- Chemicals peels can be risky. Therefore, choosing and consulting with a skilled, reputable plastic surgeon ensures the procedure will be performed to its utmost potential. Discuss beforehand what you should expect during and after the procedure, such as how much downtime is involved and if anesthesia is required. Ask your doctor which peel level s right for you: mild, medium (both of which usually use TCA or AHA) or deep (usually uses phenol and has a much longer recovery time). Ask to see photos of pre- and post-peel faces, so you can get a realistic expectation of skin improvements. Also, those with a history of herpes/cold sores should tell their physician prior to the procedure.
- Use Retin-A starting two to four weeks prior to the peel. This helps thin the skin, allowing the TCA or phenol to penetrate deeper. Once a day is enough; applying more often could irritate skin. If you are sensitive to Retin-A, use an AHA product instead. Very blotchy skin may benefit from the use of a bleaching agent, such as hydroquinone, before the peel procedure.
- Prepare yourself ahead of time for the after-effects of the peel. Arrange for someone to drive you home and help you out for a few days, especially if you're having a deeper peel. Arrange for a few days off work; you will probably not want to go in with half your face red and the other half peeling. Those undergoing deeper phenol peels may consider taking at least a week off. Also, check with your doctor about what you'll need post-peel and stock up beforehand. Examples include anti-inflammatories, vinegar (often used as a rinse) and emu oil (good post-peel face moisturizer).
