CHEMICAL PEELS | the good, the bad & my choice peel
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- เผยแพร่เมื่อ 25 มิ.ย. 2020
- / drdavinlim
More on skincare tips & tricks. Updated 3 times a week.
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This video is about chemical peels; the basics on superficial peels & how I employ them.
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AHA peels: Include glycolic, lactic, mandelic, & citric acid. One of the oldest peels, the original AHA peel was made with sour milk (lactic acid) from the days of ancient Egypt. Glycolic peels are originally derived from sugar cane, whilst citric acid peels come from citrus fruits. AHAs require neutralization. OTC creams and lotions are buffered solutions with higher pH compared to clinical grade peels.
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Use: Rejuvenation, pigmentation, melasma, milia, sun damage, sun spots
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Pregnancy safety: Safe in pregnancy, safe in lactation
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Downtime: Nil- AKA lunchtime peels
BHA peels: Salicylic acid is the sole member of the BHA or Beta hydroxy acid group. This is a self neutralising peel, with pseudo frosting that is usually short lived (less than 15-45 min).BHAs are lipophilic with better penetration into the oil-sebaceous glands cf AHA peels. My goto concentrations range from 8 to 30%.
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Uses: Acne, blackheads, congestion, some cases of post inflammatory hyperpigmentation
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Pregnancy safety: Washes, 1-2 % BHA- Salicylic acid are safe. Most specialists will not use BHAs in pregnancy
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Downtime: variable, depending on skin sensitivity & concentration of salicylic acid. Typically 12 -24 hours of redness
Retinoid Peels: Include retinoic acid & high strength retinol. My favourite formulations range from 1-5% in a good skin toned makeup base. Application time varies from 2-12 hours. I like retinoid peels due to their effects on cells, sebum (oil), reduction of c.acnes, exfoliative properties as well as their pigment reducing effects. This peel is flexible - see below.
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Use: Skin rejuvenation, skin pigmentation including melasma, freckles, sun damage, open pores, mild wrinkles, mild to moderate active acne
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Pregnancy safety: Not recommended in pregnancy due to high concentrations of vitamin A
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Downtime: Ideally delayed peeling will be expected, commencing 24 to 48 hours after application. Expect to peel for 1-4 days thereafter. In some cases makeup is hard to conceal the flakes of skin.
Duration of peel will depend on skin sensitivity, retinoid sensitivity, pre peel prep (acetone, AHA primer etc…), as well as the concentration of peel, and application time. My nurses and therapist will guide you as to the expected downtime
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I also use novel peels including Cosmelan & Dermamelan in my practice. Patient selection is critical. These peels can treat some forms of melasma as well as PIH & general pigmentation.
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Dr Davin Lim
Dermatologist, Brisbane,
Australia
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#chemicalpeels #AHAs #BHAs #retinol - แนวปฏิบัติและการใช้ชีวิต
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Omg I’m a esthetician that been studying chemical peel and I love you for this !!!
Love the outline/ overview information. Thank you for sharing. ❤️
Love this video- learned a lot about the kind of peel I need! Thank you so much Dr. Davin!
Thank you for taking time to share your knowledge! Love learning from you
I was hoping you'd address the PIH, since I had some after a TCA peel...since I'm 1/2 Asian, I opted not to do any more, but sometimes wonder if it just takes more sessions to bring the pigmentation to the top and get rid of it.
Do you use sunscreen everyday after done the peel?
This is why it’s important to see a dermatologist for a consultation. What you’re describing could be the result of multiple factors: pigment rising from the deeper layers to the top (appearing darker but certainly beneficial for your skin) or rebound pigmentation due to the inflammation (in which case, perhaps you don’t respond well to more aggressive peels and need to pre and post treat the skin with lightening creams such as hydroquinone).
@@cv7958 I have since been to dermatologist and am on a 6% hydroquinone regimen...still have PIH from the chemical peel which is now almost 2 years ago...
@@LisaMonique you may need tyrosine inhibitors that are not hydroquinone. Check out Dr. V here on TH-cam.
This was really informative! Thank you for sharing your expert view and advice!
You’re my favorite. I watch your videos over and over!
You also my favourite girl because you looking beautiful
You have no idea how thankful I am for your insight. I suffer from deep acne scars and I’m hesitant about peels, lasers etc
Loved this video! Thanks so much for sharing all the great info. I am really enjoying doing weekly mild peels. 💝🎂🦄🎉🌈💝🎂🎉
which one?
Me too!
Mine has citric acid, malic acid, lactic acid & hibiscus extract/acid
Thank you very much doctor, I have my beauty therapist exam soon and you are the one only whom I found to give very clear knowledge of chemical peels, really appreciate 🙏
Best derm on TH-cam 🙌🏼🙌🏼
LOVED this, Dr. Davin! As a 63 yr old who suffered chronic cystic acne until the age of 30 (at which point I underwent 1 round of Accutane with spectacular results) I have used chemical peels from that time forward and really feel that they rejuvenate and have even taken the edge off of some box car scarring...….(not perfect, but acceptable). They give a glow to the skin which I feel is youthful. Could you please talk about TCA and FROSTING. I perform my own mild 15% (?) tca but don't layer because while I like a good peel I want to err on the side of caution.
Really great video! Thank you! I started doing glycolic peels in 2014 - starting very low and working my way up. I took photos before I began and now more recently or five to six years later and there is a major difference in my under eyes lines and wrinkles and texture. It is greatly improved and I was so surprised that something so simple as a even a mild glycolic peel could do so much. Basically my undereye area really aged me and it looks more youthful now than then. So, I really like glycolic peels. And, I am now recovering on day 4 from TCA peel. Hope to have good results. :)
what percentage glycolic do you use? and do you apply it directly to your under eye to address the lines and texture issues? x
@@Deeryluu Hi Cally! I started out really low at 10 or 20% Then, eventually I was doing 50%. I posted a full video on it with details and closeups too if you want to check it out. :) I did very carefully apply it under the eye area and pretty close to the lash line (super carefully).
Dr. Lim's choice chemical peel:
In office - 2 - 4% retinoic acid peel; 1 week before the in office peel, Use an OTC AHA nightly for 1 week to increase effectiveness.
Leave on for 4 hours - 12 hours
Salicylic acid for acne.
NOT AHA peels at home. They need to be neutralized; yes, in office; start at 10% and slowly to work up to 70%.
@@luv2travel2000Thank you 🌸
brilliant Dr Lim, so enjoy your channel x
I follow you here and on IG... thanks as always for the honest and direct content!
I would be curious to hear your thoughts on how the various skin care options work together and when one is more appropriate than another... for example, when should one do dermaplaning, versus hydro facials, versus peels, lasers, etc.
So simple and such precious infos for beginners, thank you 😎👌
I look forward to videos on at home treatments & affordable treatments.
Agree! nothing in my experience has done more for my face than tca peels. And physical sunscreen of course :)
I get a series of three CO2 fractal facials about every year or so, sometimes much longer between and really see and feel the difference in my skin! Soft, young, lovely! Worth the “owie” and the cost.
That was good thank you, your skin looks amazing btw!
I really like the text plug ins.. helps me understand. You never got to talking about the TCA .. and the Jesner.. Also, for a slight film of scaring that you have on your skin, which one of these peels would be best?
I love acid peels, they are amazing!
I saw in the description you are now treating select patients with Cosmelan and Dermamelan. It seems to be really taking off in the U.K. Could you please do an info video on your take on it, if you recommend, success rate, how it’s different than current treatment options, etc?
Such good information. I always appreciate your honest opinions. We are lucky to have someone like you with your education , research, and experience. Thank you! Wondering how TCA is different if it is from retinoic as far as effectiveness for removing lines around my mouth and chin.
I had the Replenix Perfect 10 Peel yesterday. Thanks so much for your video. Great content. (I reside in the U.S.)
Love this video, thank you Dr. Lim!
Honestly, you are the best!
I love Jessner Peels or Jessners + TCA layered. So good!
Would you say Jessner or VI is better?
Love this. When you do the peel on yourself at home, what percentage are you using Dr. Lim? thanks much great video!
Love your honest advice
I’ve been wondering what kind of peel I need this Fall. Thanks for this advice.
Ur the bestt Doctor around ♥️
this dude is pretty handsome
Thank you Dr Davin Lim on this video very interesting ☺️
I liked all the videos you make Dr.Lim.
It is informative and really explains well why and how. It gives us a better perception what is the best choice when it comes to peeling agent.
By the way. Can I ask a request.
We want to see more about the laser treatment you do and the indication you use for.
I am newly graduate cosmetic nurse and everything is new. We want to Learn more about cosmetic or dermatology field :) thank you! More powers
Excellent information- thank you!
Love your channel Dr Lim, wish I lived in Australia! My daughter has some mild acne and she's benefitted from your advice. Thank you so much.
This doctor has legendary status in the acne scar treatment community and that really says something because those people know their stuff better than anyone.
hi could you talk about microblading eyebrows, enhancing lash Line and lips, and other permanent make-up techniques ? Thanks
Amazing personality, knowledgeable, helpful information, handsome, professional !
I find your videos very informative and thank you for taking time to educate your followers. Who would you recommend in sydney to perform chemical peels for melasma and pigmentation on brown skin? Also what is the recommended price for such a treatment?
The volume is too low or is it just me?
Great video tho
Subtitles or pc
it is, i put my headphones in
Thank you for this! Super helpful
Thank you so much Sir. You are my Fav skin guru. Please talk about KPNs and how they could be tamed. Thank you
Thanks Dr Lim,this is fantastic information 👍😊
Perfect and I always like ur videos.
About to do Cosmelan peel, how long after the peel can I start using my vitamin A? Can you do a video on that? Thank you
Hello Dr Lim
Was wondering if you would update us on hair removal? Cheers!
Awesome video u have been a good teacher bless you sir 💪
Is tretinoin okay to use for underarm darkening? Thank you so much for being informative doc!
Thank you,love your videos,very informative 👍
doc, can you do a video on moles (non-cancer) on face. How to remove them? are there any medical procedures or are their creams that can be put to lighten their color.
thanks
Hahaha baby you're looking good
Great video, would a retinoic peel be a good option for glycated skin?
Ive been looking at doing the plasma pen also to help with the fibroblast and collagen is this something you would recommened?
Thank you🙂
Hi I love your videos and thank you so much . It's so reassuring to be able to get professional help .
One question please : do you recommend growth factor drums,if so which ones please . Thanks again take care .Sue uk
please speak of mandelic acid and alternatives for asthmatics in general. thanks
Well your skin looks great so I think your peel of choice is my choice.
thank you!! how often do you recommend salicylic peels for acne? do you continue acne face washes in between sessions?
My esthetician was trying to hustle me when I paid for a 35% TCA peel to buy the "neutralizer peel" to go along with it. Thanks to the knowledge by Dr. DL I avoided that! XD
They may not have been trying to hustle you. Adding a self neutralizing peel on top of a TCA can cause more peeling, and assist with higher results, especially if you are dealing with pigment issues, or textural concerns.
but TCA is a self neutralizer...confused.
@@pdxorbust27 That's my point. I told her why would I need a "neutralizer peel" if TCA is already a self-neutralizing acid. She was silent for a good minute haha
Tell me your experiences with tcl
Great video! Thank you so much!
This was very helpful. Can you do tca next please
Thanks doc 😊what will be the peel of choice for skin of colour
What your thought on retinol peel ? It wouldn’t be as strong as retinoic acid peel but what about its effectiveness on fine line/sun spot etc
Thank you for all the helpfull information!!!
Thank you! So much good info
Thank you for the great info. What do you think of TCA peels?
Hello Dr. Lim. Do you do video consultations? My skin is really sensitive because of all those products I am currently using. I need help really badly! Thank you
This is great information thank you! Is there any information as to the purpose of having a peel?
Great video!
Lets see a video on best practices for reducing the effects of acne scarring
Hello Doctor, would you recommend getting a peel before a laser treatment to improve results?
sir can we dilute nomelon fenol peel if one notices sm mild redness in 1st session?
What are your thoughts on bio-repeels? Thank you for a great video! Very informative!
I know this comment is old but I've just discovered the BienPeel I think it's called. This was after looking into the BioPeel myself. I have zero experience with peels "yet" however I think the BioPeel seems to be too thick of a consistency for the TCA to penetrate through and give any significant result even at 35 %. Granted it has all the other goodies in it but I think the mix of amino acids and squalane etc looks like it blocks a lot the TCA's performances out.
I say this as I watched a couple of underwhelming videos on here where people didn't rate it, or see much difference at all and it got me thinking this may be why.
I’d be interested in at home peels. Are they worth it? Which are the best? And how to work a peel into my routine when I use BP and SA (on alternative days) every morning and retin-A at night FOR acne.
I really like TCA peels.
I’d like to have you review Clarisonic massage firming head that claims to tighten jaw line
What about using led light therapy afterwards? Specifically near infrared and or blue led
Very informative. Thank you.
Hi Docter lin. What do you think about retinoic acid by the ordinary. If not any suggestions on where to buy it
Please make a video on melasma,,,, treatment by lasers
I'd like to know your thoughts on TVA peels. please discuss
I wish he was located in the U.S.A.
The guy is closer to his 50th but looks like he is in his early 30th . Hell yeah he'd be my dermatologist .
I've got melasma and would need your advice about Cosmelan.
Thanks
I appreciate your guidance
Dr Davin Lim what ordinary skincare should be used by those who are affected with eczema? Previously the person used Suubalm product only on the body bcse the person got eczema only on both legs. But now there is no more marks after using Suubalm. Now the person more concern on what to use for the face. Any suggestion from the Ordinary products?
Thanks Doctor, what about green peel please! What is best for dark spots
How to prepare your skin before you do chemical peel? Specially when you use retinol and vitamin c? Thank you doctor!
Thank uou.. can u do a review on The Ordinary peel pls
I’m so confused. I love your channel and trust your word more than anything... I came across a video by platinum skin care that says AHA’s are self neutralizing and that you can just splash water on them or use a baking soda mix to neutralize. A company called Universal Company sells Mandelic acid but when I asked if their neutralizer came with the purchase, they say that Mandelic is self neutralizing?? Are they out of their minds or can it be just the way these companies formulate?
For reference, I’m a licensed esthetician in the state of IL. My training mostly occurred with more natural products but I’m trying to teach myself as much as possible about chemical peels. I want to purchase a 25% Mandelic peel for my legs. I have hyperpigmentation from ingrown hairs and I would much rather use myself as a guinea pig than a client. Thanks Davin 💕
Hey Dr, how come they no longer supply 0.1% tretinoin in Australia? I have to get it made at a compounding chemist now, but a few years ago I could just buy it at the chemist (with prescription of course) any insight into why?
$$$
Agree I can't buy it in Australia even with a prescription any more so I just get it from overseas internet no script necessary.
@drdavinlim could you please release a video if one can use tretinoin cream and salicylic acid wash and how?
Once I heard about PHA acids. I have very sensitive skin with acne so up to now I can't find the right treatement for my skin. Maybe you could say something about PHA acids? I wonder if they can clear blackheads and are good for sensitive skin? Bakiuchol is also a hot topic now.
Hi, I've had several TCA peels and liked them other than the issue of sun sensitivity after. I've recently found out about PRX-T33 which claims all if the benefits of a deep TCA without the down time or issues of sun sensitivity during the summer. Have you used this product or have opinions on the effectiveness of the PRX- T33. Thanks
Atm it seems Prx33 along with the BioPeel and BienPeel seem to be the topic of conversation right now. Although Bio looks too thick for the TCA to penetrate and people don't seem to be having any significant results, which for the price is shocking.
A very important question i hope you really answer ( or anybody who knows what to do). How do i speed up the peeling process??? And also how to get a thick layer not just flacking, but without layering??
Best peel ever is the Perfect Derma Peel. Way better than the retinol peel.
Will You do another video on medium to deep peels?
Is it safe to do a Retinoid peel at home with tret 0.1%? I' ve been using Retinol for years but have never tried Tret
I would like to know this too
Which peeling should I use for the sun damage and sun sports on my cleavage please? I have sensitive skin, thank you
New subscriber! Very informative, I have thick skin using rentional A and Hydroquione 2% medical grade everynight for over a year no redness nothing. Dryer skin no hyberpigminantation, looking for a collagen boost ,brighter and old acne scars and pores. I have no acne. I am looking to start at 20% first what science am I looking for? Any guidance greatly appreciated. Of course I 7nderstand you would not tell me what to use. I will at my own freewill. Just need help in picking the right tca peel matching my target goals. Its late excited to check out all your videos. Thank you so much!
Hi Dr Lin, I’m a big fan of Tretinoin. Does a professional strength retinoic acid peel require neutralizing? Thank uuu
No, he said that in the video.
Do you have information on Halo Lasers, can you do a video on that Laser, pros/cons/contraindications. I’ve been researching lasers vs chemical peels for old acne scars on cheeks and blackheads/enlarged pores and age/sun spots. Thank you in advance I appreciate your videos. :)
Can you talk about fragrance in products and how it relates to skin sensitivity and other topics that go with it? What to choose...? Etc. Thank you for the video.