AHA
peels may cause stinging, cause skin redness, cause
mild skin irritation, cause dryness, and take multiple
treatments for desired results.
Jessner's
Peel
Jessner's
peel solution, formerly known as the Coombe's formula,
was pioneered by Dr Max Jessner, a German-American
dermatologist. Dr Jessner combined 14%salicylic acid,
lactic acid, and resorcinol in an ethanol base. It
is thought to break intracellular bridges between keratinocytes
henceforth making it very difficult to "over peel" the
skin, due to the mild percentages associated with the
acid combination.
Retinoic
Acid Peel
Retinoic
acid is derived from retinoids. This type of facial
peel is also performed in the office of a plastic surgeon
or a dermatologist in a medical
spa setting. This is a deeper peel than the
beta hydroxy acid peel and is used to remove scars
as well as wrinkles and pigmentation problems. It is
usually performed in conjunction with a Jessner's,
which is performed right before, in order to open up
the skin, so the retinoic acid can penetrate on a deeper
level. The client leaves with the chemical peel solution
on their face. The peeling process takes place on the
third day. More dramatic changes to the skin require
multiple peels over time.
Trichloroacetic
Acid Peel
Trichloroacetic
acid (TCA) is used as an intermediate to deep peeling
agent in concentrations ranging from 20-50%. Depth
of penetration is increased as concentration increases,
with 50% TCA penetrating into the reticular dermis.
Concentrations higher than 35% are not recommended
because of the high risk of scarring.
Trichloroacetic
acid peels remove superficial blemishes and correct
skin pigment problems. They may require pre-treatment
with Retin-A or AHA creams as
well as repeat
treatment to maintain results. it is advisable the
use of sun block for several months