Chemical Peels (Deep Peels)
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Side Effects

Deep peels penetrate even deeper into the dermis than medium-depth peels. Medium-depth and deep peels are generally necessary to achieve more than a...

Deep peels penetrate even deeper into the dermis than medium-depth peels. Medium-depth and deep peels are generally necessary to achieve more than a minimal improvement of scars. When chemical peels are applied on the skin, a controlled wound-healing process occurs that may stimulate the skin to produce more collagen and elastin, thus improving the appearance of acne scars.

This procedure is normally repeated 3 times in 2-week intervals, and you should see gradual results with each session. And after your last session, your skin should continue to improve.

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25%
4
37.5%
3
12.5%
2
0%
1
25%

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March 7, 2009

Pros:

I have had absolutely great results with TCA chemical peels. I have had them done at an expert dermatologist's office and had no adverse reactions. Acne scars are have been diminished significantly.

Cons:

The only con is the redness and peeling that occurs for about 5 days after.

I first got a 35% TCA peel, then moved up to 55% and have had great results. Never do them at home! Spend the money for a professional. They work great at removing red marks and fading and smoothing deep acne scars. I haven't had any permanent scarring like the people stating they did them home. TCA peels are a lot safer than phenol peels, and as long as you follow the doctor's orders and don't pick at your skin and stay out of the sun, you should be fine.
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.
Find a Doctor Using The American Acacemy of Dermatology Website

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.
Find a Doctor Using the American Society of Plastic Surgeons Website