Advanced Skin Peels FAQ

What is a skin peel?

A skin peel is a method of resurfacing the skin. By inducing a controlled wound, chemical peeling agents remove epidermal layers of the skin and stimulate collagen remodelling. This helps to improve hyperpigmentation, fine lines and wrinkles, texture and skin impurities. How much skin they remove and how deep they penetrate will depend on the type of peel used, its strength and how long it is left to activate. There are three types of peel – superficial, medium and deep. These have varying percentages of active ingredients and different pH levels. The percentage indicates how much of the peeling agent is contained in a peel. So a 10% glycolic acid has less glycolic acid than a 30% glycolic acid peel. It is a common misconception that the depth and strength of a peel depends on the percentage of the active peel ingredients but, in fact, it is determined by the pH level. The lower the pH, the deeper the peel. A peel with a pH lower than 2.5 should be carried out by a doctor or nurse and a pH of 1 only by a doctor or surgeon.

Which skin peels are used at Kate Kerr London?

At Kate Kerr London we use SkinCeuticals pharmaceutical grade peels within our facial treatments, the SkinCeuticals Pigment Balancing Masque and Gel Peel. These professional peels are essential for maintaining and restoring the skin’s health and appearance and work synergistically with your home care regime for optimal results.

For a more advanced and targeted skin treatment we use a carefully selected range of Tebitech Enerpeels. Enerpeels have an innovative technology which carries the active peeling ingredients into the skin in an ‘inactive form’ and releases them in the deeper layers of the skin for a more targeted action. This helps to maximise the remodelling of the skin deep down and minimises any undesirable surface effects

What are the benefits of Kate Kerr London’s professional peels?

  • Improve the appearance of hyperpigmentation and dullness by exfoliating surface cells
  • Decrease the frequency of acne breakouts and fade the appearance of post-acne discoloration
  • Help prolong results of professional treatments for more comprehensive results
  • Improve Mild Actinic Keratosis (scaly patches of skin caused by the sun)
The type of peel, the depth of action and whether or not there are added active ingredients, determine the benefits achieved. Below is a list of benefits from the peels selected by Kate Kerr London.

SkinCeuticals Pigment Balancing Mask (40% Glycolic acid and 10% citric acid)

  • Fades dark spots
  • Diminishes fine lines and wrinkles

SkinCeuticals Gel Peel (20% Salicylic Acid and 10% Mandelic Acid)

  • Improves skin tone
  • Increases radiance

Enerpeel MA (40% Mandelic Acid)

  • Suitable for sensitive and hyper-reactive skin
  • Improves skin tone

Enerpeel GA-40 (40% Glycolic Acid)

  • Improves skin tone and texture
  • Improves mild photo-ageing

Enerpeel PA (50% Pyruvic Acid)

  • Improves Mild Actinic Keratosis (Scaly patches of skin caused by the sun)
  • Improves skin ageing

Enerpeel SA (30% Salicylic Acid)

  • Improves skin congestion e.g. blackheads and whiteheads

Enerpeel SA-Chest & Back (30% Salicylic Acid)

  • Improves acne and congestion localized on the chest and back

Enerpeel JR (Jessners)

  • Improves moderate/severe skin ageing
  • Improves moderate Actinic Keratosis (Scaly patches of skin caused by the sun)

Enerpeel Eyes & Lips (TCA 3.75%, 15% Lactic acid 15%)

  • Improves Actinic Keratosis in this area
  • Improves skin ageing

Enerpeel Neck (Pyruvic Acid 30%)

  • Improves Actinic Keratosis
  • Improves Skin ageing

How much skin is removed and how deep a particular peel penetrates is dependent on the type of peel, its strength and how long it is left to activate.

The most common categories are:

Very Superficial – Stratum corneum – mandelic, glycolic, salicylic and lactic acids
Superficial – Epidermal layers – glycolic, pyruvic and salicylic acids, Jessners
Medium Depth – Papillary dermis – glycolic, pyruvic and salicylic, acid, Jessners, TCA
Deep – Reticular dermis – carbolic acid (Phenol Peel), high strength TCA

Healing time and complications are dependent on peel depth. Unlike medium and deep peels, there is little or no downtime with epidermal peels.

The number of treatments required depends on the type of peel used.

To obtain optimal results you must adhere to your recommended skincare regime and be extremely strict with sun protection. Wearing a minimum SPF 50 Broad Spectrum sunscreen daily is highly recommended.

Long term skin maintenance is achieved by continued monthly professional treatments accompanied by a preventative, corrective and protective homecare regime.

SkinCeuticals Pigment Balancing Mask & SkinCeuticals Gel Peel
A course of 4-6 treatments is recommended to obtain desired and realistic results.
Repeated once every two weeks.
Maximum 2 courses per year

Enerpeel MA (40% Mandelic Acid)
4 peels recommended (minimum 10 days apart)
Maximum 2-3 courses per year

Enerpeel GA-40 (40% Glycolic Acid)
1-4 peels recommended (minimum 10 days apart)
Maximum 3-4 courses per year

Enerpeel PA (50% Pyruvic Acid)
1-4 peels recommended (minimum 10 days apart)
Maximum 2-3 courses per year

Enerpeel SA and Enerpeel SA Chest and Back (30% Salicylic Acid)
4 peels recommended (minimum 10 days apart)
Maximum 3 courses per year

Enerpeel JR – Jessners
1-3 peels recommended (minimum 14 days apart)
Maximum 3 courses per year

Enerpeel Eyes and Lips (3.75% TCA, 15% Lactic Acid)
Maximum of 4 peels recommended (minimum 10 days apart)
Maximum 2 courses of this peel per year

Enerpeel Neck (Pyruvic Acid 30%)
3 peels recommended (minimum 10 days apart)
Maximum 2-3 courses per year

Six Weeks Prior to Peel:
Stop any products containing strong vitamin A derivatives eg. Retin-A, AIrol, Renova, Differin (Adapalene 0.1%), Tazorac.

One Week Before Peel:
Avoid electrolysis, waxing, hair removal creams and laser hair removal for an entire week prior to your chemical peel.

24 Hours Before Your Peel:
Stop using any exfoliating products, products that may be drying or irritating including those containing alpha or beta hydroxy acids or benzoyl peroxide (a treatment for acne).

It is very important to use a sunscreen during the course of your treatment (and for four weeks after) to prevent uneven skin tone and excess pigmentation. Do not use any other skin products except those advised by your therapist.

  • Do not use Alpha Hydroxy Acids or Beta Hydroxy Acids on your skin for 24 hours
  • Avoid direct sunlight for at least one month
  • Please avoid strenuous activity for 24 hours
  • Apply a light moisturiser such as SkinCeuticals Hydrating B5 as often as needed to relieve dryness and tightness
  • Do not have any other facial treatment for at least one week after the peel
  • Open wounds, cuts, abrasions, piercings, tattoos
  • Active asthma
  • Cystic acne
  • Pregnancy and breastfeeding
  • Family history of keloids or hypertrophic scars
  • Laser treatments in the last 6 months
  • Family history of developing post-inflammatory hyper-pigmentation
  • Other medical considerations
      No, it is important that your skin is in optimum condition prior to any skin peel. This ensures

 

      optimum and predictable results are achieved through the peeling process.  Please follow the guidelines below before and after your skin peel.

Products and Medications Wait Time (Before or After Peel)
Products with high levels of AHA’s (e.g. glycolic acid)
Salicylic acid – At least 2 weeks
Vitamin A, hydroquinone and retinol – At least 6 weeks
Excessively drying or irritating products – At least 1 week
Oral Retinoids (e.g. Roaccutane) – 6-12 months post medication
(with physician’s approval)

Treatment Wait Time (Before or After Peel)
Electrolysis – At least 1 week
Hair removal chemicals  – At least 1 week
Waxing, depilatories or threading – At least 1 week
Botox or fillers – 2 weeks before or after

Chemical Peels Wait Time (Before or After Peel)
Very superficial chemical peel – 1-2 weeks
Superficial chemical peel  – 2 weeks
Medium chemical peel – At least 4 weeks
Deep chemical peel Not performed very often, – 6-8 weeks may be too soon for some patients – up to the discretion of the doctor

Surgery and Procedures Wait Time (Before or After Peel)
IPL – 2-4 weeks post procedure
Non-ablative lasers – 3-6 months post procedure
Ablative lasers – 3-6 months post procedure
Cosmetic facial surgery – 3-6 months post procedure

  • Open wounds, cuts, abrasions, piercings, tattoos
  • Active asthma
  • Cystic acne
  • Pregnancy and breastfeeding
  • Family history of keloids or hypertrophic scars
  • Laser treatments in the last 6 months
  • Family history of developing post-inflammatory hyper-pigmentation
  • Other medical considerations

The importance of a consultation

Before commencing any skin treatment it is important to have a thorough consultation. ALL skin and skincare concerns will be taken into account before a treatment regime and home care advice is recommended. By visiting Kate Kerr London you can be sure you are getting the most extensive experience across a wide range of treatments to help you achieve the results you are looking for.
Kate’s knowledge and experience as a skin specialist enables her to treat most skin concerns but she will always make the appropriate referrals when necessary.

To schedule your Advanced Skin Peel or to request a consultation please contact us.