• Acne   (Pimples) 
• Superficial Acne Scars                                      
• Age spots
• Fine lines and wrinkles
• Freckles
• Irregular skin pigmentation
• Sun-damaged skin

• Fair-skinned and light-haired  skin patients
• Darker skin types in some case gives best results

There are three basic types of peels:

Superficial peels treated on all type of skins, a mild dilute acid is used in the treatment process. This is the mildest type of chemical peeling procedure; mostly glycolic acids are used in the treatment and in some cases dry ice (solid carbon dioxide) is used.

• In the medium peeling process, Trichloroacetic acid (TCA) is the main medium peel agent used. It penetrates the skin more deeply and causes a second-degree burn of the skin. The medium skin peel may also be done in several steps using a different chemical solutions followed by TCA.
• Deep peels are treated only on the face and it is not suitable for darker and lighter skin type of patients as it causes hypo pigmentation. Phenol chemical is used in the deep peels; it causes a second degree burn of the skin. Hence it is done only once in the most of the cases.

Before the peel
After consultation and discussion with you, Dr. Durga Prasad, will recommend the treatment and the following areas will be briefed to you.
•    What would be depth of peel?
•    What type of chemical solution will be used?
•     Which areas are to be peeled?
•    How much risk is involved?

In the case of darker skinned people, a small "test spot” is peeled to get a better idea of the results.

Pre- Treatment:
Several weeks before the treatment, you will be advised to use pre-treatment creams   like moisturizers as night cream and Sun Screens for exfoliating skin and reducing pigmentation to improve the results of the chemical peeling.

The following creams prescribed:

•      Tretinoin
•      Glycolic or lactic acid
•      Hydroquinone for tanned or dark skinned patients or those with melasma

Treatment:

• This skin care regimen will help the skin peel more evenly, speedy healing and may reduce the chance of infection and other complications, especially uneven colour changes of the skin.
•  The face is washed to remove the surface oil and peeling agent is applied for several minutes. The burning sensation will be noticed during the treatment process and the air conditioning effect in the room may lessen.
• Individual treatments may include peels with several agents on the same occasion, with the aim of improving results and reducing risks. Antibiotics and oral antiviral agents may be recommended after deeper peels.
• Superficial chemical peels are a minor procedure and no special arrangements are needed.  The painkillers, sedation, local anaesthetic or even a general anaesthetic are prescribed for deeper peels.
• For medium and deep peels of the face, you may be given a short course of medication to prevent viral infection. This short course is compulsory if you had cold sores before and  the peel treatment areas are near the mouth or eyes.

Post Treatment:

• Avoid  sun exposure
• Cleansing the skin frequently with water or a special wash that your surgeon tells you to use.
• Changing the dressing or ointment on the wound (for medium and deep peels).
• Moisturizing the skin daily.
• Avoid sun exposure until last peeling treatment session and sunscreen lotions to be used.
• After peeling treatment, sunscreen should be used every day as the new skin is more susceptible to sun damage.

Dermacare offers tailor made facial peel treatments like.

• Glycolic Acid Peel for active acne, pigmentation problem and uneven texture
• Salicylic Acid Peel for inflammatory acne, non-inflammatory acne, acne scarring.
• Lactic Acid Peel for melasma and deep pigmentation.
• Argilic Acid Peel for fine wrinkles facial rejuvenation and under eye dark circles.