Peeling

Peeling (detachment of skin layers) is a method used to improve skin quality and appearance, and can provide a fresh and youthful look. The quality of skin is damaged throughout the years, mainly due overall age, sunshine exposure, smoking, climate, nutrition, medications, and genetics. Within aesthetic plastic surgery, peeling treatments are given much attention. These treatments may accompany other facial procedures, such as facial surgery, eyebrow surgery, and various injection treatments.
Peeling treatments are suitable for men and women alike. The treatment can help improve unsightly pigment changes seen in the skin due to accumulative sun exposure and increasing age. Furthermore, it may improve the visual appearance of the skin due to damage caused by untreated acne. Those who are prone to various sun-induced skin lesions may find facial peeling treatment especially beneficial.

During your consultation in the clinic, the face is thoroughly examined and skin type, hue, and quality is assessed. Finally, an appropriate treatment remedy is suggested.

Today, two main types of peeling treatments are available:
1. Chemical peeling—removal of skin layers via active agents that dissolve various skin components. Examples are TCA, citrus acids, and others.
2. Mechanical peeling—removal of superficial dead skin via friction. This is achieved with the help of a specialized tool that is used while the patient is under general anesthesia in the OR. Otherwise, this can be achieved via laser that actively cauterizes and dissipates dead skin layers. This method must also be performed while the patient is under general anesthesia.

Peeling

Skin peeling can be performed at three levels of skin depth:

Superficial peeling—removes superficial and dead skin layers, as well as superficial spots. This can be performed at home via usage of various medical creams. This kind of treatment also leads to increased strength of collagen and elastic fibers found in the skin. In turn, the skin becomes more “tight”, youthful, and vibrant. This kind of peeling may cause temporary itching, stinging, skin shedding, and local redness. Each and every patient is suited to a cream that is appropriate for his or her specific skin type and hue.

Medium peeling—this treatment reaches superficial and delicate wrinkles, as well as deeper spots underneath. This kind of peeling should be performed via a specialist in the clinic setting. Treatment may be mildly painful, similar to the sensations felt during superficial peeling. One may experience accompanying skin shedding and redness that may last up to 6 days post treatment.

Deep peeling—reaches the deeper layers of the skin, suitable for those interested in thorough treatment of facial wrinkles, as well as some degree of skin “tightening”.
This is performed in the OR and necessitates general anesthesia and subsequent monitoring (due to the possibility of side-effects from strong analgesia administration after the treatment).

In those with dark complexion, deep peeling may cause either further darkening or even lightening of the area treated. Unfortunately, this possible side effect has no effective remedy. As such, those with dark complexion are advised to undergo either superficial or medium peeling only.

In patients with a history of facial herpes infection, prophylactic oral Zovirax treatment is advised before undergoing medium or deep facial peeling.
Because changes in skin texture and appearance occur most commonly only after age 30, it is ill advised to perform peeling treatments before this age.
Medium and deep peeling treatments are more popular during the winter months due to the more comfortable cool temperatures.

During and after peeling treatments, it is advised to use moisturizing cream on the areas treated. Additionally, one should avoid direct exposure to sunlight without protection lotion or sunscreen.

One must remember that the final texture of the skin after treatment will be apparent only after approximately one month (mainly due to the healing properties of the skin). One may progress from superficial peeling to medium peeling as necessary, but only after the accepted healing period.

The complications of peeling treatment are extremely rare, and may include:

  1. Skin spots that appear either darker or lighter than the surrounding skin
  2. Local infection and Herpes outbreak
  3. Local redness due to inflammatory processes
  4. Skin burns or small cysts (milia). The appearance of skin burns is very rare, and occurs only after deep peeling (if at all).
  5. Irritation and scaling of facial skin

Further information regarding this treatment will be made available during the pre-treatment consultation.