Woodbridge Dermatology Centre
(905) - 851 - 1436
301 - 8077 Islington Ave. N

FAQ

Click on a topic to view answers to frequently asked questions.

CHEMICAL PEELS

What is a chemical peel?

Chemical peeling is a technique used to improve the texture and tone of the skin. A chemical solution is applied to the skin, which causes it to separate and peel off, allowing new skin to regenerate in its place. The new skin is smoother, less wrinkled, and more even in colour.

 

Glycolic acid peels

What can glycolic acid peels do?
Also known as Alpha Hydroxy Acid (AHA) peels, glycolic acid peels rejuvenate environmentally damaged skin by gently lightening irregular brown pigmentation, freckles, age and sun spots, and reduce fine lines, pores and mild acne scars, leaving the skin with a smoother, more radiant look.

What happens during the procedure?
You should arrive with a clean face, without any makeup or moisturizers. We will thoroughly cleanse your skin, protect your eyes and hair, then apply varying concentrations of glycolic acid (a naturally occurring fruity acid) or alpha hydroxy acid (derived from sugar cane) to your skin in a series of 8 applications, each 2-3 weeks apart. You’ll see a gradual improvement with each session.

We leave the peel on until your skin has a hint of pinkness. You will feel a tingling sensation. Then, to neutralize the acid, we wash your face with water and apply a PH normalizer, which significantly reduces any discomfort following the procedure.

You must wear sunscreen on a daily basis and avoid tanning.

How long will my skin take to heal?
Healing depends on your skin type and the length of the time the acid is left on your skin. However, in general, your skin will stay pink or red for about 5-7 days. Some dry flaking or thin crusts may form – but these should resolve in 3-10 days. Most patients are able to return to their regular activities right away.

In some cases, patients experience facial swelling – if needed, we can prescribe topical steroids. Some patients may also notice that their acne temporarily gets worse, or their skin darkens.

Is a chemical peel right for me?
Most skin types can benefit from a chemical peel – glycolic acid peels are especially useful for oily skin with dilated pores. Older or dark-skinned patients tolerate peels very well. Younger or fair-skinned patients tend to be more sensitive and may experience slight to moderate amounts of burning, crusting, swelling or redness.

You should avoid chemical peels if you are pregnant or breast feeding, are taking photosensitive medications such as Vibramycin, Tetracycline, Minocin, NSAIDS or Thiazides, taking Accutane (you should wait 6 months to begin treatment), or if you have facial eczema or rosacea. If you are prone to facial cold sores, Dr. Nield will prescribe an oral antiviral treatment.

 

Medical Skin Peels

What are Peels?
Peels offer a variety of peels which target different skin care concerns. These peels are new in Canada and are only available in select medical practices.

Rejuvenating peels are superficial chemical peels consisting of glycolic acid, lactic acid and salicylic acid. A series of 4 Milk peels are recommended, 2 weeks apart, to achieve the maximum rejuvenating benefits. Milk peels target dull complexions, fine lines, dilated pores and superficial age spots. A series of peels, combined with recommended home care products will leave your skin glowing and fresh.

TCA peels are medium depth chemical peels. They are a Modified Jessner’s Peel. These powerful peeling agents work together to reduce brown spots on the face, neck and other areas that have signs of photodamage. Skin TX peels are very useful in dealing with sun spots or lentigines, brown age spots, old acne lesions known as post inflammatory hyperpigmentation, and melasma. Melasma can occur during pregnancy or afterwards. Sunlight worsens this condition. Melasma occurs more often in women and can be very difficult to treat. Spot peels are now one of the most widely used peels in Europe as they are hydroquinone free.

Prior to a peel, Dr. Nield will do a full consultation and examination of your skin. She may shine a Wood’s lamp on your skin, which will reveal undetected photodamage. She will make a list of recommended treatments for you, including peels and skin care products. Dr. Nield recognizes that when a patient comes to see her for skin care advice, they may well be interested in an overall approach to rejuvenation. Dr. Nield is able to combine chemical peels with other non-surgical, age- defying techniques provided in our office.

Combining treatments such as chemical peel Ultrasound Skin Tightening and Lifting, cosmetic wrinkle injections, and Hyaluronic Acid fillers will achieve dramatic yet very natural results. Dr. Nield is an accomplished anti-age specialist who will be happy to help you achieve a wonderful, fresh yet natural look.

What happens during a procedure?
Ideally, you will have been using the suggested pre- treatment home care products for a few weeks prior to the peel. The Vitamin C Peel should be performed every 2 weeks for a total of 4 to 6 Peels. The home care products are considered part of the treatment to ensure that you receive the maximum benefits of the peel programme. The Vitamin C Peel will take 15 to 30 minutes. Ideally, you should arrive with a clean face, free of makeup. Your skin will be thoroughly cleansed with glycolic acid to degrease and gently exfoliate your skin.

The Vitamin C Peel will be applied and subsequently removed after an appropriate length of time. You will be given a fan to help with the sensation of heat that occurs during the peel. The skin will be washed with cool water to inactivate the peel. A post peel repair serum will be massaged onto you face and neck. Your skin will be glowing and pink. You will have very little down time. You will be able to return to normal activities the next day. Sunscreen is a must. You will gradually see an improvement over the following 8 weeks of homecare products and subsequent Vitamin C Peels. There is really no downtime for superficial peels.

You will be instructed to apply sun screen must be worn on an ongoing basis as melasma and sunspots will reoccur if your skin is exposed to the sun.

 

Skin TX Restore Treatment Peels®

What is a Skin TX Jessner’s Plus ® Peel?
This peel combines the benefits of alpha hydroxy acids (lactic acid), beta hydroxy acids (salicylic acid),TCA, resorcinol and retinoic acid into a unique blend to target photo-damaged skin, pigmentation, dilated pores, and superficial acne. It stimulates the production of collagen and improves the penetration of skin rejuvenation products.

This peel is ideal for patients who have started and maintained a consistent skin rejuvenation program involving home product use and exfoliating treatments. It is suitable for most skin types and can also be used to maintain the benefits of other treatments such as photorejuvenation. Skin TX Peels offers improved skin texture, tone, lessening of superficial lines and a healthier, more youthful look.

What can I expect after a treatment?
Immediately after your treatment, you will notice your face feeling hot and flushed but this resolves before you leave the office. Most patients will spend the rest of the day at home, but you can return to work the next day. Your skin may feel tight, as if you have been exposed to the sun or wind. You can wear makeup, but you will need to moisturize frequently, and we suggest you avoid strenuous exercise for 2 to 3 days afterwards, since perspiration may irritate your skin.

The degree of peeling will vary according to your skin type. Some people will not experience any peeling, while others may peel for several days to a week. Your fresh, newly exposed skin will be delicate, so apply sunscreen several times a day. Avoid scrubs, AHAs, Vitamin C and retinoids while flaking or peeling.

You will notice a marked improvement in texture in tone after your first peel, but for maximum benefits, you should have 2 Skin TX Peels, scheduled Once a month for 2 sessions. Home care is crucial.

We fully evaluate every patient prior to treatment. If you have a history of facial cold sores, we will prescribe antiviral medication to use before and after the peel.

Who is a candidate for the peel?
We do not recommend peels if you are pregnant or nursing. If you have facial eczema or rosacea, you are probably not a candidate for the actual peel, but you may benefit from the at home products.

What can I expect after the peel?
All patients must commit to the strict protocol following the peel, which will be outlined in your consultation. You will come in for follow-up appointments one, six and twelve weeks after the initial peel. Usually, only one peel is necessary but some patients elect to have a second peel – it can be performed no sooner than one to three months after the first one.

 

Home treatment for Melasma and Facial Pigmentation

This depigmentation treatment consists of Lytera Skin Brightening Complex applied 2 x per day to the face, and Skin Medica retinol complex, applied nightly. The retinol cream can be irritating initially, so we usually advise our Patients to apply it only 1-2 x per week initially, to get used to it, and slowly build up the number of nights per week. It can initially cause redness, dryness, scaling and peeling. After 4 months, you will begin to see a reduction of the melisma. It is very important to wear sunscreen > 30 SPF daily.

Please note that melasma can redevelop, especially if you expose unprotected skin to the sun. It is vital to wear sunblock all the time. The Lytera system can be used on a long term basis, to continue improving your facial complexion. It works well with Skin Medical Essential Serum and Recovery Complex, for further age defying results.

The Lytera system is also an effective treatment following photorejuvenation. One week after your last treatment, apply the products on a daily basis to reduce the likelihood of the pigmentation returning.



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