Chemical peel in Tunisia

What is chemical peel?

The facial chemical peel is a cosmetic medicinal act of facial rejuvenation that helps restore a glow to the face, remove wrinkles, correct skin imperfections, and exfoliating the surface layer of the skin in a more or less profound way.

Skin peeling is an aesthetic medicine care with excellence.

The peeling is a medical procedure; it can’t be done in beauty salons or beauty centers.

Facial rejuvenation treatment, peeling causes removal of the superficial layer of the epidermis of the skin permitting the renewal of the epidermis and the regeneration of the facial skin, which results in the attenuation of wrinkles, a mitigation of skin blemishes and the brightening of the complexion. The skin will be softer, more toned, and radiant.

The peels are made from plant or chemical substances whose active ingredient will destroy the surface layer of the skin.

The peeling destroys the different layers of the skin:

• The superficial peel destroys the skin of the area to the horny layer of the epidermis.
• The average chemical peel destroys the skin's surface to the deepest layer of the epidermis-dermis junction.
• The deep chemical peel destroys the skin of the area to the middle layers of the dermis.

• Improves the quality of facial skin (oily skin, acne pimples, and pores).
• Erase brown spots (pregnancy mask, age spots)
• Reduces wrinkles and fine lines.
• With the skin retraction it gives a lifting effect.
• Improves texture, tone and radiance
• Removes impurities and dead skin layer.
• Relieves the skin.

There are 3 types of chemical peel depending on the type of product and depth of their work:

• Superficial chemical peel: peeling with fruit acids
• Medium chemical peel: TCA peel (Trichloroacetic acid)
• Deep chemical peel: Phenol peeling

The deeper the peel is, the more profound the effect of scrubbing the skin will be.

Indications of each chemical peel: More the skin is damaged; the more abrasion should be deep.

• young patients
• Dull skin
• Fine Lines and wrinkles
• Pigmentation Disorders
• dilated pores
• Mild acne

If the skin is not very worn, the superficial peel gives the skin a radiant effect.

• less young patients
• Wrinkles and fine lines
• Sagging Skin
• Pigmentation Disorders
• Acne
• acne scars and superficial scars

Medium chemical peel has a very visible effect on fine lines and pigmentation. Results last longer than soft peels.

• less young patients
• A visible skin aging
• Sagging Skin
• Deep wrinkles
• acne scars and superficial scars

The deep peel is very effective on skin aging with spectacular results and is equivalent to laser resurfacing. Yet it has very heavy consequences. Personally, I do not practice deep peels; this is why I will not mention them.

Whatever the type of peel, pre peels care are essential to optimize the results of the peel. The preparation of the skin 2-3 weeks before peeling, has a dual role:

• Making the surface of the skin more regular by prescribing vitamin A acid or Tretinoin.
• Inhibit the melanocyte rebound by prescribing depigmentation.

It is recommended at least one week before treatment to avoid:

• From sun exposure.
• To pluck the face (waxing or depilatory creams or laser).
• Any irritant to skin.

No anesthesia for superficial and medium peels.

Local anesthesia, local-regional, general or neuroleptanalgesia for deep peels.

The use of numbing creams should be avoided since they reduce the penetration of the active ingredient of the peeling depth.

Chemical peel can be combined to mesolift or dermal fillers or botox injection.

• Cleaning and disinfection of the skin
• Applying a pre-peeling solution to deep clean the skin.
• Application of the cream or gel peeling with fingers or brush. The application time varies according to the type of peel.
• Neutralization of peeling with another solution or simple cleaning.
• Application of a restorative cream.

• Skin sensation of warm for a few minutes.
• Skin redness for between a few hours to 3 days.
• A fine desquamation.
• Necessity for sun protection for 2 months.
• No desocialisation.

• Skin redness for 24 to 48 hours.
• Brown skin peeling for 7 days. Prohibition of all scraping and peeling of the skin.
• Application of a special cream 3 to 4 days.
• After one week appearance of a new skin look younger, smoother, clearer and firmer.
• Do not wear makeup for 3 to 4 days.
• Desocialisation for 5 to 7 days.
• Need for strict sun protection for at least 3 months to avoid the risk of hyperpigmentation.

For best results, 4-6 sessions spaced 15 days are recommended.

Peels should be practiced in the autumn or winter.

The results of a superficial peel, performed over several sessions and completed a suitable cosmetics, takes 6 to 9 months, when it is again a maintenance session.

The results of a medium peel, performed over several sessions and completed a suitable cosmetics, takes 12 to 15 months, when it is again a maintenance session by the same peeling or lighter.

The peeling is done at any age.

The peeling is aimed at both women and men.

The peel is for all types and skin colors. There are more precautions in patients with a matte skin.

• Herpes or impetigo.
• Contact allergy.
• Use of medication against acne (retinoids).
• Pregnancy

The risks of the chemical peel are exceptional:

• Allergy: exceptional.
• Prolonged redness by prolonged application of the peeling product.
• Spots pigment if sun exposed.

Caution is required for patients with dark skin: appropriate cosmetic preparation for the skin to limit the risk of melanoma rebound.

The superficial peel is a gentle peel that gives a real radiance to the face.

Superficial peels or peeling with AHA (alpha hydroxy acids) is a foundation for peeling fruit acids. It is composed mainly of glycolic acid or salicylic acid and many other acids from plants or fruits: lactic acid, mandelic acid, phytic acid...

The advantages of this aesthetic medicine technique:

• Speed, efficiency and good tolerance.
• Practiced on all colors and skin types.
• No desocialization.

The action of gentle peel with fruit acids is superficial: glycolic acid acts on the surface layer of the skin, which causes exfoliation:

• Regularizations of Different cell populations.
• Affinement Of the stratum corneum, but the epidermis, regains its whole thickness.
• Normalisation Of melanocyte activity.
• Greater Collagen fiber density of the skin.

• A clear improvement of complexion: an amazing brightness and radiance of the skin.
• Fight against skin aging.
• Smoothing the skin.
• Mitigation of fine lines and wrinkles.
• Reduction of age spots.
• Fading of facial imperfections and pores, mild redness, acne scars.
• Treat mild acne and seborrhea by anti-keratolytic action.

Of course, the effects of superficial peel are real but less than those obtained by the medium or deep peels. The results are optimized if the post-peeling care is followed by the patient.

The TCA peel is a medium peel that has an impressive action in the correction of wrinkles and age spots.

The medium peel or TCA peel (trichloroacetic) is a peeling based on trichloracetic. The doctor may use trichloroacetic acid at different concentrations: 15%, 25%, 30 and 40%. It is more concentrated, more its action is profound.

This peel is typically intended for fair skin (Prudence required in matte skin).

The TCA peel is a medium peel. The trichloroacetic acid is on the middle layer of the skin dermis, causing exfoliation:

• Adjustments of different cell populations.
• Necrosis of epidermal cells before reaching the dermis.
• Standardization of melanocyte activity.
• A greater density of collagen fibers of the skin.

It is more abrasive than superficial peel and its results are spectacular.

• Mitigation of lines and wrinkles.
• Correction of sagging skin.
• Smoothing the skin.
• diminishing of age spots.
• Correction of facial imperfections: dilated pores, redness, acne scars, and superficial scars.
• Treats acne and seborrhea anti-keratolytic action.