With a peeling, products are used that soften the top layer of dead horn cells on the skin surface. As a result, these dead skin cells flake off and fresh and young skin cells underneath become visible. In addition, a peeling stimulates the production of collagen and elastin, which causes connective tissue rejuvenation. This treatment is used to smooth rough skin or to correct the structure of skin (damage by the sun). A peeling reduces the number and severity of wrinkles and color differences and will even out the skin as a whole. It gives a strong refreshing effect.
Types of peelings
There are a lot of possibilities when choosing a type of peeling and its strength. Our skin therapists use different types of peelings, ranging from superficial, with a short recovery period, to medium-deep peels that show very clear results, but often have a longer recovery period.
Which indications can be treated?
- Acne en acne scars
- Pigmented spots and aging spots
- Large pores
- Coarse skin texture
- Scars (burns)
What can be treated with a peeling?
With a peeling, the top layer of the skin is removed with the help of liquids that are applied to the skin with a brush or gauze. These active ingredients soften the epidermis, after which the dead skin cells flake off. In addition, a peeling stimulates the production of collagen and elastin, which causes connective tissue rejuvenation. A peeling minimizes the number and severity of wrinkles and color differences and will even out the skin in its entirety. Peels are also used for acne, large pores and scars.
What can't a peeling do?
A peeling can not minimize folds in the skin due to excess skin. The peeling can minimize the appearance of scars but it can’t make them disappear. Brown pigmented spots can’t always be minimized with a peeling; for these spots we use the pigment laser. Dilated blood vessels will remain visible. For these we have the vascular laser, which can reduce couperosis and diffuse redness.
What types of chemical peels do we use?
There are several possibilities in the choice of the ingredients and their strength. The ingredients we use include natural products such as lactic acid and fruit acids. Mild peelings often are performed in a cure and will give results after 4 to 6 weeks. They have a relative short recovery period. Deeper peels give faster results after 1 to 4 treatments, but often do have a longer recovery period. The desired depth of the treatment and the intended effect of the treatment determine the choice of the product.
– Power Pumpkin Resurfacer
– ZO Stimulator Peel
– MeLine Azelaic Acid Peel
– ZO 3-Step Peel (10% TCA)
– SkinTech Easy TCA Pain Control Peel (15% TCA)
– SkinTech Easy Phen Light (15% Phenol / 8% TCA)
– TCA Cross (40% TCA)
Power Pumpkin Resurfacer
This peeling contains salicylic acid. Salicylic acid is particularly suitable for acne because it dissolves sebum and prevents clogging of the sebaceous gland. It has an anti-inflammatory effect and the skin will be less red after a few treatments. We recommend to also use salicylic acid at home with the treatment products we offer. The concentration has to be at least 2% to be effective. It is best to combine salicylic acid with benzoyl peroxide. This is called the “golden duo” for acne and has been scientifically proven to be effective.
ZO Stimulator Peel
The ZO Stimulator Peel is a peeling based on glycolic acid, lactic acid and citric acid. These acids have an exfoliating, anti-inflammatory and stimulating effect on the skin. Glycolic Acid is able to penetrate deep into the skin and do its job there and improves cell renewal. The ZO Stimulator Peel gives the skin a boost without a recovery period. After the treatment you will not have any flaking of redness. Due to this peeling, the skin is better able to retain its moisture, making it also very suitable for dry skin. This peeling is also suitable for pregnant women because it doesn’t contain salicylic acid!
MeLine Azelaic Acid Peel
Meline include ingredients as tranexamin acid, kojic acid and arbutin, which allow access pigment to flake off. These substances also inhibit pigment production, which prevents the formation of new pigment. It is a peeling that will be combined with products to use at home.
The ZO 3-Step Peel (10% TCA)
A TCA peeling evens out the skin. In addition to TCA, the 3-Step Peel also contains 17% salicylic acid, lactic acid and retinol, and is therefore good to use for (residual) acne. It reduces acne scars, fine lines and pigmented pots. TCA has a strong corrosive effect. Due to the combination with salicylic acid, the TCA continues to work in the deeper layers. The skin needs a few days to recover.
SkinTech Easy TCA Pain Control Peel (15% TCA)
This TCA peel is used to make gray and blotchy skin more even. It reduces the number and severity of wrinkles and color differences and is extremely suitable for improving the texture of sun damaged skin. TCA peels are also used for (acne) scars and large pores. A TCA peel gives a strong refreshing effect. The skin will become more radiant, smoother and more youthful again. This peeling is being done in 4 treatment repeated weekly. The skin needs a few days to recover.
SkinTech Easy Phen Very Light (15% Phenol / 8% TCA)
The Phenol peel is the strongest peel that we apply and is mainly used to improve the overall skin texture, refine coarse skin and (acne)scars and provides a lifting and tightening effect. It reduces fine lines, wrinkles and will even out a botchy skin, also by adding 8% TCA. In combination with the SkinTech® treatment creams and the clear treatment protocol, this deep peel for progressing skin aging can be safely performed. The skin need a few days to recover.
TCA Cross (40% TCA)
The TCA Cross technique is a technique where we apply a high dosage of TCA in (acne) scars. This technique is mainly suitable for the so-called “icepick” scars.
During the first intake we will determine which peeling will be most suitable for your skin and your wishes. Peelings are advised in a cure, supported by the right products at home, to achieve the optimal results. The support includes products that contain high concentrations of active ingredients, a day cream with protection agains UV-radiation and products aftercare. If you regularly suffer from a fever blister, we ask you to report this.
Prior to the treatment, you should properly cleanse the skin at home and do not apply any creams or make-up. The treatment will take 20 to 45 minutes The skin therapist will cleanse your skin and applies the peeling. The more often you have a peeling, the percentage of the peeling will increase. There is a slight burning sensation upon applying. After several minutes the peeling may be neutralized and, if necessary, a protective cream is applied.
The duration of the recovery process after a treatment is mainly determined by the strength of the peeling. With a mild peeling, some redness will be visible after the treatment, sometimes with some swelling. You can resume all daily activities immediately after the treatment. In the days after the treatment, flakes or a scab sometimes appear. You should not peel off skins or crusts, these should fall off gradually and spontaneously. After the treatment, you should not expose the skin to the sun or solarium for 3-6 weeks, depending on the depth of the peeling. Apply a sun protection product (minimum SPF 30) every 2 hours, even when the sun is not shining. Sun exposure can cause dark or white spots. You can apply make-up again 1 hour after the treatment. Lycogel is a restorative, caring camouflage with SPF 30 and can be applied immediately afterwards. If you use a bleaching cream or local acne medication, you should discontinue these 2 days in advance and resume 3 days after the peeling.
With a TCA or Phenol Peeling you have to count on a recovery period of 5 to 10 days. The skin looks red and swollen immediately after the treatment, comparable to a serious sunburn. If you suffer from a burning sensation, you can still cool the skin at home with a wet cloth. Gently pat the skin dry, do not rub. In the following days, the skin may feel tight and change to a darker color. The flaking and peeling occurs about 2 days after the peeling. It is absolutely forbidden to rub, scrub, pull or pick at loose skins. Otherwise, infections, dark spots, and possibly scarring may result! The first day you should keep the skin dry and wash only with water. In the following days, you should frequently rub the skin with the recommended cream until the skin has completely healed. After the treatment you should not expose the skin to the sun or tanning bed for 6 weeks. Apply a sun protection product (minimum SPF 30) every 2 hours, even when the sun is not shining. Sun exposure can cause dark or white spots. If you use a bleaching cream or local acne medication, you should discontinue these 2 days in advance and resume 3 days after the peeling. Avoid waxing or waxing for 7 days after treatment.
During the first intake we will inform you about the result you can expect.
We always recommend peels in a cure. Mild peels require an average of 4 to 6 peels to achieve the desired result. For deep peels we recommend 1 to 4 treatments. After this, the skin must be maintained, usually one treatment every 2 to 6 months is sufficient.
We treat once every 2 tot 12 weeks.
Sometimes a peel of the face can be reimbursed by your health insurer from the supplementary insurance. This depends on the indication; such as acne or pigment. You can obtain information about this from your own health insurer. Huidkliniek Twente is affiliated with the "Nederlandse Vereniging van Huidtherapeuten" and all of our skin therapists are registered in the "Kwaliteitsregister Paramedici". You will always receive a quote in advance during the intake. Click here for more information about reimbursements.
BEFORE AND AFTER RESULTS PEELINGS