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Peeling is a non-invasive treatment that we use to rejuvenate the skin and whose purpose is to correct fine wrinkles, pigmentation and other irregularities caused by aging.
Chemical peeling can be done with different products depending on the type of skin and the type of peeling desired; the most commonly used is trichloroacetic acid.
Not everyone is a candidate for a chemical peel. Proper patient selection is critical to ensure a high rate of satisfaction.
A chemical peel can be applied to the entire face, but it is especially useful as a complement to a lower blepharoplasty. Many patients who consult for a lower blepharoplasty present, in addition to bags, wrinkles and sagging lower eyelid skin. The facial peeling is very useful in these cases to tighten the skin after removing the fat bags.
Those patients who only have wrinkles in the lower eyelids, without bags, can be treated only with the peeling (chemical blepharoplasty).
Before performing a peel it is advisable to treat the skin for 2-3 weeks with substances such as glycolic acid, which remove layers of dead skin cells and thus achieve better penetration of trichloroacetic acid to be applied during the peel.
En caso de tener antecedentes de herpes facial realizaremos un tratamiento profiláctico con antivirales orales.
Chemical peels can be applied in the office but can also be done in the operating room if it is done in conjunction with a blepharoplasty. It’s a procedure that lasts about 30 minutes. Trichloroacetic acid is applied to the different areas and then neutralized with cold saline. To make it painless, we apply anesthetic creams beforehand, and for more extensive peels we can perform nerve blocks with local anesthetic.
An chemical peel is very similar to a sunburn. The first days the skin will be red and in the following days small scabs will form that will fall off in approximately 5 to 7 days, giving way to a new layer of skin with a better texture, tighter and more uniform in colour. After this initial phase, make-up can be applied to the area to hide the redness, which will be less and less. It is very important to protect yourself from the sun in the following weeks to avoid hyperpigmentation.
Dr. Nieto is a reference in oculoplastic surgery. He combines his activity in reconstructive surgery in public medicine with his private reconstructive and cosmetic activity at the Clínica Corachán in Barcelonaand the Instituto Oftalmólogico Gabriel Simón in Madrid.
Clínica Corachán 2, bajos. Plaza Manuel Corachán 4, Despacho 8 Barcelona 08017
Instituto Oftalmológico Gabriel Simón Fuencarral, 7 28004-Madrid
