Skip to content 
Chemical Peels
Chemical Peels
The TCA Peel brings about a significant improvement in skin rejuvenation. In this procedure a chemical peeling agent TCA (Trichloroacetic Acid) is applied to the skin. Application of the peeling solution on the skin initiates the peeling process and causes the top most skin (dead layer of skin) to slowly peel off. In a few weeks a healthier skin replaces the old skin. This procedure is one of the safest available for skin rejuvenation, however, medical treatment is not an exact science and the degree of improvement is variable. For maximum improvement patients may need more than one TCA Peel or other procedures.
Who Can Benefit
- Individuals with pigment irregularity over the entire face.
- Individuals with sun spots or “liver spots.”
- Individuals with fine wrinkling.
Goals Of A Chemical Peel
- More uniform skin tone and improvement of fine and moderately deep wrinkles.
- Skin that is clear of sun spots and “liver spots.”
- Improved self image.
Peel Options
The suitability of chemical peel for an individual is determined during the office consultation. All procedures have risks. Minor complications occur occasionally. Major complications are quite rare.
PEEL TYPE: TCA 30%
Problems Addressed: Pigment Irregularity, Sun Spots, Fine & Deep Wrinkles
Depth: Superficial Reticular Dermis
Anesthesia Requirement: IV sedation or regional blocks
Days of Peeling: 8-12
What to Expect at your Consultation
Drs. Perrotta and Luppens and Dr. Kerestes will devote as much time as necessary to discuss your individual goals and needs with you. After a focused physical examination, your surgeon will provide preliminary recommendations and explain what you can expect from surgery.
Once your surgeon determines his surgical plan, our aesthetic coordinator will produce a written quote, which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit.
Pre-Op Visit
Much is covered during your pre-op visit. First, one of our highly trained medical assistants will take pre-op photos. Next, your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. Note that all procedures involve some risk, but major complications are rare. Dr. Perrotta or Dr. Luppens and Dr. Kerestes will then obtain a more complete medical history from you and perform a final pre-op physical examination, including a check of your vital functions to ensure that you are physically fit for surgery. All informed consents for surgery will be filled out at this appointment and final payments are due at this time. You will be notified 24 hours prior to your surgery with your arrival time.
Preparation
For optimal results, patients should be on Retin-A and Hydroquinone for at least three weeks prior to a chemical peel. The Retin-A thins the keratin layer of skin and thereby ensures a deep and more uniform penetration of the peel. Retin-A should be discontinued three days prior to the peel and restarted three weeks after the peel. The Hydroquinone lowers the risk of pigment irregularities following the peel, which is critically important for individuals with darker skin. Hydroquinone should be discontinued the day before the peel and restarted two weeks after the peel.
Patients with a history of fever blisters should start a prophylactic anti-viral medication prior to the day of the procedure. On the morning of the procedure, the patient should thoroughly wash her/his face and refrain from applying any kind of cream or make-up.
The Procedure
First, we apply IV sedation, if needed. We cleanse the face of all make-up and natural oils. Next, we apply regional blocks, if needed. We then use a marking pen to divide the face into aesthetic units. Next we apply one or more passes (coats) of the peel. The entire process takes twenty to thirty minutes. Cold packs and fanning are used as needed.
Post-Op Recovery
The skin is pink for several weeks. The pink hue could be covered with make-up. Two weeks following the peel, all patients should start re-applying hydroquinone cream. Three weeks following the peel, all patients, except those with Rosacea, should resume re-applying Retin-A.
Rosacea patients should select a different form of exfoliant. To maintain the beautiful results of a chemical peel, we advise patients to start or continue a skin care program approved by their plastic surgeon.
FAQ’s
Who is a good candidate?
Individuals with pigment irregularities, sun spots, liver spots, and fine to moderately deep wrinkles are good candidates for a TCA chemical peel. This treatment can also benefit those looking to improve skin tone and texture.
When will I see the results?
Initial peeling occurs over 8-12 days, when old skin layers shed, revealing newer, healthier skin underneath. The skin’s appearance will continue to improve over several weeks as it heals and rejuvenates.
How long do the results last?
Chemical peels can produce long-lasting results, especially with proper skin care and sun exposure prevention. It may be necessary to repeat treatments periodically to maintain the benefits.
What should I do before and after?
Before the procedure, it’s recommended to use Retin-A and Hydroquinone for at least three weeks to prepare the skin, discontinuing these three days and one day before the peel, respectively. After the peel, avoid sun exposure and follow all post-care instructions, including Hydroquinone and Retin-A (resuming two and three weeks after the peel, respectively), to manage pigmentation and support skin healing.
Is there any downtime or side effects?
Peeling lasts 8-12 days and may cause redness, sensitivity, and pink skin. Protect the skin and follow aftercare instructions to minimize complications.
What can I expect?
A chemical peel will be assessed during consultation. If proceeding, the TCA solution is applied in controlled passes. The procedure takes 20-30 minutes, and discomfort is managed with cold packs. Specific skincare products aid in healing and maintaining results. Follow-up visits ensure proper recovery and satisfaction.
Take the first step to becoming the best version of yourself.
In downtown Salisbury, Maryland, conveniently located 2 hours outside of Baltimore & Philadelphia is the main office of Peninsula Plastic Surgery, a truly comprehensive plastic surgery center.
Contact US
This form should not be used in the event of an emergency, please call 410-546-0464 for the physician on call or dial 911.
Salisbury
- 314 W. Carroll St. Ste #1
Salisbury, MD 21801 - Phone: 410-546-0464
- Fax: 410-546-8529
Millsboro
- 30265 Commerce Dr. Ste #208
Millsboro, DE 19966 - Phone: 302-663-0119
- Fax: 302-663-0120
Berlin
- 124 N. Main St. Ste B
Berlin, MD 21811 - Phone: 410-449-3993
- Fax: 410-449-3992
