Alpha Hydroxy Acid (AHA) Peels
Alpha Hydroxy Acids in various concentrations are used in chemical peels. The concentration determines who can use it. Trained cosmetologists can use AHA’s that have a concentration of 20% to 30%. Doctors can use AHA’s that have a concentration of 50%-70%. These treatments erase fine wrinkles and remove surface scars but the effects of the peels of higher concentration AHA’s last longer.
Beta Hydroxy Acid & Jessner’s Peels
There is only one beta hydroxyl acid-salicylic acid. The main difference between AHA’s and BHA’s is their lipid (oil solubility). AHA’s are water soluble only while BHA’s are soluble in oil meaning they can penetrate into skin pores containing sebum and exfoliate the dead skin cells that are built up inside the pore. Because of this difference in properties, BHA’s are better used on oily skin with blackheads and whiteheads. AHA’s are better used on thickened sun damaged skin where breakouts are not a problem. One of our favorite peeling agents is Jessners solution which is a solution of resorcinol, salicylic acid and lactic acid. This combination provides a light to medium depth peel which is a very safe peel and is suitable for all skin types. When used prior to peeling with Trichloroacetic acid the peel is know as a ”hot rod” peel.
Trichloroacetic Acid (TCA) Peels
Trichloroacetic acid peels (TCA) are great for evening out skin tone and getting rid of imperfections and unlike AHA peels can even smooth out wrinkles. The results are more noticeable that those of AHA peels but not as dramatic as deeper peels or lasers. The concentration of TCA can be altered to produce results similar to lighter peels and deeper peels. It works well at penetrating to the upper reticular dermis where it can produce superficial improvements in pigmentation problems as well as correct wrinkles and deeper problems.
PCA Skin Lightening Peel
The PCA skin lightening peel is used on patients with pigmentation problems or melisma. It is an enhance Jessners formula containing Lactic Acid Salicylic Acid, Citric Acid, Kojic Acid and Hydroquinone. The peel helps to promote an even skin tone and a clear complexion.
Pyruvic Acid Peels
Pyruvic acid is found naturally in honey, apples, and fermented fruit an vinegar. This medium depth peel is known to penetrate rapidly and deeply through the skin stimulating collagen, elastin and dermal glycoprotein synthesis. Pyruvic acid has a strong comedolytic effect because like BHA’s it is lipid soluble and can penetrate the sebaceous unit. These antimicrobial and comedolytic properties make it useful for peeling patients with acne. There is limited discomfort in the post peel period and redness only lasts for about 15 minutes after peeling.
Mandelic Acid Peels
Mandelic Acid is part of the AHA family and is derived from bitter almonds. Since the molecule is larger ins size than glycolic, it penetrates more slowly, making it a good choice for sensitive skin including patients who struggle with redness and flushing in their skin. Mandelic Acid offers antibacterial as well as bactericidal properties that are helpful for patients with blemishes or oily skin. It is beneficial for patients with Acne Rosacea. A series of peels produces a smoother skin texture as well as helping with fine lines and wrinkles.
myBody Probiotic Peels
MyProbiotic Peels distinct feature lies in the delivery of good bacteria-probiotics which trick the skin into thinking is under attack by harmful bacteria. Since the skin is a large organ with significant immune sensitivities it responds to the application of probiotics with dynamic natural defenses and renewal effects. This collection of PRR (Pattern Recognition Receptors) are responsible for triggering important immune cell responses that stimulate and regenerate skin cells. The biggest difference in this probiotic peel is the ability to influence changes in the skin without injuring it since the probiotics work from the inside out. This process avoids the inflammation caused by traditional chemical peels which is advantageous to the patient as there is no down time and minimal risk of adverse side effects. A significant bonus with these peels is the quick results. Positive effects begin immediately and the skin feels tightened and deeply hydrated.
SkinMedica Vitalize Peel
The Vitalize Peel is like a Jessners peel augmented with Retinoic Acid. The Salicylic acid is a comedolytic agent as well as being anti inflammatory. Retinoic acid inhibits sebum production and reduces hyperkeratinization. It helps to unclog pores and prevent the formation of new papules.