Chemical peels can be used to address a variety of skin concerns, from acne to photoaging (sun damage resulting in textural changes, fine lines, wrinkles). Mild or superficial peels are separated into two categories: beta-hydroxy acids (e.g., salicylic acid) and alpha-hydroxy peels (e.g., glycolic acid). Superficial peels result in controlled damage to the outer layers of the skin, thereby stimulating the skin’s ability and deeper layers to regenerate younger and healthier. Patients choosing superficial peels describe minimal pain and minimal downtime; however, it is important to note that superficial peels work best when “stacked” over time. A one-time superficial peel does not go “deep enough” to produce the extreme results as seen with more penetrating techniques such as ablative laser revision. Medium-depth chemical peels are available in specific circumstances, when and if clinically appropriate.
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