Articles

 

The Color Blue and Your New Skin

 By Dixie Medford, P.C.C.D.

 Peeling the skin is not new.  Chemical peels are time-honored technique for removing the top layers of the skin to improve the appearance of photo-aged or acne-scarred skin and to diminish the appearance of lines and wrinkles.  Similar procedures have been practiced for hundreds, even thousands of years in the eternal search to stop the aging process.   Cleopatra was well known for using fermented milk on her skin.  A luxurious treatment for her time now translates to a form of chemical peel using lactic acid, one of the AHA acids.  Ancient South American cultures used facial treatments of plant extracts.

 In those days, the results were often unpredictable.  Today, with all of our technology of skin resurfacing, successful peeling with chemicals depends on the peel type and the skill of the technician.  Precise depth control, which is critical, may be difficult, and nonuniform depth of penetration can produce poor outcome or complications. 

 According to Dr. Zein Obagi, a leading Beverly Hills dermatologist, the problem has been the lack of a scientific basis to the understanding and use of peels.  Good results can depend greatly on variables such as patient skin type, skin conditioning, skin preparation, the type and concentration of the chemical used, and post care. 

Light peels, such as glycolic acid, will give a cleaner, smoother skin with a fresher look for four to five days, and then the effect would disappear.   A series of glycolic acid peels will give longer results.  Deeper peels, using different acids or agents, are not suitable for darker skin.  Trichloroacetic acid (TCA), for example, is used to remove wrinkles, sun damage and acne scars from the skin surface.   These peels are usually done by painting acid or solution on the skin until the technician feels that enough had been applied.  Some peels were done mechanically using abrasive devices or promotional exfoliating agents.  There is no way of knowing how deep these peels are going, and therefore, one cannot predict the results.

Dr. Obagi realized the solution to problem was to get the treatment down deep enough in the skin to assist the cells, which are responsible for making elastin and collagen, which keep the skin supple and youthful.  He knew skin varies in thickness, color and consistency.  It can be dark, light, oily, combination or dry, fragile skin, or tough skin.  We have needed a method which could improve texture and tightness of all types of skin.   His research produced the Obagi Blue Peel.

 The Blue Peel is comprised of 15 per cent Trichloroacetic acid, an exfoliating agent, mixed with a special base compound to assist the skin in absorbing it to the correct dept.  The blue color is added to help the technician determine the exact amount to be applied and to ensure it was applied evenly.

 A first coat of between four and five millimeters is applied, followed by a second coat of between four and five millimeters.  Most skin types will require three coats in order to reach the dept needed to make a change.  Up to four coats can be applied to the skin.

 The skin will appear blue during the treatment, but this coloration will be washed off.  There is a mild stinging or burning sensation for a few minutes while the peel is being applied. There should not be any pain during the actual peeling phase of healing.    Healing takes place within seven to ten days, and then normal activities can be resumed. 

The blue peel is a safe, fast, and effective treatment compared to other chemical peels, and it as effective as some laser treatments.  Dr. Obagi estimates about 85 per cent of people with skin problems will benefit from a Blue Peel treatment.

 The cost of a Blue Peel treatment compares favorably with other forms of intensive skin exfoliation.  Laser resurfacing typically cost between $2,500.00 and $5,000.00 and a medium dept peel can cost between $2,500 and $4,000, a standard Blue peel for simple exfoliation will cost between  $300.00 and $800.00. 

Most people looking to repair winkles, acne scars and large pores will benefit from just one treatment.  If the improvement is not as much as hoped for it can be done two or three times until skin reaches its optimum state and then once every few years to maintain it.  I quote Dr. Obagi, “We can prevent these age changes if we go back to correct the skin cell function and make it produce elastin.  85% of people with skin problems will benefit from a Bleu Peel.”               

 

 

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