Plastic Surgery Houston | Cosmetic Surgeon & Dermatologist

Dr. Amjadi is one of Houston's top plastic surgeons.

915 Gessner, Suite 870
Houston, TX 77024

Chemical Peels

PARS COSMETIC SPA AND PARS PLASTIC SURGERY offers a variety of chemical peels that enhance the quality of your skin by reducing visibility and size of pores, smoothing out fine lines and quality of skin, reducing pigment , acne and giving a glow for a younger healthier appearing skin. Reverse the effect of sun damage, aging and acne by doing a TRIO epidermal PEELS which will be done one week apart for a boosting effect. These are frequently called lunch time peels because they take 30-45 minutes and the recovery is as little as a day or as much as a week. This results in a youthful, more hydrated glowing skin.

Micropeel Plus 30% -- This is a glycolic acid and salacylic acid peel that is perfect for acne patients and as a first peel to determine how the skin responds to micropeels. The recovery is 2-4 days and usually by day two most patients have a reduction and drying of acne and glowing skin. Remodeling of skin will occur causing an more youthful appearing skin.

TCA peel 15, 18, 20 % are Trichloroacedic Acid peels that reduce pigment when done in sequence , reduce fine lines and wrinkles and tighten the skin reducing pore size and the lumpy bumpy appearance of the skin. These peels are quick but their effects last 4-6 days and patients should expect flaking and peeling for several days. They are extremely effective in enhancing the quality of your skin and reducing the aging effect of sun and time on your skin. Along with home therapy you can expect a beautification of your skin noticeable by others. Perfect for all skin issues including wrinkles and fine lines, pigment , melasma, spots, acne, pore enlargement, Rosacea and redness.

RER PEELS- Announcing PARS COSMETIC SPA's own new peel --Refresh, Exfoliate, Renew ( RER) peels- this is a roll on peel which allows precise application of acid around tight spots like around the eyes , face , lips with TCA refining your face with an intense peel that reduces all of the aging effects such as fine lines, pigment , acne scars, acne, Rosacea, pore enlargement and promotes tightening of your skin.


What are chemicals peels?

There are circumstances—such as chronic sun exposure, severe acne, and aging—that can alter the skin tone, thus producing spots, scars, and wrinkles in the complexion. A chemical peel is a body treatment technique in which an acid solution is used to improve the texture of facial skin and correct skin irregularities. Some kinds of peels are used to treat spots and eliminate new stretch marks, and some create a more youthful appearance in any part of the body.

A chemical peel exfoliates the external layers of dead skin, exposing a new skin layer. This regenerated skin is usually smoother, with improved tone, texture, and color that makes it look younger than the old skin.

Chemical peels are now the fourth most common cosmetic procedure in the United States. They represent 10.4% of all cosmetic procedures per year. This procedure is more common in women (92%) than men (8%). Likewise, this technique is more common in patients aged 40 years or more.

Who is an ideal candidate for a chemical peel?

An ideal candidate for a chemical peel is a physically healthy patient who is unhappy with the appearance of their skin, who has realistic expectations and understands the procedure, and who does not smoke. Usually, a chemical peel can treat many conditions, from acne scars to aging skin (age spots), and even skin damaged by sun. It reduces the fine lines under the eyes and around the mouth, improves the appearance of mild scars, and reduces freckles and dark patches (melasma) caused by hormonal changes during pregnancy or when the patient is taking oral contraceptives.

People with a clear complexion and light hair are generally considered good candidates for this procedure; however, this treatment can also be useful for patients with darker skin pigmentation and other hair colors.

Who is not a candidate for a chemical peel?

Patients with a history of abnormal scarring and pigmentation, Afro-Caribbean or Asian skin, red hair and pale freckled skin, facial warts, who are nursing or pregnant, who have used certain acne treatments within the last year, or who have taken Accutane in last six months are not candidates. Chemical peels also cannot be applied to individuals with infections, active skin disease (psoriasis, eczema, dermatitis, or rosacea), cut or broken skin, sunburns, or active herpes simplex sores.

Currently, there are different types of chemical peels available (with varying strengths) and they provide different levels of treatment, but it is important to visit a qualified doctor for this—a doctor who can recommend the best chemical peel according to the skin type and the patient’s desires.

Deep chemical peels involve a longer procedure, so they are recommended to correct the skin damage caused by sun exposure; likewise, they can treat precancerous growths and coarse wrinkles. Darker-skinned patients and individuals with heart problems are not ideal candidates.

How much does a chemical peel cost?

Statistics from the American Society of Plastic Surgeons show that the average cost of a chemical peel is $632, but other experts suggest that the cost can vary between $600 and $900. This variation in cost is because the average fee does not include anesthesia, facilities, or other related expenses.

Likewise, prices vary according to the capacity of the plastic surgeon, the type of chemical peel, the type of acid used, the concentration to be used, and the extension of the procedure. For example, light chemical peels usually cost $150, but deep chemical peels are usually more expensive—as much as $6000.

How should the patient prepare for a chemical peel?

During the initial consultation, the patient should tell the doctor if they have a history of scarring, cold sores (in this case, the patient should start antiviral medications 1 week prior to the treatment and continue taking this treatment for at least 2 more weeks, as this can prevent the reactivation of cold sores), or previous X-rays in the face.

Some days before the chemical peel, the doctor may order the patient to avoid taking some drugs; likewise, the patient should prepare the skin with other supplements, such as Retin-A, Renova, or glycolic acid. Sometimes the plastic surgeon will prescribe antibiotics and antivirals. All patients should use high SPF sunscreens prior to and after peeling. Patients with darker skin may also need to be treated with hydroquinone before the procedure.

The type of chemical peel should also be determined during the consultation, depending on the characteristics and conditions of the skin and what the patient's objectives are after treatment.

How do chemical peels work?

This procedure may be performed in the plastic surgeon’s office or another specialized center, among other places. Normally, it is performed as an outpatient procedure, so the patient may go home the same day.

The first step in a chemical peel is to clean the patient's skin thoroughly, which is done by the doctor; after that, one chemical product or a combination of chemical products will be applied.

A chemical peel can be performed with alpha hydroxy acids (AHA), trichloroacetic acid (TCA), salicylic acid, lactic acid, carbolic acid, or glycolic acid. The formula used by the doctor will be adjusted to meet the particular needs according to the skin area to be treated. These acids create controlled damage in the skin, which will be replaced with new skin cells.

It is normal that the patient feels a burning sensation; this should last between 5 and 10 minutes, and after that the patient feels a mild sting. The plastic surgeon usually uses a local anesthetic and mild or full sedation to keep the patient comfortable during the procedure. In the case of superficial and medium peels, patients do not require anesthesia or sedation, but if the patient is very nervous, they may request it.

Chemical peels are classified according to the damage that they produce on the skin. They can be categorized as superficial, medium, or deep. The depth of the damage depends on the nature and concentration of the chemicals that compose the peeling and the amount of time given for them to act on the skin.

- Superficial peel: In this type of chemical peel, alpha-hydroxy acids (AHAs) or another gentle acid (like glycolic, lactic, salicylic, or fruit acids) is applied. It only goes through the epidermis (the most superficial skin layer), in order to exfoliate it. It produces only a subtle improvement at first, but that healthy glow will increase with more treatments.

This kind of peel is recommended for patients who want to undergo a chemical peel but desire a shorter recovery time than that of a deeper peel. It can improve gentle discoloration problems, acne, and dry and rugged skin, and it can offer a more youthful appearance to different parts of the body.

- Medium peel: In this type of peel, glycolic or trichloroacetic acid (TCA) is used. It may reach the superficial layer of the dermis (the deeper skin layer) to eliminate dead or damaged cells. In this case, skin will be noticeably smoother and fresher-looking. This treatment has a goal to improve skin spots (including those caused by aging), fine wrinkles, and moderate discoloration problems. Likewise, it is applied to smooth the skin and treat some skin growths (specially precancerous ones, like actinic keratosis). This type requires less downtime than a deeper peel and is the preferred choice for patients with darker skin (when performed with TCA).

- Deep peel: This is the strongest of the facial peels; it usually involves some sort of pretreatment for up to eight weeks, which prepares the skin for the peel and speeds the healing process. During this type of peel, the trichloroacetic acid is used to reach the deeper layers of the dermis and remove dead cells. With this kind of peel, results are dramatic, but recovery takes longer. The treatment is used to remove moderate wrinkles, spots of aging, and superficial scars. This kind of chemical peels offers a dramatic change in the appearance of the patient's skin.

It is typically only used in the face and it can only be applied in one opportunity. While a deep chemical peel produces the most dramatic, longest-lasting results, it takes more time to be performed than other types of peels (between 1 and 2 hours), and the recovery time is longer, too.

What should the patient expect after a chemical peel?

The results after a chemical peel will depend on the type of peel performed; however, in general terms, the treated skin seems to have been sunburned. In other words, after a chemical peel, the patient usually experiences redness and peeling of the skin for 3 to 7 days. After treatment, the patient may need bandages over the treated area. Likewise, the patient needs to avoid the sun for several months after a chemical peel, because the new skin is more fragile.

- Superficial peels: These require 1 to 7 days to heal. The treated skin will initially be red, and it may scale. The patient should apply lotion or cream until the skin heals and use sunscreen daily. Makeup can usually be worn the next day. This type of peel may be repeated between 1 and 4 week intervals until the patient is satisfied with the results.

- Medium peels: These require 7 to 14 days to heal. The treated skin will initially be red and swollen, but the swelling should improve after 48 hours. Blisters may form and break. Skin crusts over and peels off from 7 to 14 days. The area to be treated must be hydrated and soaked during the days before the procedure; in some cases an ointment is recommended. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. The patient should avoid all sun exposure until healing is complete, and in this case, makeup may be worn only after 5 to 7 days. In this case, the patient must go to a follow-up consultation with the plastic surgeon to check the progress of the treatment. Medium-depth peels may be repeated every six to twelve months if desired.

- Deep peels: These require 14 to 21 days to heal, and the treated area will be bandaged. The skin must be soaked four to six times daily, followed by ointment application for the first 14 days. Afterward, a thick moisturizer is applied for the next 14 days, and antiviral medication is taken for 10 to 14 days. Likewise, mild lotion or cream may be applied. The patient should avoid all sun exposure for three to six months, and makeup may be worn after 14 days. Several follow-up appointments will be necessary to monitor progress.

After the plastic surgeon applies the chemical peel, the skin is washed off and the chemicals are neutralized; for this, cool saline compresses or water may be used.

What are the side effects of a chemical peel?

When a chemical peel is performed by a specialist, like a plastic surgeon, it is safe. In the case of light and medium peels, side effects are relatively mild, including redness, stinging, and crusting, which usually subside within a day or two after the treatment.
However, side effects of deep chemical peels are typically more pronounced, and recovery time is longer.

It is possible for the patient to have other side effects, such as reactivation of herpes simplex infections and changes in the coloration of the treated area (more common with stronger treatments), but serious side effects are rare, and they usually appear when the procedure is performed by a non-qualified doctor. If the treatment leaves scars, they can usually be treated successfully.

It is important to know that some skin types are prone to develop changes in skin coloration (temporary or permanent) after a chemical peel. If the patient is a woman and takes birth control pills, or is thinking about a pregnancy, or has a family history of brownish discoloration on the face, color change in the skin is more likely.

Are chemical peels painful?

Most patients feel a mild stinging sensation during superficial or medium chemical peels. After the procedure, the doctor may prescribe a mild pain reliever to calm down any discomfort; likewise, the patient can put cold compresses on the skin to ease the stinging.

Dr. Amjadi MD, DDS, FACS

Certified by the American Board of Plastic Surgeons

915 Gessner Rd #870

Houston, TX 77024