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Chemical Peels: Exploring the Power of Retinols, Lactic Acid, Glycolic Acid, and Phenols

In the realm of skincare, chemical peels have emerged as a popular and effective solution for various skin concerns, ranging from acne scars and fine lines to pigmentation issues such as post-inflammatory hyperpigmentation and melasma. When considering this treatment, it is crucial to understand the nuances of different chemical peels and the key ingredients that drive their efficacy. Today, we delve into the world of retinols, lactic acid, glycolic acid, and phenols to uncover their role in chemical peels.


Understanding the Power of Chemical Peels


What Are Chemical Peels?


Chemical peels are skincare treatments that involve the application of a chemical solution to the skin, which exfoliates the outer layers to reveal smoother, clearer skin underneath. These treatments are highly customizable, with varying strengths and formulations tailored to target specific skin concerns.


The Benefits of Chemical Peels


  • Skin Texture Improvement : Chemical peels work by promoting cell turnover, resulting in smoother and softer skin texture.

  • Evening Tone and Pigment : Hyperpigmentation, discoloration, and uneven skin tone can be effectively addressed through a series of chemical peels.

  • Acne and Scarring Reduction : Chemical peels can help reduce acne breakouts and diminish the appearance of acne scars over time.

  • Fine Line and Wrinkle Reduction : By getting rid of the upper levels of the stratum corneum, chemical peels can also aid in reducing the appearance of fine lines and wrinkles.


The Treatment Process


Initially, a thorough skin consultation will be conducted to assess your skin type, concerns, and goals. Based on this assessment, a personalized treatment plan, typically consisting of a series of chemical peels will be recommended to achieve optimal results.


Series of Chemical Peels


For the best outcomes, a series of chemical peels is often recommended (usuually 3). This approach allows for gradual skin improvement and ensures long-lasting results. Depending on your skin's needs, these peels can be scheduled at regular intervals (usually monthly), with each session building upon the progress of the previous one.


Preparing for Treatment


Some patients may require pre-treatment for certain chemical peels and some topicals may need to be discontinued 2 weeks before treatment. The best way to prepare for a chemical is to come in for a consultation.


Post-Treatment Care


Following each chemical peel session, proper post-treatment care is crucial to maximize results and minimize any potential side effects. This may include using gentle skin care products, avoiding direct sun exposure, and adhering to the skincare routine prescribed by your skincare professional.


Retinols: The Youthful Elixir


Retinols, derived from Vitamin A, are revered for their anti-aging properties and ability to stimulate collagen production. When incorporated into chemical peels, retinols work by accelerating cell turnover, resulting in smoother, firmer skin. Professionals often recommend retinol-based peels for clients seeking to diminish fine lines, wrinkles, and uneven skin tone. The regenerative effects of retinols make them a go-to ingredient for those yearning for a youthful, radiant complexion.


LA (Lactic Acid): The Gentle Exfoliator


With its mild exfoliating properties, lactic acid is a gentle yet effective component of chemical peels. As a member of the alpha-hydroxy acid (AHA) family, lactic acid works by dissolving the bonds between skin cells, promoting a brighter and more even skin tone. Professionals often favor lactic acid peels for clients with sensitive skin or those new to chemical exfoliation. The hydrating properties of lactic acid make it a versatile ingredient that can rejuvenate and revitalize the skin without causing irritation.


GA (Glycolic Acid): The Skin Rejuvenator


Known for its potent exfoliating abilities, glycolic acid is a powerhouse ingredient in chemical peels. By deeply penetrating the skin's surface, glycolic acid effectively removes dead skin cells, unclogs pores, and stimulates collagen production. Professionals often recommend glycolic acid peels for clients with acne-prone skin or hyperpigmentation issues. The revitalizing effects of glycolic acid can transform dull, congested skin into a luminous complexion, making it a staple in many skincare routines.


Phenols: The Skin Resurfacer


Phenols, a type of aromatic hydrocarbon, are widely recognized for their skin-resurfacing properties in chemical peels. With their potent antioxidant and anti-inflammatory properties, phenols can address deep wrinkles, sun damage, and even precancerous skin lesions. Professionals often utilize phenol peels for clients seeking dramatic results and significant skin rejuvenation. While phenol peels require expertise and careful monitoring due to their intensity, the transformative effects they offer are unparalleled in the realm of chemical peels.


TCA: The Workhorse

Trichloroacetic acid (TCA) is an agent familiar to many clinicians. For superficial chemical peels, it can be used as pure TCA 10% to 30%, or in combination with other peeling agents, such as TCA 15% combined with lactic acid 10%, or TCA 15% combined with SA 15% and lactic acid 15%. After application, TCA causes skin erythema and a whitish discoloration called frosting, which occurs 30 seconds to 2 minutes after application. Histologically, frosting corresponds to coagulation of epidermal proteins and keratinocytes. The intensity of frosting correlates directly with the depth of penetration. The desired clinical endpoint for superficial depth peels with TCA is level I frosting, visible as patchy erythema with faint white coloration.

The technique for application of TCA is very important because the depth of penetration is dependent on the application quantity. It is usually applied in multiple consecutive applications, called layers, with a period of 2 to 3 minutes of observation for clinical endpoints between layers. Neutralization is not required with TCA, but water may be used at the end of the treatment to remove the white precipitate. Frosting usually disappears within 1 to 2 hours and erythema becomes more evident. A disadvantage of pure TCA is that it has significant post-treatment peeling.


SA (Salicylic Acid):

Also known as a beta-hydroxy acid, or BHA, and has been used on the skin for more than 2000 years. It comes from natural sources of salicylates like willow bark, sweet birch, and wintergreen leaves, but it can be made synthetically. In a chemical peel, Salicylic acid is desmolytic, this means that salicylic acid can break down and shed the connective tissues in your skin by disrupting the connections in your cells. The shedding of skin cells helps keep pores clear.‌


Combinations of ingredients are also common, such as Jessner's solution and Kligman's formula.


Conclusion

In conclusion, the usage of retinols, lactic acid, glycolic acid, and phenols in chemical peels opens up a world of possibilities for skincare professionals and clients alike. By understanding the unique benefits and mechanisms of these key ingredients, professionals can tailor chemical peel treatments to address specific skin concerns and deliver remarkable results. Whether it's combating signs of aging, refining skin texture, or resurfacing damaged skin, the power of chemical peels lies in the careful selection and application of these transformative ingredients.



Medium depth chemical peel, day 4

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