a weekly basis in between will help to maintain your results longer.
HOW MANY TREATMENTS?
Most most who people use the 12.5% TCA will need to do a series of 2-3 peels, about 2-3 weeks apart to realize optimal results. People using 15%, 18%, 25%, 30%, 50% strengths will realize more pronounced results and may need to do only 1 treatment every 60 days.
TCA PEEL AT:
8% is considered a “lunch time peel”
12.5% is a light peel
15% is a medium-strong peel
18% is a strong peel
25% is a “very” strong peel and should ONLY be used if you have already tolerated at least 12.5 – 18% with no problems. If you are unsure where to begin, it’s always a good idea to begin with the lightest strength. Do NOT begin with the 18% – 30% TCA unless you have used 12.5 – 15% several times successfully. 18% – 30% are much more aggressive peels and should not be applied to skin untested by TCA’s previously.
HOW MANY TREATMENTS?
Most most who people use the 12.5% TCA will need to do a series of 2-3 peels, about 2-3 weeks apart to realize optimal results. People using 15%, 18%, 25%, 30%, 50% strengths will realize more pronounced results and may need to do only 1 treatment every 60 days.
TCA PEEL AT:
8% is considered a “lunch time peel”
12.5% is a light peel
15% is a medium-strong peel
18% is a strong peel
25% is a “very” strong peel and should ONLY be used if you have already tolerated at least 12.5 – 18% with no problems. If you are unsure where to begin, it’s always a good idea to begin with the lightest strength. Do NOT begin with the 18% – 30% TCA unless you have used 12.5 – 15% several times successfully. 18% – 30% are much more aggressive peels and should not be applied to skin untested by TCA’s previously.
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TCA PEEL: Removing Warts Moles & Skin Tags
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Treating skin issues such as warts, moles, and skin tags does not require all of the steps for a TCA peel. After cleansing the area to be treated, just apply the solution to the growths, avoiding surrounding skin. 50% TCA works well on most cases. The growths should turn white (frost) after applying 1-3 coats. Rinse off after 4 minutes. Keep the area moist with A&D ointment or Neosporin. The growths should peel off within a week. If portions remain, repeat the above procedure after 6 weeks.
TCA Peel: Post Treatment Care
Please be aware that by using chemical peels of any sort, your skin will be more photo-sensitive than normal. It is recommended that you use a sunscreen with an SPF of at least 15 (preferably SPF 30 or higher) after using skin peel products. The FDA recommends using sunscreen for at least one week post-peel. Post-peel, your skin will continue to improve for 14-21 days as cell turnover takes place and your skin returns to a normal pH level. For 7-10 days after a deep TCA peel (18%-50%) do the following:
FIRST WASH YOUR HANDS, never touch your face (or area) unless your hands have been thoroughly cleaned to prevent infection. Cleanse your skin with warm water using the mild Cetaphil cleanser or African Black Soap. Use fingertips (not a wash cloth) since the skin is very sensitive at this time. After cleansing, pat dry with a paper towel, and then apply neosporin or A&D ointment (See Tamanu Oil below) to keep the exfoliating skin soft and the new skin protected. If you like, you can apply Emla Cream (numbing cream) first then apply your ointment. Avoid the use of abrasives or exfoliating sponges for at least 2 weeks. NOTE: If you buy a numbing cream brand other than “Emla Cream” make sure that it is smooth & free of grit. This grit can act as an abrasive when apply to your “raw” skin.
The skin will turn brown, wrinkle up, crust, & peel, much like a bad sunburn. The new skin will be baby soft, smooth & lighter in color. It is this brown outer layer of skin that is in the process of exfoliating. Keep it moist each day with ointment. Do not peel, pick, or scratch the exfoliating skin, this will result in scarring. Aleve, Advil, Nuprin, or Ibuprofen may be taken 3-4 times daily with food to reduce swelling and discomfort, if needed. Keeping the skin moisturized with ointment will relieve pain & discomfort also.
TCA Peel: Post Treatment Care
Please be aware that by using chemical peels of any sort, your skin will be more photo-sensitive than normal. It is recommended that you use a sunscreen with an SPF of at least 15 (preferably SPF 30 or higher) after using skin peel products. The FDA recommends using sunscreen for at least one week post-peel. Post-peel, your skin will continue to improve for 14-21 days as cell turnover takes place and your skin returns to a normal pH level. For 7-10 days after a deep TCA peel (18%-50%) do the following:
FIRST WASH YOUR HANDS, never touch your face (or area) unless your hands have been thoroughly cleaned to prevent infection. Cleanse your skin with warm water using the mild Cetaphil cleanser or African Black Soap. Use fingertips (not a wash cloth) since the skin is very sensitive at this time. After cleansing, pat dry with a paper towel, and then apply neosporin or A&D ointment (See Tamanu Oil below) to keep the exfoliating skin soft and the new skin protected. If you like, you can apply Emla Cream (numbing cream) first then apply your ointment. Avoid the use of abrasives or exfoliating sponges for at least 2 weeks. NOTE: If you buy a numbing cream brand other than “Emla Cream” make sure that it is smooth & free of grit. This grit can act as an abrasive when apply to your “raw” skin.
The skin will turn brown, wrinkle up, crust, & peel, much like a bad sunburn. The new skin will be baby soft, smooth & lighter in color. It is this brown outer layer of skin that is in the process of exfoliating. Keep it moist each day with ointment. Do not peel, pick, or scratch the exfoliating skin, this will result in scarring. Aleve, Advil, Nuprin, or Ibuprofen may be taken 3-4 times daily with food to reduce swelling and discomfort, if needed. Keeping the skin moisturized with ointment will relieve pain & discomfort also.
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ABOUT TAMANU OIL
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Heals skin VERY well & quickly. It is especially good for healing burns, and a TCA peel is a cosmetic “controlled” burning of the skin. Tamanu oil is also an anti-bacterial. You can apply Tamanu Oil alone or mix it with Neosporin or A&D ointment then apply to skin. Again, you can apply your Emla Cream first then apply your ointments/oils. Regardless of what you choose to use & how, make sure that your skin/face feels “loose”, moisturised & soft. (Search “Tamanu Oil” on Google & on YouTube to learn more)
Specific Skin Types: Maintenance & Healing
TCA peels (and peels in general) do correct pigmentation issues but skin still reacts to injury & inflammation. Ethnic skin & Caucasian/European skin are different when it comes to healing. The skins reaction to injury & inflammation in Ethnic skin tend to heal in brown tones & Caucasian/European skin tend to heal in red tones. Below are methods to prevent this while healing from your deep TCA peel. You can start this regimen about 5 days AFTER your deep TCA peel. Your skin would’ve already formed that shiny wrinkly brown layer of crust or “scab” by this time. Ethnic Skinned Individuals: Use a mild Skin Lightening Soap to cleanse daily (i.e. papaya, bearberry extract, licorice extract, vitamin-C, etc…)
Use a mild skin lightening or bleaching cream for 1-2 weeks. (hydroquinone 5% or natural skin lighteners containing bearberry extract, licorice extract, vitamin-C, etc…) Caucasian/European Skinned Individuals: Use Eucerin “Redness Relief” Skin care line (cleanser, day cream & night cream) and a strong Arnica Cream. Use Organic Chamomile Tea as an astringent – whole flowers or tea bags (brew this tea, cool, then use a cotton pad to gently/lightly dab over face after cleansing)
Specific Skin Types: Maintenance & Healing
TCA peels (and peels in general) do correct pigmentation issues but skin still reacts to injury & inflammation. Ethnic skin & Caucasian/European skin are different when it comes to healing. The skins reaction to injury & inflammation in Ethnic skin tend to heal in brown tones & Caucasian/European skin tend to heal in red tones. Below are methods to prevent this while healing from your deep TCA peel. You can start this regimen about 5 days AFTER your deep TCA peel. Your skin would’ve already formed that shiny wrinkly brown layer of crust or “scab” by this time. Ethnic Skinned Individuals: Use a mild Skin Lightening Soap to cleanse daily (i.e. papaya, bearberry extract, licorice extract, vitamin-C, etc…)
Use a mild skin lightening or bleaching cream for 1-2 weeks. (hydroquinone 5% or natural skin lighteners containing bearberry extract, licorice extract, vitamin-C, etc…) Caucasian/European Skinned Individuals: Use Eucerin “Redness Relief” Skin care line (cleanser, day cream & night cream) and a strong Arnica Cream. Use Organic Chamomile Tea as an astringent – whole flowers or tea bags (brew this tea, cool, then use a cotton pad to gently/lightly dab over face after cleansing)
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AVOID SUN EXPOSURE
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This includes tanning beds. Sunlight on the skin after a peel can cause brown discolouration of the new skin. A sunscreen of SPF 15 or higher should be applied every time before going outdoors. With TCA peels, scarring and brown discolouration of the skin is unlikely unless the person goes to a tanning salon after having the TCA peel or lies out in the sun. Daily sunscreen use should continue indefinitely to prevent new photo damage from occurring. The new skin will have a pinkish color for several days, perhaps weeks after the peel (depending on solution strength & skin type – i.e. Caucasian skin). If there is persistent redness in an area that doesn’t seem to be fading after the first few weeks, let the doctor know. Persistent redness of the skin can lead to brown discoloration of the red area and a scar if it is not treated right away.
For a minimum of one month after the peel, do not have hair removed by any technique from the same area. It can cause severe irritation of the skin. Make-up application may be resumed 7-10 days after the peel (TCA 18% & higher), provided there is no crusting or tenderness. Touch-ups or a second peel may be needed after the initial peel depending on the severity of the problem being treated & the level of peel being done. Wait at least 60 days AFTER COMPLETELY HEALING before doing another 18%-50% TCA Peel. Mild 8%-12.5% TCA peels can be done every 2-3 weeks AFTER skin stops peeling & flaking.
For a minimum of one month after the peel, do not have hair removed by any technique from the same area. It can cause severe irritation of the skin. Make-up application may be resumed 7-10 days after the peel (TCA 18% & higher), provided there is no crusting or tenderness. Touch-ups or a second peel may be needed after the initial peel depending on the severity of the problem being treated & the level of peel being done. Wait at least 60 days AFTER COMPLETELY HEALING before doing another 18%-50% TCA Peel. Mild 8%-12.5% TCA peels can be done every 2-3 weeks AFTER skin stops peeling & flaking.