Chemical Peel Questions and Answers Archive

Dec
2001

Q&A: What procedures can be done for dark circles under the eyes?

Question:

what procedures can be done for dark circles under the eyes?

- jennifer

Answer:

 David M. Metzner, MD - LocateADoc.com

Dark circles can be improved by chemical peel and by some eyelid surgery procedures if done in a special way, or a combination of both. David M. Metzner, MD

-- David M. Metzner, MD
Metairie, Louisiana



Dec
2001

Q&A: What would be the most cost effective way to remove wrinkles and laugh lines on my face?

Question:

i turned 40 this year and have noticed the wrinkles around my eyes and my laugh lines are getting more noticeable, i'm wanting to do something about this soon to avoid furter signs of aging. i don't have alot of money to spend ,so i'm wondering what would be the most effective, i'm thinking maybe, chemical peel, dermabrasion, or laser resurfacing. i have alot of sun damage to my face, freckles and scaring from acne, not too survere, but noticeable,please let me know what would be the best opotion for the less money, or what these procedores cost. thank you.

- karen

Answer:

Amy Taub, M.D. - LocateADoc.com

Mild chemical peels and cosmeceutical creams are the least expensive options and go a long way to improving the texture and tone of sun damaged skin. You can find options that would work well for your skin by visiting www.skinfo.com and clicking on the skin wizard which will guide you through 3 simple questions and design a skin care program for you. There you can also find my personal favorite around the eye cream called Polyhydroxy Eye Cream. I also like Beta-Lift Peels, which most dermatologists can offer you for a fairly low fee, say around $100 each, but assume you'll need at least 3 of these. Laser resurfacing is one of the most expensive options, costing in the thousands, ditto for dermabrasion. You could try microdermabrasion which might help overall, too, and is less expensive, but adds up since you need so many treatments (often more than 6), I hope this helps!

--Amy Taub, M.D.
Lincolnshire, Illinois



Dec
2001

Q&A: What treatments are there to remove dark pigment scars resulting from past acne on my back?

Question:

My questions regards bad achne scars. I have had bad achne problems through out my teenage years and now it has somewhat scared my back with dark pigments that's obvious when i take off my shirts. Its very embarassing around friends and I would like to know if there are any treatment of resolving it. Lazer treatment ?? Its an embarrassing fact and i can't seem to find someone to ask these personal problems. Where should i start looking and who can help me? Thank you much for your time...

- Jon

Answer:

Amy Taub, M.D. - LocateADoc.com

There are a few potential treatments: microdermabrasion, mild chemical peels, and laser treatments. I would start by seeing a dermatologist who is affiliated with the American Society of Dermatological Surgery by going to www.asds-net.org and seeing if you can locate someone in your area by clicking on where it says "find a dermatologic surgeon". These are dermatologists who are more oriented towards cosmetic problems and hopefully can find a solution for you. Good Luck!

--Amy Taub, M.D.
Lincolnshire, Illinois



Nov
2001

Q&A: What procedure can be used to lighten the color of skin?

Question:

Are there any procedures such as tattoing, etc. for the lightening of skin? What was Michael Jacksons procedure for the lightening of his skin?

- yahaira

Answer:

Amy Taub, M.D. - LocateADoc.com

You can lighten the skin with various bleaching agents, the most utilized was hydroquinone in a 4% formulation (need a prescription) or over the counter in a 2% formulation. Much higher percentages can be utilized for more permanent results and there is speculation that this is what Michael Jackson used but I have no confirmed information about his treatments. Kojic acid is another chemical that may help lighten the skin. Other treatments would include laser treatments or chemical peels. There are tattoo artists skilled in hiding scars with flesh colored tattoos, but I am not sure how this would work if a large surface area were involved.

--Amy Taub, M.D.
Lincolnshire, Illinois



Nov
2001

Q&A: Would chemical peel be recommended to remove my patches of red acne scars?

Question:

I am 18 years old and have dealt with mild acne since i was 13. My skin has scarring and i would like to know if a chemical peel would be recommeded. I have little to no acne now, and would like to rid my face of the red scar patches. Is a peel worth it?

- Jennifer

Answer:

Amy Taub, M.D. - LocateADoc.com

You call them red scar patches. Does this mean they are mainly red, or red and indented. The redness makes me think you may be a candidate for a procedure called photorejuvenation, a new treatment for rosacea and sun damage. If there is red in the scar this procedure will help to remove it, plus stimulate the skin underneath to grow new collagen. Find a practitioner in your area or more about this at www.aslms.org or photorejuvenation.com or at esc-med.com. Microdermabrasion can help smooth out superficial scars (indents) but needs to be performed multiple times. Similarly, mild chemical peels would need to be done in a series. Neither peels nor microdermabrasion will help with redness.

--Amy Taub, M.D.
Lincolnshire, Illinois



Nov
2001

Q&A: How can I get rid of two dark spots on my cheeks that came from the use of an acne medicine called Dernovat?

Question:

a dermatologist proscribed me a creme called Dernovat for my acne. after use of this creme I have 2 dark spots on my sheeks ever since(almost 10 years now) how can I get ride of them?

- shukri

Answer:

Amy Taub, M.D. - LocateADoc.com

I am not familiar with the cream you name. Assuming that you had a reaction to them and developed some type of hyperpigmentation, I would attempt to use a hydroquinone containing cream (preferably a 4% hydroquinone prescription cream such as Lustra) or an OTC version (such as Bleaching cream or gel on the skinfo.com website) as well as a retinol containing cream (again such as Afirm on the skinfo.com website) and even consider some mild chemical peels or microdermabrasion. Even though they have been there for a long time, interventions such as these may help. If these do not help, find an experienced laser surgeon who may be able to help you by going to www.aslms.org and searching for a practitioner in your area.

--Amy Taub, M.D.
Lincolnshire, Illinois



Oct
2001

Q&A: What is recommended to remove lines around the mouth and on the neck that will be the least invasive?

Question:

I am only interested in lines around my mouth and under my chin and throat. What can be done with the least cutting. I do not heal real good.

- Jean

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Jean, I would suggest laser resurfacing around the mouth and a new procedure of photorejuvenation without resurfacing for the skin of your neck. This photofacial treatment can really help the skin of the neck and can be coupled with a few light chemical peels to improve the texture with little down-time and no heal-up time required. The deeper wrinkles around your mouth would be better handled with laser resurfacing which does involve significant healing time.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Sep
2001

Q&A: Will psoriasis be an issue if I want to have a chemical peel, laser skin resurfacing or "N" light treatment?

Question:

I have psoriasis. Would this present a problem if I desire to have laser, chemical peel or the new "n" light procedure?

- Shellie

Answer:

Amy Taub, M.D. - LocateADoc.com

The only situation I can think of it being a problem is if your psoriasis were in the same area as the area you wanted treated. If so, then the redness of the skin might pull in more energy from the "N-Lite" or other laser and cause an unusual reaction. Similarly, if no psoriasis were there but you wound up with a side effect that caused a skin burn or scabbing of the skin, it is possible that the psoriasis could "spread" into the area that it didn't currently occupy, since psoriasis tends to show up in areas of skin damage. Both of these scenarios are rather unlikely with care and caution, unless you have psoriasis of the face. You should discuss these possibilities with the laser practitioner of your choice. Make sure your doctor is a member of the American Society for Laser Medicine and Surgery, the premier laser surgeon organization (www.aslms.org).

--Amy Taub, M.D.
Lincolnshire, Illinois



Sep
2001

Q&A: Should I consider laser skin resurfacing to remove pitted scars from plucking ingrown hairs on my chin?

Question:

I have pitted scars from plucking ingrown hairs on my chin area, not knowing that plucking was making them worse. I have been having laser treatments for the ingrown hairs which has made a big difference and has helped me alot. Although I am still left with these small (not red) scars that are not deep, but bothersome to me and have heard alot of bad things about chemical peels which I do not think I want to have done. I have looked into laser treatment for resurfacing and was wondering if that is the way I should go, although these scars only on the chin area are not deep nor are they red, so I am stuck as far as where to turn, where to go, as the laser place has suggested the peels giving me all the side affects. I am ivory skin colored with dark hair, facial hair all over, which most is blode and not bothersome, aside from the dark ones that started appearing on the chin area, had hormones tested and that was not the case, was told that this was and is hereditary. Can you please give me some guideline as to where to start, if laser resurfacing would be the best route to go, so forth?

- Nadine

Answer:

Amy Taub, M.D. - LocateADoc.com

Laser resurfacing is a really intensive treatment which I would use only as a last resort. Chemical peels vary by the strength and the chemicals that are used. Mild chemical peels- salicycilic acid 20-30% (Beta-LIft Peel) or glycolic peels 30-40% virtually have no risks and in a series may help you. Another option would be microdermabrasion, which I favor as a treatment for this type of problem, but you will also need multiple treatments, at least 5-6. Finally, you could try to find someone who has a Cool Touch II Laser. These are known to improve acne scars without much risk. Go to the web site www.aslms.org to find a laser practitioner in your area.

--Amy Taub, M.D.
Lincolnshire, Illinois



Jun
2001

Q&A: How can I get my African-American skin color lightened?

Question:

I am an african-american female in my 30s. I have noticed that there are many african-americans in show business who have much lighter skin tone than they did a few years ago. (Michael Jackson being the most noteable.) How is this skin lightening achieved with such dramatic results? Thank you for your time. It is greatly appreciated.

- Jae

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Jae, It is usually achieved through the continued use of bleaching agents containing 4% or more hydroquinone. Usually for the facial areas, repeated chemical peels are used at a deep level which result in reduction of pigment.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jun
2001

Q&A: What can I do to lighten my skin color by reducing melanin in my body?

Question:

I'm 25 femle.I want to be fair[in skin].I want to reduce malenin in my body,by any chemical process,to get more fairer.I've tried out heomopathic medicines and succeeded to a little extent.Is this possible.how much will this cost?

- kiran

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Kiran, This process is not suggested but the amount of melanin can be reduced by repeated deep chemical peels. For smaller area, bleaching creams using 4% hydroquinone and strong sunscreens can reduce the darkness of the skin.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Jun
2001

Q&A: Can you lighten the inner thigh/leg, which is referred to as SCRUB?

Question:

can you lighten the inner thigh/leg, which is referred to as SCRUB?

- debbie

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Debbie, You are referring to darker skin in the upper, inner thighs which occurs in some people. This is actually a form of postinflammatory hyperpigmentation (long word meaning darkening of skin after prolonged irritation). I would suggest that the cause of the irritation be addressed first. The thighs must stop rubbing or the condition will return. The darker skin color is best bleached with a 4% hyroquinone bleaching cream or treated with a laser that reduces pigmentation. Scribbing the area or using chemical peels usually is not at all helpful since more pigment is made by the irritation.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii