Chemical Peel Questions and Answers Archive

Mar
2001

Q&A: What is the name of the laser resurfacing procedure for acne scarring that is done with a liquid and who does it in the Northeast?

Question:

What is the name of the laser resurfacing procedure for acne scarring that is done with a liquid? There was no "down time" with this procedure! I saw this on TV and it was performed in a clinic in Santa Monica, CA. Also, is it possible to find a listing of Dr.'s in the Northeast who are qualified to perform this procedure. Thank you.

- SRL

Answer:

 Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear SRL, The only liquids that I know of that are capable of resurfacing the skin and somewhat improving acne scarring result in a peel and do have down-time. Chemical peels have been around for over a century and none have helped acne scarring to any great extent. We find that mechanical means of removing layers of skin, first dermabrasion and now, laser resurfacing give the best results for acne scars but with down time.

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



Mar
2001

Q&A: Which would be more effective at removing lines in my forehead, a chemical peel or Botox injections?

Question:

I am 42 and have developed lines in my forehead. Which would be more effective, a chemical peel or botox injections?

- Deborah

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Deborah, The most effective would be a well done brow lift since that is what is causing the lines in the first place, brow decent with time. A chemical or laser peel will help for a short time but then the action of the muscles will re-crease the skin. Botox is helpful but an inanimate forehead is not the way to go unless it is only partially so. If the lines are fine and, perhaps only over the eyes rather than across the entire forehead, this is a good treatment. The down side though is that once those muscles stop working, the level of the brows goes down even further. I hope that you have the opportunity of discussing this with a qualified cosmetic plastic surgeon so that all the options can be delineated for you.

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



Dec
2000

Q&A: Can a laser procedure even my skin color damaged by acne when chemical peel, micro-dermabrasion and accutane did not?

Question:

Hi. I'm a 30 year old African-American woman who has been battling acne and espcially hyperpigmentation associated with acne scarring since I was a teenager. I've been to dermatologists and aestheticians and received accutane, antibiotics and a couple of years worth of chemical peels and micro-dermabrasion with little results. I'm interested in getting rid of this problem once and for all! My question: Is a laser procedure a safe and viable option for Black skin with my condition and how much does such a treatment run? My complexion is medium-brown and I was told a couple of years ago that lasers were not recommended for my skin tone, so I'm wondering if the technology has improved since then. If not, what other options do I have?

- Rae

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Rae, Lasers procedures work very well on your skin color and I perform many. In my opinion, it is the best means of evening out your pigmentary problems as well as improving the scarring. The trouble is that not very many physicians have experience with non-white skin in laser resurfacing. I have presented my techniques at many national and international meetings and am currently publishing a paper on the matter. There is no question in my mind that you can be greatly improved with a laser resurfacing procedure.

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



Oct
1999

Q&A: Is there a difference between traditional and ultrasonic liposuction and the cost for the entire body?

Question:

Does ultrasonic liposuction really 'liquidify' the fats before extraction? Are results really more significant than previous lipo? Is there a limited number a times a patient can have lipo? Is recovery faster under ultrasonic lipo? Will the skin be affected by the 'heat' or whatever it takes to liquidy or soften the fats? What kind of anasthetics are used? Estimated cost of treatment on whole body? Is cost generally determined by areas or volume of fats to be extracted? 2. Any treatment available to 'whiten' skin? Procedure and estimated cost? Thank you.

- MK

Answer:

Carmen Ann Paradis, M.D. - LocateADoc.com

Both regular liposuction and ultrasonic liposuction liquify fat before extraction. Studies do not show ultrasonic liposuction to be more effective or to have fewer side-effects than traditional liposuction. The recovery is the same. Precautions have too be taken with ultrsonic liposuction to prevent burning the skin.. The heat is generated by the rapid motion of ultrsonic vibration. The anesthetic for ultrsonic and traditional liposuction is the same--usually local for small areas, general for large areas. There is far too much variation in what is considered whole body to give you an answer about price. Price is usually determined by the area treated. Large volumn liposuction can have substantial risk and should be performed in a hospital with at least an overnight hospital stay. There are prescriptions which can lighten skin. Chemical peels can also be done. The cost will depend on the problem. Hope this is helpful to you Carmen Paradis M.D.

--Carmen Ann Paradis, M.D.
Cleveland, Ohio