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CHEMICAL PEEL of SEATTLE BELLEVUE:

By Beverly Hills Trained, Sir Harold Delf Gillies Awarded Beauty Theorist Dr. Philip Young.

Feel better and have people asking you about your secrets to skin care. Chemical peels can treat hyperpigmentation, sun spots & fine wrinkles. 

See us Shrink Skin with a co2 laser and learn the history of resurfacing (including the use of chemical peels) in the video below:

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Click here to see more Chemical Peel Videos with our Skin Care & Chemical Peels YouTube Playlist!
Chemical Peel Before
Before Chemical Peel to Improve Skin Tone | Appearance and Reduce Sun Spots | Hyperpigmentation
Chemical Peel After
After Chemical Peel to Improve Skin Tone | Appearance and Reduce Sun Spots | Hyperpigmentation

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Chemical Peel Topic Link

Our Featured Chemical Peel Testimonial:

"I'm very excited with the change in my skin in just two treatments! I can’t wait to continue with my regular peels to get the best results with Dr. Young." – Kate H. 20's White Female Corporate Sales Person. Seattle, Washington
Click here to see our Chemical Peels Blog

Here is a link to our testimonials: Aesthetic Facial Plastic Surgery Testimonials


Seattle Bellevue Chemical Peel Experts:

Learn Why People All Over the World Have Chosen Dr. Philip Young and Discover our Beauty Theory Advantage.

Learn the Benefits of Beauty: Are you tired of looking weathered and aged? Do you feel like you've lost the confidence that you've had in the past. Rejuvenating your skin through Chemical Peeling can help you feel refreshed. Feeling better about yourself can sometimes make everything that happens in your life a little bit better as well. Dr. Philip Young who has studied beauty for the past 12 years and who has developed a New Theory on Facial Beauty, knows how beauty can tip things in your favor. Click here to learn more about the benefits of beauty.

Find out why people travel around the world for Dr. Philip Young’s services here: Top Ten Reasons to choose Dr. Philip Young Double board certified Dr. Young received the Sir Harold Delf Gillies Award from the American Academy of Facial Plastic and Reconstructive Surgery for his Theory on Facial Beauty. He uses his advanced knowledge based on this theory and 24 years of higher education and the practice of medicine to bring you the best thoughts & methods on skin care and chemical peeling.


This is our current beginners skin care regime instructions (Click here to learn more about our Scientific Skin Care Regime that incorporates At Home Glycolic Peels:

  1. In terms of the at home glycolic peels you only want to start that on Sunday night once a week. Basically put it on and take it off immediately when you first start using at home chemical peels. You can then increase it by the number of times of week and how long you keep it on your skin. Just be careful not to burn yourself and cause scarring. If in doubt, just put it on and take it off immediately. Don't put any skin products on after the chemical peel. Start these peels first and then add on Retin A and then the Glycolic Cream 10% respectively & slowly as tolerated. Here is a video on doing the At Home Chemical Peels.
  2. Start the Retin A on Wednesday night and only do that once a week as well. You can increase that as tolerated and for each of the products you never want to put it on if you are ever red or irritated. Retin A can make you sensitive to sunlight so it should only be applied during the nighttime.
  3. For the Glycolic Cream 10% or the Rebrightalyzer Kit, do this once a week for starters and do it on Fridays. You can increase that as tolerated but you never want to put it on if you are ever red or irritated.

More on Chemical Peeling

A chemical peel exfoliates the skin's top layers to reveal the softer and healthier skin below. Chemical peels are used to treat a variety of skin conditions, including environmentally damaged/hyperpigmented skin, sun spots, acne, fine wrinkles and more. In many cases, wrinkles caused by sun damage, age and your genetic predisposition can be reduced and eliminated through the use of a series of chemical peels. Irregular skin pigmentation, sun-damaged skin, and even pre-cancerous keratoses may also improve as a result of chemical peels. Because of this effect, studies have shown that chemical peels actually can reduce your chance of developing skin cancers. This is done by removing pre cancerous cells and allowing new cells to resurface your skin. The strength of the chemical peel is determined by each patient's individual skin type and the degree of damage to the skin.


We offer an array of peels with our registered nurses and physicians from the most superficial to the deepest types of peels available, including the 10-20% Glycolic Acid Peels, Jessner's Peels and the Trichloroacetic Acid Peel. We have extensive experience in all types of chemical peels and we have determined that these peels can cover the full range of treatment that chemical peels can do. With these 3 peels we can do the most superficial peels to the deepest types of chemical peels that can be safely done as possible. We can tailor an approach just for you.


Glycolic Peels: For quick superficial peels we can help you with 10-20% Glycolic Peels. Glycolic peels are Alpha-Hydroxy Acid Peels and originate from Fruit. They can be used for conditions like Melasma, Acne, Seborrhea, Photoaging, and Post Inflammatory Hyperpigmentation. These Gylcolic Peels lead to slight redness and will really lead to no significant peeling. The recovery is quick. Glycolic acid peels have antiinflammatory, keratolytic, and antioxidant properties. Glycolic Acids are hydrophillic, meaning that they are more attracted and blend into water. They are less likely to penetrate oily barriers (our skin contains a lot of oil). This property prevents Alpha-Hydroxy Acids from deeper penetration into the skin than Beta-Hydroxy Acids which are lipophillic or oil attracting (Beta-Hydroxy Acids blend in with oil substances and chemicals more). Glycolic Acids attack the desmosomes (the structures that bind cells together) which leads to breakdown of the skin cell's adhesion to each other. This causes the cells to come off your body or desquamate. The depth and intensity of the peel is based on the concentration of the acid, the amount of acid applied, the techniques used, and the medium which it is carried in. You will have slight redness for less than an hour depending on your skin. These are superficial refreshers that when done over time can improve your skin. You can see this effect on something as serious as major acne outbreaks by clicking on this link: Acne Topical Treatment. For stronger peeling we can increase the percentage of the glycolic peel. But after 20-30%, we employ the help of Jessner's Peels below.


Before

After One Year of our Skin Care Approach to treat Active Acne to reduce scarring and improve the appearance of the skin.

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Jessner Peels:

A Jessner's Peel is made up of 14 g of resorcinol, 14 g of salicylic acid (a beta-hydroxy acid) and 14 g of lactic acid (an alpha-hydroxy acid) dissolved in enough ethanol to make a total of 100 cc / ml of solution.


Salicylic Acid: is a beta-hydroxy acid. This chemical is oil soluble and is able to penetrate deeper than alpha-hydroxy acid peels. The connection of epidermal skin cells depends on desmosomes, which contain many proteins, like desmogleins. Salicylic acid attacks these desmosomal proteins. As a result of this, the attachment of epidermal skin cells is broken which leads to the breakdown and removal of progressive layers of the skin. Beta-hydroxy acid peels are able to control sebum production, a major contributor to poor skin issues. Oily skin can be cosmetically unacceptable and can also be uncomfortable for people. Sebaceous glands that are overactive can cause excessively oily skin by secreting and producing Sebum. Sebum is the source for skin's oiliness. Sebum can blocks pores and also serve as a "buffet" for bacteria to flourish and lead to conditions like Acne. Hence, through anti-inflammatory and anti-bacterial properties, Salicylic Acid & Beta-Hydroxy Acids can reduce the bumps and spots from acne and other skin conditions and remove the surface layers of skin to help refreshen your face for clearer skin.


Lactic Acid: is also an Alpha-Hydroxy Acid Peel. It is a bigger molecule than Glycolic Acid and is, thus, thought to penetrate less deep than the smaller Glycolic Acid. They work in the same way and are both treat to a degree dark spots, wrinkles, acne, skin scarring, surface wrinkles, large pores and oily skin.


Resorcinol: Resorcinol is one of the main natural phenols in argan oil (Traditional Phenol peels have been used in the deepest type of peels. Dr Young has performed a number of old fashioned phenol peels during his 16 years of practice. He no longer does Phenol peels in this way but does use Resorcinol in the Jessner's peel). The effectiveness of resorcinol in treating a number of skin conditions is likely related to its antibacterial, antifungal, local irritative, and keratolytic actions. Resorcinol causes protein precipitation which is likely the source of its anti-bacterial and anti-fungal actions. It breaks down the skin like the other hydroxy acids (the exact mechanism is unknown) and this may contribute to the antifungal effect because removal of the top layers of the skin suppresses fungal growth. Resorcinol has been used to treat acne, seborrheic dermatitis, eczema, psoriasis and other skin conditions.


Here is a video of Dr. Young performing a Jessner's Peel for one of his patients:

Trichloroacetic Acid Peels: These peels have been used for over 100 years. One of the fist documented use was in 1882 by Dr. Unna of Germany. In the past, these peels were used in 8-80% concentration. Now most clinicians do not use more than 35%. Some use up to 80% for ice pick scars which we do as well. One of the more popular formulations is the Modified Monheit peel using Jessner's then 30-35% Trichloroacetic acid peels in combination for a medium depth peel. The TCA peels can be used for improving skin tone, fine lines, melasma, hyperpigmentation and facial scarring including acne scarring. This chemical is similar in structure to vinegar. It is the only chemical peel approved by the FDA for treating pre-cancerous skin lesions (Actinic Keratoses). TCA peels causes precipitation of proteins and coagulative necrosis to cell in the skin. As the concentration increases you can get deeper penetration. Knowing the multiple layers of the skin and how they react to the application of the peels allows your doctor to know how deep the peel is getting. It is important to go to someone with experience with chemical peels. We typically like to use 35% TCA with jessner's for a medium depth peel.


Post Chemical Peel Care

For one week before and after your peel, you may be advised to stop using electrolysis, waxing, depilatories, masks, peels or dermabrasion, Tretinoin (Vitamin A creams), Lightening Creams, Hyperpigmentation Skin Products and aggressive cleansing with Loofas. Aggressive skin care using Retin A, Lightening Creams, glycolic creams, etc are to be avoided until 2-4 weeks after your peel depending on how deep the peel is applied. Superficial peels, like glycolic 10-20% peels, need 1-2 weeks before resuming aggressive skin care products. Jessner's peels usually need 2-3 weeks. Medium depth Trichloroacetic Acid with Jessner's peels (Monheit Peel) need 3-4 weeks off after these peels before resuming aggressive skin care. During this pause you are to treat oozing and rawness using our co2 laser protocals. After the crusting, oozing and bleeding stops, you can then use gentle cleansers and lotions (Cetaphil gentle products or Our Own Line by Aesthetic Facial Body Plastic Surgery) during this break from aggressive skin care products. Read more about this below.

You should avoid direct exposure to the sun for extended periods of time for the first week or two, after your peel. You can continue this avoidance for a total of 6 months after deeper peels. During the first two - four weeks post-peel, you should also avoid other activities that would aggravate your skin such as exfoliation or waxing. This can depend on the depth of the peel as we mentioned above with aggressive skin care products.

After a chemical peel you will be instructed to care for your skin much like how we care for our patients after CO2 resurfacing. Here is our patient care packet for our Co2 Laser Resurfacing. You will recover much faster with lighter, more superficial peels while deeper peels will be more akin to the recovery you will have with CO2 laser resurfacing. In general, we advise that you follow the same post procedure care as with CO2 resurfacing until your skin completely epithelizes and show one or all of these signs:

1. stop peeling;

2. stop having oozing and crusting,;

3. or have complete regeneration of your skin that is indicated by pink healthy skin.

We highly suggest that you consider reading all the links on the page on laser resurfacing, especially after a more aggressive chemical peel (medium or deep depth chemical peel). Once you have completely epithelized, you can then start your regular skin care regimen which we usually suggest something like cetaphil gentle cleanser and lotion (or something equivalent). You will want to start slowly on your regular skin care at first and make sure that you are not too sensitive to it initially. Increased sensitivity to your regular products is possible initially. We can suggest some products based on what your skin type is at this stage.

Below are some videos for you to watch. We included CO2 resurfacing to give you an idea of another option for resurfacing for your skin. The type of chemical peels that we do can range from very minimally invasive to significantly deeper. One thing to remember is that the more aggressive you approach the chemical peel, the more results you will get but also the more recovery and more risks.

 

Chemical Peel Before & After Images

Below is a before and after a Chemical Peel Using Trichloroacetic Acid, Jessner’s, Dermasanding for the Cheek and Upper Neck Area:

Before Chemical Peel Trichloroacetic Acid, Jessner's, Dermasanding Cheek
Before Chemical Peel Trichloroacetic Acid, Jessner’s, Dermasanding Cheek
After Chemical Peel Trichloroacetic Acid, Jessner's, Dermasanding Cheek
After Chemical Peel Trichloroacetic Acid, Jessner’s, Dermasanding Cheek

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

 Click here for more Chemical Peel Before & After Photos

If you are interested in scheduling an appointment you can email, call  425-990-3223 (Office) and even text message 425-505-0938 (Mobile) us at anytime. Click here if you would like to find out more about our consultation process. If you live out of town, we can schedule a phone consultation with you and show you how to take the five basic photos you will need. For more information on preparing for your procedure, we have an informative Plastic Surgery Patient Care Page and Wound Care and Scar Prevention PageIf you are having a procedure, it is important to stay off blood thinners and the listed medications to avoid for two weeks before and two weeks after the planned date of your procedure.

 

Chemical Peel Learning Videos by Dr. Young

 Click here for more Chemical Peel | Resurfacing Learning Videos
 Click here to visit our Videos by Dr. Young
 Click here to visit Dr. Philip Young’s Youtube Page

* To reduce the risk of bruising, you will be advised to stop taking fish oil, Vitamin E, herbal medications, supplements, aspirin and anti-inflammatories 1-2 weeks prior to treatment, if possible. Inform Dr. Young of all of your prescriptions, over-the-counter remedies and herbal supplements, oral or topical products, and if you may be pregnant.

Please consult our Patient Care section for more helpful information. You can also read about our privacy policy on the resource page as well.