Q. What is the difference between the SkinMedica Vitalize and Rejuvenize Peels?

A. The Rejuvenize and Vitalize Peels are very similar in composition. The Rejuvenize Peel is deeper and is recommended for more severe skin conditions.

Q. Who can benefit from the Vitalize/Rejuvenize Peels?

A. Indications for both peels include photodamaged skin, fine lines and wrinkles, pigmentary abnormalities, superficial scarring and acne. Upper epidermal defects, such as, melasma can also be improved.

Q. What is the mechanism of skin rejuvenation from a Chemical Peel?

A. Chemical peels produce a partial thickness injury to the skin, the depth of which is determined by the chemical agents. Following the trauma to the skin, the wound healing process reorients the new skin connective tissue. Collagen remodeling is the main reason chemical peels decrease sun damage and reduce wrinkles. Dermal regeneration can take weeks to months. The epidermis, however, heals in a few days giving the skin an improved appearance, more even skin color, smoother texture and a healthier glow.

Q. How long will the effects of the chemical peel last?

A. Aging of the skin is a chronic natural phenomenon. A single peel can reverse some of the clinical and histological signs of aging, but once the skin has healed from the peel, the aging process starts again. Therefore, a daily program of specifically designed products that reverse the signs of aging is necessary to maintain long-term improvement.

Q. What can be expected after the Vitalize/Rejuvenize Peel?

A. Most patients leave the office looking healthy and fresh. Any redness or discoloration can easily be covered with makeup and most activities con be resumed right away. Within 48 hours a mild flaking will occur, and peeling will continue for 2-3 days

Q. Is it safe to have these Peels on a regular basis?

A. Yes. Generally multiple treatments are required to achieve desired results. Subsequent peels may be repeated every 3 to 4 weeks. There is no limit to the number of peels a person can receive as long as improvement continues. The effect is cumulative with

Q. What makes the SkinMedica Vitalize/Rejuvenize Peels helpful in management of acne?

A. One of the active ingredients in these Peels is salicylic acid, which has been used for several decades to treat acne. Salicylic acid is a comedolytic agent. This agent is lipid soluble and therefore penetrates through the sebum of acne-prone skin better than water-soluble acids. Also, salicylic acid has anti-inflammatory properties since it is related to aspirin. In addition, Retinoic acid inhibits sebum production and reduces hyperkeratinization. It helps to unclog the pores and prevent the formation of new papules.

Q. How long after receiving a peel can one be exposed to the sun?

A. Sun avoidance during the recovery period is critical. After the peeling is complete, one can resume regular activities, but daily use of a broad-spectrum sunscreen (SPF 30 or higher) is imperative for maintaining healthy skin.

Q. What results should I expect?

A. Realistic expectations are:

Corrects sun damaged skin,    smoothes fine wrinkles,    reduces mild scarring,    improves irregular   discoloration,    smoothes rough texture, and improves acne conditions.

Unrealistic expectations include:

Cannot remove or reduce broken blood vessels, cannot improve deep wrinkles.    It is also impossible to truly change pore diameter, however, after the procedure, the pores appear less pronounced. This is not a procedure to remove atrophic or hypertrophic scars.