Chemical Peel: How Are Chemical Peels Performed?

Prior to surgery, instructions may include the elimination of certain drugs and the preparation of the skin with topical pre-conditioning medications. The patient may be advised to clean the area with an antiseptic soap the day before surgery.
A chemical peel can be performed in a doctor’s office or in a surgery center as an outpatient procedure. At the time of treatment, the skin is thoroughly cleansed with an agent that removes excess oils, and the eyes and hair are protected. One or more chemical solutions – an alpha hydroxy acid, such as glycolic acid, salicylic acid, or lactic acid; trichloroacetic acid (TCA); or carbolic acid (phenol) – are used. Dermatologic surgeons are well-qualified to select the proper peeling agent based upon the type of skin damage present. During a chemical peel, the physician applies the solution to small areas on the skin. These applications produce a controlled wound, enabling new, refreshed skin to appear. Most patients experience a warm to somewhat hot sensation that lasts about five to 10 minutes, followed by a stinging sensation. A deeper peel may require pain medication during or after the procedure.