Chemical Peels for Facial Rejuvenation

Abstract

Chemical peeling is an underutilized but powerful procedure for improving the surface texture and color of photoaged skin. Benefits include a long-standing safety and efficacy profile and relative ease to learn and perform. The procedure is tailored to the problem, and chemical peels are inexpensive in relation to the technological gadgetry popular in cosmetic surgery. A key component to successful peeling is proper patient and indication selection. Chemical peeling works best for treatment of fine lines, dyschromia, rough texture or actinic keratoses, and superficial acne scarring. Patients with fair complexions and light-colored hair and eyes are generally easier to peel with less risk of pigmentary change. Patients with dark complexion and brown hair and eyes have a greater risk of postoperative hyperpigmentation.