Chemical Peels (Medium-depth Peels)
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Medium-depth peels penetrate deeper into the skin than superficial peels, damaging the whole epidermis (outermost layer of skin) as well as the papillary...

Medium-depth peels penetrate deeper into the skin than superficial peels, damaging the whole epidermis (outermost layer of skin) as well as the papillary dermis (the top part of the dermis, just below the epidermis). 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 multiple times (3 or more) in 3-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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August 16, 2007

Pros:

Drastically Improved level of deeper scarring (but doesn't eliminate, i had cystic acne so scarring was not horrible but deeper). Improves texture and feel of your skin. No pain afterwards.

Cons:

For stronger peels 3-5 days of avoiding sun, peeling like when you peel from a bad sunburn. Don't pick or itch! works best if you let it fall off on its own. Need to do more than 1 usually + something like a inexpensive laser for evening of tone.

Talk to your dermotologist and definitly do a few of these if he/she says its safe. It will even your scarring gradually but you'll definitly notice a difference after just your first one. Doesn't even your skin tone but combined with an inexpensive in and out laser (that you'll have to wait a couple months to do and may take a couple lasers to really even) you'll definitly love the results. The cost is very minimal, my doctor gave me a deal and only charged me $100, but they usually cost $150-$300 each time it's done. The Lasers are pretty inexpensive too around the same price so you could get it all done for probably around $1000 maybe $1500 max but that's well below the $5000 these high powered lasers cost. Oh I did the High powered non evasive laser that doesn't burn your skin but goes under it to try and generate collagen and it didn't work at all a waste of $3000. Definitly do this and save money if it's what's right for your skin/scarring.
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July 4, 2007

Pros:

Smooths out scars (although they don't completely disappear) and creates a more uniform texture. Strong solutions with less contact time is superior to daily preparations.

Cons:

Visits cost a fortune before you see results. Home procedures are risky, especially if you are prone to hyper-pigmentation, keloidal scarring or have herpes. Results are very gradual. Leaving it on too long caused burns.

I have atrophic scarring light to moderate with an olive complexion. I took a risk and bought 1 oz of 60% solution of AHA at 1.9 PH and have been peeling every 2 weeks. I apply the solution over my entire face and put it on a q-tip and intensify the contact in the scars. I have to say after 8 months I have noticed improvements and I still have some solution left! I have just started alternating with a 65% lactic acid solution and putting the AHA in the scarred areas only. I don't see how a few visits can work when I have seen modest results only after 20+ peels. You can buy online solutions particularly with the company with the initials M.A.C. Their solutions are the real deal. This is for atrophic scarring only and AT YOUR OWN RISK. You should also have your acne under control. Other advice is to not smoke, limit drinking, limit sun exposure, and eat a healthy diet before, during and after the peels. Be patient and good luck!
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October 25, 2006

Pros:

I've had 5 chemical peels of which 4 Obagi Blue Peel, my skin has improved so much, especially my acne ice pick scars, they are so much less noticeable now. Some people even tell me that I have beautiful skin which is so unbelievable 10 years ago.

Cons:

The back to normal takes a long time and pigmentation is a problem, luckily Obagi creams help to solve the pigmentation problems.

I'm 52 years old now and I want to try other methods like the laser resurfacing and hopefully the down time is less. Still, I would recommend chemical peels, especially Obagi Blue Peel.
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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