Chemical Peel

• Chemical Peels requires no special pre-peel skin preparation.
• Patients using a skin care regimen of retinoids should discontinue use for 3 days prior to treatment.
• This product is suitable for all skin types and ethnicities, and on all areas of the body. However, the face, neck and chest are the areas most commonly treated.

CONTRAINDICATIONS

• Patients who are pregnant or breastfeeding
• Patients with an allergy to any peel ingredient listed above, or to aspirin
• Patients who have used Accutane within the past 4 months
• Patients who have open wounds, sunburn, infected skin, cold sores or lesions.
• Patients with a history of cold sores (herpes simplex) may be given an antiviral 3 days prior to the peel.
• Patients who have recently had treatments such as waxing, electrolysis or chemical exfoliants.
• Patients who are undergoing chemotherapy and/or radiation therapy
• Patients with a history of an autoimmune disease or any condition that may weaken the immune system

Please Note: Do not peel more than two body areas in one session, do not use more than two vials of product in any one session.

Days 1 – 2:

• The treated area will feel tight and may appear slightly darker.
• The day of the peel application is “Day 1.” The peel solution should remain on the treated areas for at least 6 hours.
• During the first 6 hours, do not wash, touch, rub, or apply make-up to the treated area.
• The Perfect Derma Moisturizer with 1% hydrocortisone (included in Patient Home Care Kit) may be used after 6 hours if:

1. The skin feels excessively irritated
2. Patient is Fitzpatrick Type 4-6 or has melasma or hyperpigmentation
3. Either Perfect Derma booster was added to the peel treatment

• If you are not experiencing any irritation or discomfort, the peel solution can remain on until your evening cleansing or it may be left on overnight.

Day 2 (AM):

• Gently wash and dry the treated area.
•  Vigorously apply the 1st Post-Peel Towelette to the treated areas. Let dry thoroughly. Towelette solution should be left on for 30 minutes before applying an SPF 30 or above.
• Make-up may be applied if desired.

Day 2 (PM):

• 30-60 minutes before bedtime, gently wash and dry the treated area.
• Vigorously apply the 2nd Post Peel Towelette to the treated areas. Leave the solution on overnight.
• If you are experiencing excessive irritation or discomfort, apply a small amount of The Perfect Derma Moisturizer 2-3 times daily. You may also apply a cold compress against the irritated area for relief. If there is no significant irritation, do not use any moisturizing products on the treated areas until peeling begins (usually Day 3).
• Avoid excessive sweating, sauna or heavy exercise during peel process.

Days 3-6: Peeling generally begins on Day 3.

• After peeling begins, apply The Perfect Derma Moisturizer (included in the Patient Home Care Kit) to the treated areas 2-3 times a day to control the peeling and relieve the tightness. • This moisturizer should be used for 1-2 weeks for Caucasian patients and 2-3 weeks for Asian, Hispanic and African American patients. If The Perfect Derma Moisturizer runs out, a 1% hydrocortisone cream may be substituted.
• Do not rub, pick or pull on the peeling skin, let the peeling occur naturally. Rubbing, picking or pulling may cause scarring.
• Gently wash (do not scrub) and dry the treated area morning and night, and apply The Perfect Derma Moisturizer as needed.
• An SPF 30 or above should be applied every 2 hours during sun exposure.

Days 7 and After: The peeling process is generally complete.

• Mild sloughing may still be occurring in some treated areas.
• Continue to protect the skin with an SPF 30 or above.

Please do not hesitate to call the office with any questions or concerns at 567-560-5558.