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Medium chemical peel. A medium chemical peel removes skin cells from the epidermis and from portions of the upper part of your middle layer of skin (dermis). It’s used to treat wrinkles, acne scars and uneven skin tone. You might need to repeat the procedure to achieve or maintain the desired result.

Deep chemical peel. A deep chemical peel removes skin cells even deeper. Your doctor might recommend one for deeper wrinkles, scars or precancerous growths. You won’t need repeat procedures to get the full effect.

What you can expect before the procedure
A chemical peel is usually done at an office or in an outpatient surgical facility. Before the procedure, your doctor will clean your face, protect your hair, and cover your eyes with ointment, gauze, tape or goggles.

Pain relief isn’t typically needed for a light chemical peel. If you’re having a medium peel, you might receive a sedative and painkiller. For a deep peel, you might have a sedative, something to numb the treatment area and fluids delivered through a vein.

During a light chemical peel:

Your doctor will use a brush, cotton ball, gauze or sponge to apply a chemical solution typically containing glycolic acid or salicylic acid. The treated skin will begin to whiten.
You might feel mild stinging while the chemical solution is on your skin.
Your doctor will apply a neutralizing solution or wash to remove the chemical solution from the treated skin.

During a medium chemical peel:
We will apply a chemical solution containing trichloroacetic acid, sometimes in combination with glycolic acid. The treated skin may begin to whiten.

After a few minutes, we will apply a neutralizing solution and cool compresses to soothe treated skin. You might also be given a hand-held fan to cool your skin. You might feel stinging and burning for up to 20 minutes.

After the procedure
After a chemical peel of any depth, your skin may be red, tight, irritated or swollen. Your ESSPA Esthetician will give you detailed directions for sun protection, cleansing, moisturizing and applying protective ointments to your skin. And avoid picking, rubbing or scratching your skin. Depending on the peel used, it may take awhile before your skin returns to normal and you can see the full results of the peel.

After a light chemical peel, treated skin may be red, dry and mildly irritated — although these effects might be less noticeable with each repeat treatment. We might apply a protective ointment, such as petroleum jelly, to soothe the skin. You can usually wear makeup the next day if you wish.

Treated areas sometimes take about one to seven days to heal after a light chemical peel. New skin might temporarily be lighter or darker than normal.