- That's right. (chuckles)
You can not (gibbering)
Hi, I'm Michelle Rodriguez dermatologist, again. (popping)
Founder of Chroma dermatology.
But this time we're gonna be chatting
about skin peels in clinic peels versus at home peels.
What you should know and what you should think about.
So I thought before we get into the nitty-gritty,
we should probably have a talk
about what chemical peels actually are. (popping)
So chemical peels are chemical formulations
that are specifically designed to gently and carefully
and in a controlled fashion, exfoliate the skin,
the superficial layers of the skin.
And this does many things that can help acne, (popping)
it can help sun damage, (popping)
it can help fine lines, (popping)
and it can also actually be helpful
to increase the skin's overall luminosity. (popping)
So chemical peels can be really helpful
for blackheads, for acne or inflammatory spots.(popping)
It can be helpful for sun damage, mild wrinkles (popping).
It can also help with mild forms of hyperpigmentation.
So things like freckling or sun damage.
With skin peels, there are multiple different ingredients
that one can use.
And many of these ingredients can be used
at different concentrations.
The most important thing to remember
is that one size does not fit all,
when it comes to chemical peels.
Firstly, chemical peels can be superficial.
They can be medium depth or they can be deep peels.
So the deep peels will have been largely superseded
over the last 10 years by incredible energy based devices,
laser treatments, radio frequency, micro needling (popping)
that do the same or even better job
with minimal to no side effects and downtime.
Medium depth peels, generally speaking
are used for more severe skin issues.
Superficial peels can actually be broken up
into very superficial peels.
Things like salicylic acid, (popping)
citric acid, mandelic acid, (popping)
which do have effects on the very, very top layer
of the skin.
And the most important thing to know
is that the concentration of the peel,
the ingredient that you're using can actually be affected
by what you do to your skin on a regular basis.
So for example, if you're using retinols
or tretinoin, glycolic acid,
either in your moisturiser, in your cleanser
then it can actually increase the concentration
and therefore the depth of penetration
of the peel that you're using.
So if you were thinking about at home peels,
this is a great option for people who are really time poor.
If you don't have time to get into a clinic and you,
you are blessed (spiritual sounds)
with normal skin or very, very mild issues,
then an at home clinical peel may maybe an option for you.
However, you would need to think about a couple of things.
Number one, what's the ingredient (popping)
that's gonna best suit you
and your skin type without causing irritation.
So you'll have to know a little bit about your skin
before you embark on that.
Two, is you really have to think about how you mix (popping)
these ingredients at home.
Because the mixing of the ingredients is critical not only
to the success of the peel
but also to minimise those really nasty
unwanted side effects, burns, scarring, et. cetera.
The third important factor is what are you actually using
on your skin and how is it affecting your skin?
So it's important to know what the ingredients
that you were using does to your skin on a daily basis.
Because what you do before the peel
and what you do after the peel can definitely
affect the pure results.
The very superficial chemical peels are things
like mandelic acid, citric acid salicylic acid.
If we go to superficial peels that penetrate
a little bit deeper, it ends up being things
like salicylic acid at 30%.
If we go a little bit deeper,
trichloroacetic acid at say 10%.
But we can actually go up to trichloroacetic acid
percentages of even 70 or a hundred percent,
when we're dealing with really, really severe
and deep ice pick acne scarring.
So really the concentration needs to be thought out
very carefully, depending on your skin type,
your skin colour, the condition that we're treating
and how much downtime you can or can't afford.
You definitely could do it at home (text popping)
if you've been blessed with normal skin,
if you have a very mild concern, a couple of, you know
blackheads or white heads here or there potentially.
And if you have already have an intimate knowledge
of what your skin type is, (text popping)
But if you have a problem that's more moderate, more severe.
If you have a specific kid's skin concern
and you feel you're not quite sure what your skin type is
or how you might react to appeal,
that's when you need to seek professional advice.
You know, DIY always has more risk and probably less benefit
than an in clinic pill.
Because the in clinic pill,
we can use higher concentrations,
we can mix ingredients,
and stuff that you won't be able to do at home.
If you have sensitive skin,
you really should avoid skin peels, particularly at home.
Okay. Because if you have things like Eczema or Rosacea.
If you have areas of broken skin, so if you pick it,
(popping) your acne, for example,
those areas can actually have that chemical peel
go far deeper than you intended.
Your dermatologists will be able to recommend
how to improve that sensitivity over time.
We'll be able to treat the underlying problem
and then have you become safe,
if possible to have your peel.
Chemical peels,
you won't even see sometimes anything on the skin.
You'll just feel something tingly something frosty.
It's not like putting a clay mask (popping) on your face
where you're literally sort of peel it off
or chip it off at the end.
These are specifically designed to chemically
exfoliate the skin.
The biggest mistakes are just not understanding
your skin type and picking the wrong peels.
So if something is too heavy, a concentration,
or if you have sensitive or broken skin,
Eczema or Dermatitis,
it can create havoc on the skin.
So the potential issues are redness, (popping)
swelling, itching,
irritation, hyperpigmentation, scarring
and of course, worsening of the existing condition.
So in summary, best to have a professional diagnose
and treat your problem
and give you your individually tailored skincare regimen
and skin peel.
So if you have any comments, questions.
Just pop them down below in the comments.
You can watch more fun videos,
if you look this way, or if I look this way.
(laughing)
I'm not sure.
if you click that way, maybe. (chuckles)