Skin ExpertsSkin TreatmentsChemical PeelsChemical Peels for Sun-damaged Skin

 

Chemical Peels for Sun-damaged Skin

Chemical peels improve the appearance of sun-damaged skin by using a chemical solution to remove the outer layer of old skin. The new skin that replaces it is usually smoother and less wrinkled in appearance.

chemical peel for sun damaged skin

Before (left) and after (right) treatment with hydroquinone, trichloroacetic acid (TCA) chemical peel and salicylic acid chemical peel.

Photo courtesy of Pearl E. Grimes, MD - Los Angeles, California

Why choose chemical peels for sun-damaged skin?

Chemical peel procedures work well on the face, neck and hands. Fair-skinned and light-haired patients are better candidates for the procedure.

Chemical peels are performed in a doctor's office. Your dermatologist will first clean your skin thoroughly and then apply one or more chemical solutions to the treatment area. Solutions used include glycolic acid, trichloroacetic acid, salicylic acid, lactic acid or carbolic acid. The application creates a controlled wound, letting new skin take its place. During the procedure, patients may experience a burning sensation lasting five to 10 minutes. Cold compresses may be applied to lessen the pain. Pain medication may be required for deeper peels.

Chemical peel for sun damaged skin

Before (left) and after (right) treatment with hydroquinone, retinol cream and microdermabrasion.

Photo courtesy Pearl E. Grimes, MD - Los Angeles, California

Possible Risks

As with any treatment, there are risks associated with it, though they are minimized in the hands of a qualified ASDS dermatologist. These include:

  • Temporary or permanent change in skin color, particularly for women on birth control pills, who subsequently become pregnant or have a history of brownish facial discoloration.
  • Scarring.
  • Reactivation of cold sores.

What to expect after the procedure

Afterward, patients experience a reaction similar to sunburn in the treatment area. Patients may also experience:

  • Redness, followed by scaling within three to seven days.
  • Swelling.
  • Blisters that will crust, turn brown and peel off within seven to 14 days following medium and deep peels.
  • Bandages over treated areas for several days.

Chemical peel patients should avoid the sun for several months following a procedure. Light peels may be repeated in one- to four-week intervals. Medium-depth peels may be repeated every six to 12 months.

How to prepare for the procedure 

Before the procedure, you and your ASDS dermatologist should discuss expectations, potential risks and outcomes of the procedure. You also should:

  • Discuss your sun-damaged skin and your treatment goals in order to determine the depth of chemical peel.
  • Reveal any history of scarring, persistent cold sores or facial X-rays.
  • Avoid any medications or supplements that can affect blood clotting - such as aspirin, ibuprofen or vitamin E - for 10 days before surgery.
  • Avoid using medications such a Retin-A, Renova, or glycolic acid.
  • Determine in advance whether you will need to have someone drive you home following the procedure.