The nature of feedback after peeling or other cosmetic procedures most often depends on what expectations the patient came to the doctor with and how they were justified, whether the side effects of the procedure turned out to be excessively severe or too unexpected. Advertising of cosmetic procedures often talks about the absolute absence of side effects, the ease and painlessness of the – and patients come to the clinic with this expectation. In order for the results not to be disappointing, and for the reviews after peeling or any other procedure to remain positive, the doctor must give the patient two important warnings, read more about them on estet-portal.com.
Warning #1: Expected Complications Affecting Peel Reviews
Peelings are among the most popular and frequently prescribed procedures. They work great both for regular skin cleansing and for more specific purposes – are included in complex programs for acne, anti-aging procedures. Peelings may vary in depth – superficial, median, deep, be different in the mechanism of influence on the skin – mechanical, chemical, hardware, etc. But in any case, peeling – this is the removal of the surface layer of cells from the skin, the violation of the stratum corneum, so after it, in any case, it will take time to restore its integrity – rehabilitation period.
The stratum corneum disturbed by peeling during the healing process causes a number of side effects and even possible complications, which are considered absolutely normal and predictable, but can be an unpleasant surprise for the patient. Before peeling, the doctor must warn about the following possible post-peeling phenomena:
Erythema. The peeled area turns red due to the destruction of the smallest capillary endings in the upper layers of the skin, and this is an absolutely normal and predictable phenomenon. The duration of erythema persistence depends on the depth of peeling:
- alpha hydroxy acids – about 3 hours,
- Jessner's Solution – about 2 days,
- TCA – up to 5 days,
- phenol, laser resurfacing or dermabrasion – up to 2 months.
Scaling. The impact of peeling breaks the bonds between the cells of the stratum corneum in order to rid the skin of them. Therefore, it is quite expected that dead cells massively exfoliate. After peeling with fruit acids, peeling is hardly noticeable and disappears within 1-3 days, peeling with trichloroacetic acid causes peeling of large scales for about a week. It is very important not to "help" skin to get rid of dead particles, so as not to cause infection or even more unpleasant complications.
Pigmentation. Against the background of peeling, the areas treated with peeling look darker. On average, after 1-2 weeks, this trouble disappears when the skin is completely exfoliated.
Among the undesirable and atypical, but quite normal and predictable side effects of peeling, we note the following.
Puffiness. The peeling effect increases the permeability of the capillary walls, from which liquid begins to seep and accumulate in the intercellular space. Such edema – a kind of inflammatory reaction, which is especially relevant for areas with thin skin around the eyes and in the neck. This reaction is most typical for peels with retinoids and TCA. Edema occurs, as a rule, on the 1-3rd day after peeling and lasts for several days.
Increased skin sensitivity. Acid-treated areas react sharply to the sun, wind, temperature changes, even touches within 1-2 weeks after the procedure. In some patients, such a side effect may turn into an independent complication – the skin will remain hypersensitive for many months.
Warning #2: Unexpected Complications That Spoil Reviews After Peeling
Some reactions to peeling are not natural, but can be provoked by the mistakes of the cosmetologist, and non-compliance with the recommendations of the doctor on the part of the patient.
Herpetic infection. It develops, as a rule, after medium and deep peels, laser resurfacing. The reason can be both recurrent herpes, which the patient kept silent about, and the reaction of the skin in response to a decrease in immunity after its serious damage. In order to avoid complications before and after the procedure, acyclovir is prescribed, if complications cannot be avoided, a full-fledged treatment will be required.
Infectious complications. As a rule, this is streptostaphyloderma, which can be triggered by a violation of hygiene standards by both the doctor and the patient. It is treated with antibiotics in tablets and ointments.
Scarring. The most unpleasant complication that will require additional long-term treatment. Before the procedure, it is necessary to ask the patient about the tendency to keloid or hypertrophic scars. If such a phenomenon has ever happened, you will have to abandon serious cleansing procedures.
Hyperpigmentation. It happens if peeling was performed on a patient with a predisposition to hyperpigmentation (which is often silent) or with untreated inflammatory processes in the skin. Inflamed cells begin to actively produce melanin during laser or TCA damage.
Mesotherapy with ascorbic acid or additional deep peels will help get rid of hyperpigmentation.
Acne exacerbation. It develops as a response of cells that actively produce sebum in response to deep or medium peeling. At risk – oily skin patients. A complication may appear 2-4 weeks after peeling and is treated with antibiotics.
The listed and some other complications associated with peeling have an extremely negative impact on the aesthetic result, require additional expensive and lengthy treatment. They can be avoided by carefully collecting an anamnesis before the procedure, by asking the patient in detail about all the possible nuances of his state of health that may affect the results of the peeling.
Read also: Acid Peeling: Anatomy of a Chemical Body
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