Generally, fair-skinned and light-haired patients are better candidates for chemical peels. If you have darker skin, you may also have good results, depending upon the type of problem being treated. But you also may be more likely to have an uneven skin tone after the procedure.

Skin sags, bulges, and more severe wrinkles do not respond well to chemical peels. They may need other kinds of cosmetic surgical procedures, such as laser resurfacing, a facelift, brow lift, eyelid lift, or soft tissue filler (collagen or fat). A dermatologic surgeon can help determine the most appropriate type of treatment for you.

Before You Get a Chemical Peel

Tell your doctor if you have any history of scarring, cold sores that keep coming back, or facial X-rays.

Before you get a chemical peel, your doctor may ask you to stop taking certain drugs and prepare your skin by using other medications, such as Retin-A, Renova, or glycolic acid. The doctor may also prescribe antibiotics or antiviral drugs.

Work with your doctor to determine the depth of your peel. This decision depends upon the condition of your skin and your goals for treatment.

Ask your doctor in advance whether you will need to have someone drive you home after your peel.

How Chemical Peels Are Done

You can get a chemical peel in a doctor’s office or in a surgery center. It’s an outpatient procedure, meaning there’s no overnight stay.

The professional who does your peel will first clean your skin thoroughly. Then they will apply one or more chemical solutions — such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbolic acid (phenol) — to small areas of your skin. That creates a controlled wound, letting new skin take its place.

During a chemical peel, most people feel a burning sensation that lasts about five to ten minutes, followed by a stinging sensation. Putting cool compresses on the skin may ease that stinging. You may need pain medication during or after a deeper peel.