Skin resurfacing – Dermabrasion and Chemical Peels
The top layer of the skin can be removed with a chemical (usually an acid), a laser or by direct abrasion. The peels essentially damage the top layer which then peels away itself after a few days. The advantage of the chemical methods is that the face remains ‘dry’ during healing. The other methods leave a ‘wet’ face as it heals. This is because the layer is removed immediately leaving a rawer surface to heal. All are effective at treating the above listed problems. The deeper the layer of skin removed the potentially better the effects but also the greater the risks of unwanted problems. I have adopted the use of a 15-20% Tri-chloroacetic acid peel (Obagi system) which is very safe and the most commonly performed resurfacing procedure. For acne scarring I sometimes prefer to use dermabrasion. I do not use lasers as I feel the after effects are problematic.
Indications for use
With age the skin becomes thinner and develops irregularities, blemishes, wrinkles and pigment changes. All of these changes, and those caused by acne scarring, can be helped by skin resurfacing. These methods remove the upper damaged layer of the skin and allow it to heal leaving a smoother less blemished skin. The areas that can be treated are the face, neck, chest and hands.
Medicines and smoking
All medical history will be sought before any treatment. Try and avoid smoking around the time of the peel.