New Jersey Chemical Peels
One of the most popular resurfacing treatments in New Jersey, chemical peels use a prepared acid solution to exfoliate damaged, dull layers of skin, helping to remove blemishes & age spots, smooth fine lines & wrinkles, and balance pigmentation.
Introducing the Vi Peel: Our Newest Option for Clear, Beautiful, Youthful Skin
The Vi Peel is a gentle but powerful chemical peel that is safe and effective for all skin types and colors. In addition to improving overall skin health and beauty, the Vi Peel is a great option for treating:
- Acne & acne scarring
- Fine lines and wrinkles
- Sun and age spots
- Enlarged pores
The Vi Peel can be used safely virtually anywhere: the face, neck and décolletage, arms, back, legs, and even under the eyes. Learn more about the Vi Peel »
Types of Chemical Peels
Peels are generally categorized by how deeply they penetrate the skin. Lighter peels remove the outer layers of the epidermis, addressing mild hyperpigmentation and blemishes. A deeper peel will remove more layers of skin, reaching the lower epidermis or into the dermis. These peels remove deeper scars and fine wrinkles, but require more recovery time.
Light Chemical Peels
With light peels, think “lunchtime peel.” These mildest chemical peels affect the most superficial portion of the skin and heal very quickly, usually requiring little if any down time. The light peels we use at the Parker Center include:
- Alpha hydroxy acid: ingredients of these peels include lactic, glycolic and fruit acids. These are very superficial peels which heal quickly and allow the patient to return to all activities immediately afterwards. They make the skin smoother and more radiant.
- Jessner’s peel: this peel is composed of lactic acid, salicylic acid and resorcinol. It is a superficial peel that heals within several days. It is used to lighten darkly pigmented areas and sun damaged skin.
- Tricholoroacetic acid (TCA) peel: this is a light to medium depth peel, depending on the concentration used, which will heal in 3-7 days. This results in a more youthful appearance with skin tightening and reduced wrinkling.
Medium to Deep Peels
A deeper peel can be effective for removing acne scars, fine lines, and other skin blemishes. These typically require several days for healing. The Parker Center offers the following medium to deep peels:
- Higher Concentration TCA peel: this peel uses a higher concentration of tricholoroacetic acid, with the exact amount depending on your specific needs. This results in a more youthful appearance with skin tightening and reduced wrinkling. A deeper TCA peel requires about 7 days to heal.
- Croton oil peel: a medium to deep peel which is a modern improvement on the original Baker Phenol peel, first described in 1961. Recent research shows that croton oil, not phenol, is the active ingredient. Varying the concentration of croton oil will affect the depth of penetration and results of the peel. Patients undergoing these peels will heal in 5-10 days.
Patients undergoing a full face deeper TCA peel or Croton oil peel will require intravenous sedation monitored by our anesthesiologist.
What will chemical peels do and what won’t they do?
Chemical peels can help to tighten wrinkled skin, improve blotchy, irregular pigmentation, and improve the appearance of shallow acne scarring. Peels can also achieve dramatic long-term improvements in skin texture that are not easily replicated by any other procedure. Some evidence suggests that peeling the skin of patients with pre cancerous skin lesions may prevent the development of skin cancer.
However, a peel will not significantly reduce pore size, nor can it treat effects of aging such as sagging skin or thinning tissue; surgical procedures such as facelifts (with or without fat grafting) are necessary to treat sagging.
Preparing for a Chemical Peel
Dr. Parker will carefully evaluate your skin type prior to having a chemical peel. This is helpful in determining how your skin will respond to a chemical peel. The first step will be determining your skin’s response to sun exposure, using the Fitzpatrick skin type scale:
|Type I||Extremely fair skin, highly sun sensitive, burns very easily, never tans|
|Type II||Fair skin, very sun sensitive, burns easily, rarely tans|
|Type III||Skin is sun sensitive, burns sometimes, tans slowly, browns lightly|
|Type IV||Minimally sun sensitive, burns minimally, always tans to moderate brown|
|Type V||Not sun sensitive, rarely burns, tans darker brown|
|Type VI||Sun insensitive, never burns, very dark pigmentation|
The second step is to assess the amount of skin damage you have according to the Glogau Photoaging Classification System. The more sun damage present, the thicker the skin and the more aggressive the peel should be:
|I||Mild||25-35||No keratosis, little scarring or wrinkling. Mild pigment changes. Wears little or no makeup.|
|II||Moderate||35-50||Early wrinkling, keratosis present but not visible, mild scarring and/or discoloration. Usually wears makeup.|
|III||Advanced||50-65||Visible keratosis, obvious wrinkles, and discoloration, visible capillaries. Always wears heavy makeup.|
|IV||Severe||65-75||Keratosis, deep wrinkles, skin laxity, discoloration, scarring. Makeup cakes and cracks.|
The Benefits of Pre-Peel Treatment
It has been our experience that patients undergoing deeper peels recover more quickly, with less redness and hyperpigmentation, after a 4- 6 week period of pre-treatment. The pre-treatment regimen includes glycolic acid, hydroquinone and Retin-A. These medications “rev up” the skin for the upcoming peel and accelerate the healing process.
Post Treatment Care
At the conclusion of the procedure, the peeled area will be covered with a petroleum based occlusive dressing, such as Aquaphor. This will keep the peeled skin moist, reducing pain and allowing for faster healing. Dr. Parker and his team will thoroughly review written instructions with you before and after the peel. The patient will be seen the day after the peel and several times during the first 7-10 days when healing should be complete. After that, visits will be scheduled at increasing time intervals to monitor the resolution of swelling as well as the re implementation of skin care products and sunscreen.
Who should avoid chemical peels?
Chemical peels aren’t for everyone. Chemical resurfacing is not recommended for most darker skin types or if the patient has used Accutane within the past year. Chemical peels should be avoided by those with suppressed immune systems, a history of keloid scarring, cardiac abnormalities, collagen vascular disease, or emotional or mental instability.