Chemical peels are used to treat the skin for reducing wrinkles and brown spots. The peels can be classified into superficial, medium and deep. The chemicals used for these peels usually include either TCA (Trichloracetic acid) or Phenol. There are other superficial peels that are usually done by aestheticians instead of physicians. These are usually Glycolic Acid peels or Lactic Acid Peels.
The deeper a peel the better the result. However, the deeper a peel the higher the risk of color change or scarring. A person’s skin color also plays a role. If you are dark skinned then the risk of color change or scarring is higher.
My Approach: I prefer to use TCA 35% for fair skinned patients. It is considered medium depth peel. However, with the use of IPL Photofacials I am doing less of these peels for pigmentation disorders.
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