Peelings penetrate to varying depths. With deep, medically indicated peels, the doctor treats UV damage, wrinkles, and acne scars. To ensure that handling the strong acids doesn't cause skin damage, great clinical experience is required.
For a medical peel, the doctor uses fruit acids (alpha-hydroxy acids, AHA) or trichloroacetic acid in concentrated form to make them more effective. The skin is gradually accustomed to the acid so that it is not too irritated. Starting at ten to 30 percent, the doctor increases the concentration weekly by ten percent to 50 to 70 percent. How deep the acid penetrates depends on the type and concentration of the acid and the duration of application.
For people prone to herpes, herpes prophylaxis with acyclovir is recommended. People with atopic dermatitis prevent skin infections with antibiotics. If used incorrectly, the acids lead to burns with scarring and pigmentation disorders.
The treatment can Skin irritations, Redness or a feeling of tightness. Depending on the chosen acid, the skin may be covered with a fine crust for up to two weeks. The effect can last one to two years. After the treatment, the skin is very sensitive and should not be exposed to direct sunlight. Even with this precaution, intensive sun protection is recommended for at least three months.