Chemical Peels for Acne Scars

Chemical peels improve the appearance of acne scars by using a chemical solution to remove the outer layer of old skin. The new skin that replaces it is usually smoother and less scarred in appearance.

Before and after Tazarotene, hydroquinone and salicylic acid chemical peels for treatment of acne and post-inflammatory hyperpigmentation

Photo courtesy by Pearl E. Grime, MD - Los Angeles, California

Chemical Peel Benefits

Chemical peels are a good choice for fair-skinned individuals.

Chemical Peel Risks

  • Temporary or permanent change in skin color, particularly for women on birth control pills who subsequently become pregnant or have a history of brownish facial discoloration.
  • Scarring
  • Reactivation of cold sores.

What to expect after the procedure

Afterward, patients experience a reaction similar to sunburn in the treatment area. Patients may experience:

  • Redness, followed by scaling within three to seven days.
  • Swelling.
  • Blisters that will crust, turn brown and peel off within seven to 14 days following medium and deep peels.
  • Bandages over the treated areas for several days.

Chemical peel patients should avoid the sun for several months following a procedure. Light peels may be repeated in one- to four-week intervals. Medium-depth peels may be repeated every six to 12 months.

How to prepare for the procedure

Before the procedure, the patient and ASDS dermatologist should discuss expectations, potential risks and outcomes of the procedure. Patients should also:

  • Discuss their skin condition and treatment goals in order to determine the depth of chemical peel.
  • Reveal any history of scarring, persistent cold sores or facial X-rays.
  • Avoid any medications or supplements that an affect blood clotting – such as aspirin, ibuprofen or vitamin E – for 10 days before surgery.
  • Avoid using medications such as Retin-A, Renova or glycolic acid.
  • Determine in advance whether they will need someone to drive them home following the procedure.