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What are the side effects of chemical peels?

Published in Cosmetic Procedures 2 mins read

The side effects of chemical peels range from temporary and mild to more serious and potentially permanent. Here's a breakdown:

Common, Temporary Side Effects:

These are frequently experienced after a chemical peel and typically resolve within a few days to weeks.

  • Redness: Skin may appear flushed or red after the peel.
  • Dryness: Peeling and flaking are common as the skin regenerates.
  • Stinging or Burning: A temporary stinging or burning sensation is normal immediately following the procedure.
  • Slight Swelling: Mild swelling can occur, particularly in the treated areas.
  • Sensitivity to the sun: Increased photosensitivity is a common side effect, making diligent sun protection crucial.

Potential Risks and More Serious Side Effects:

While less common, these side effects require attention and, in some cases, medical intervention.

  • Changes in Skin Color (Hyperpigmentation or Hypopigmentation): The skin can become darker (hyperpigmentation) or lighter (hypopigmentation), especially in individuals with darker skin tones. This can sometimes be permanent.
  • Scarring: Although rare, scarring can occur, particularly with deeper peels.
  • Infection: Chemical peels can increase the risk of bacterial, fungal, or viral infections, including herpes simplex (cold sores).
  • Cold Sore Reactivation: If you have a history of cold sores, the peel may trigger an outbreak. Antiviral medication may be prescribed beforehand to prevent this.
  • Permanent Loss of Tanning Ability: Deep peels can damage melanocytes, leading to a permanent inability to tan in treated areas.
  • Cardiac Irregularities: Deep peels use carbolic acid (phenol), which can potentially damage the heart and cause an irregular heartbeat. These peels require careful monitoring.

Minimizing Risks and Side Effects:

  • Choose a Qualified Professional: Ensure your chemical peel is performed by a dermatologist, plastic surgeon, or licensed aesthetician with experience in chemical peels.
  • Follow Pre- and Post-Peel Instructions: Adhering to your provider's instructions is critical for optimal healing and to minimize complications.
  • Sun Protection: Strict sun avoidance and diligent sunscreen use are essential both before and after the peel.
  • Proper Skin Care: Use gentle, hydrating skincare products recommended by your provider to aid in healing.
  • Inform Your Provider of Medical History: Disclose any history of cold sores, skin conditions, or other medical issues to your provider before the procedure.