Micro Peel
• What is a micro peel and why is it done?
• When is a micro peel done?
• What are the ideal candidates for a micro peel?
• What are the risks and complications associated with a micro peel?
• What are the preoperative procedures in a micro peel?
• How is a micro peel done?
• What are the post treatment symptoms and procedures?
• What are the recuperative guidelines to be followed?
What is a micro peel and why is it done?

A micro skin peel, is a cosmetic non-surgical procedure to treat

  • Acne prone skin
  • Pigmentation
  • Environmentally damaged skin
  • Fine lines/wrinkles
  • Areas of dryness

by peeling away the skin’s top layers, using AHAs (alpha hydroxy acids) such as glycolic, lactic or fruit acid.

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When is a micro peel done?

A micro peel is done when the following are present

  • Acne prone skin
  • Pigmentation
  • Environmentally damaged skin
  • Fine lines/wrinkles
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What are the ideal candidates for a micro peel?
  • Candidates who are physically healthy, psychologically healthy and have realistic expectations from the procedure
  • Candidates who wish to enhance their appearance
  • Candidates who seek improvement rather than perfection
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What are the risks and complications associated with a micro peel?
  • Scarring, infection or abnormal pigmentation.
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What are the preoperative procedures in a micro peel?
  • During the initial consultation, the expectations as well as the complete medical history of the patient are understood
  • Photographs are taken for further comparison after procedure.
  • A careful history and physical exam of the face will be done to determine the skin type, skin thickness and degree of wrinkling and whether the treatment is the right decision.
  • The doctor discusses and advises on options of anaesthesia, type of facilities, various techniques and cost with the patient.
  • A small “test spot” may be peeled to get a better idea of the results, especially for people with darker skin.
  • The doctor provides guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications
  • The patient must be free of skin infections, including acne and any type cold sore, especially herpes simplex sores.
  • Two to three weeks before the peel, the patient will need to begin preparing the skin by cleansing it twice a day, applying a special moisturizer or cream once or twice a day, and using sunscreen every day.
  • The patient may be given a short course of medication (such as acyclovir) a few days before the peel to prevent viral infection.
  • The patient must not take Acutance for twelve to 18 months before treatment, depending on the doctor’s specifications.
  • The patient must limit exposure to the sun for at least a month before undergoing the peel.
  • The patient must arrange for transportation and assistance.
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How is a micro peel done?

No anaesthesia is needed for AHA peels since they cause only a slight stinging sensation during application.

  • The skin is thoroughly cleaned by rubbing alcohol or acetone to remove any traces of grease.
  • The AHA solution is applied to the area to be treated (avoiding the eyes, brows and lips) using sponge, cotton pad, swab or brush.
  • The chemical is left on the skin for 2 to 7 minutes, depending on the type of chemical used.
  • Water is used to neutralize the acid and end the chemical reaction and wiped off.
  • A slight burning sensation is felt while the chemical is on the skin. A handheld fan can help cool the skin and relieve any discomfort.

The procedure takes lesser than 10 minutes

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What are the post treatment symptoms and procedures?

The treatment is done as an outpatient procedure.

  • Temporary flaking or scaling, redness and dryness are seen
  • Immediately following the micro peel, the patient can apply makeup and return to usual activities.
  • Most will have no outward evidence of the peel, but those with fair skin may have a red complexion for a day.
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What are the recuperative guidelines to be followed?
  • Patient can immediately resume normal activities.
  • No covering or after-peel ointment is necessary.
  • Sun block must be used
  • Six peels are required at two week intervals to achieve optimal results
  • Following the first six peels, the patient must continue using skin care products regularly at home and have maintenance peels every two to three months.
  • AHA can be mixed with a facial cream or wash in milder concentrations as part of a daily skin-care regimen.
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