Dr St John offers two depths of chemical facial peel:
This peel is suited to those requesting a “skin refreshener” as a result of which the skin does not generally take more than three days to heal. There is therefore minimal downtime for those unable to take a week off work. A 15% concentration of trichloracetic acid is used mixed with Obagi blue dye. Peeling is restricted to the epidermis only, the procedure taking about twenty minutes.
This peel will refresh dull skin and will remove superficial blemishes and pigmentation.
This is a medium depth peel. The skin will generally take seven to ten days to heal, so clients will need to take a week off work. A 15% or 20% concentration of trichloracetic acid is used mixed with the Obagi blue dye. Repeated applications are made to the desired depth. Peeling reaches the upper dermis. The procedure takes about forty minutes. This peel will result in the following benefits:
All clients need to use the Obagi Protocols skin regime for at least 3 weeks prior to peeling. The better the skin condition prior to peeling, the faster the healing process afterwards. Darker skin tones tend to need a longer period of skin conditioning prior to peeling. Black skin, for example, needs conditioning for 2 to 3 months prior to peeling.
Clients are advised to stop the active products no 3, 4, 5 and Tretinoin 3 days prior to their peel.
Susceptible clients are advised to cover the procedure with a course of Acyclovir 200 mg five times daily for seven days.
The Obagi Blue Peel is a painful procedure. However, much can be done to lessen the discomfort experienced.
Dr St John offers diclofenac sodium (Voltarol) and paracetamol to be taken with food one hour prior to the procedure. Particularly anxious clients are offered a small dose of diazepam (Valium). Oral morphine salts (Oramorph) can be used to aid analgesia during medium depth peels. Clients receiving anxiolytics or morphine salts are advised in advance that they cannot drive following the procedure.
Dr St John will run through the procedure with you and ask you to sign a consent form. She will repeat the aftercare instructions which are printed for you to take home.
You will be made comfortable on a couch with a convector fan placed nearby. A predetermined concentration of tricholacetic acid peel mixture will be applied in layers until the desired depth is achieved. Time is taken between applications to cool your face with the fan until discomfort eases. When the procedure is complete, your face will be gently cleansed to remove much of the blue dye. It is usual that some of the blue dye will remain, however, until peeling starts to occur during the days following the procedure. You may, therefore, be advised not to plan to take public transport home.
You may notice some swelling the day following a standard peel. You will be instructed to cleanse your face twice daily and to apply a mixture of Obagi action and comfort gel four times daily. This regime should be continued until peeling is complete. The onset and duration of peeling varies according to the depth of your peel. It is important that you do not aid peeling by picking, as this can result in areas of scarring. Peeling must be allowed to progress naturally. Peeling skin can be clipped with scissors but must not be pulled off.
Once peeling is complete you will be advised to gradually reintroduce your Obagi Protocols skin regime with the aid of written instructions. It is common following a standard peel that the face is temporarily pinker than usual. Within a few weeks your usual skin tone returns as you reintroduce your Obagi skin care regime.
Your skin will look its radiant best about 6 weeks following a standard blue peel.
Dr St John will be in close contact with you in the week following a standard peel, to attend to any queries you may have. Provided all goes well, she will arrange to see you six weeks following your peel. At this visit skin maintenance will be discussed. It is not usual to need a repeat standard blue peel within a year. However, clients with, for example, severe acne scarring, pronounced wrinkles, or stubborn pigmented areas may well benefit from a repeat peel. The timing of a repeat peel would be discussed at this visit.
Whether you have a peel or not, the Obagi, Protocols skin regime will optimise your skins condition in the long term. Once your skin has been conditioned, until the desired effects are achieved, by twice daily application of the Obagi products, you are instructed to start a maintenance regime. This involves using the active products (no 3, 4, 5 and 0.05% Retinova) twice weekly according to written instructions which will be given to you. This maintenance regime should be continued long term. However, you may be advised to periodically boost your skin’s health by restarting the twice daily regime for a period of six weeks. Dr St John will discuss the most appropriate long term plan for your particular skin and answer any questions you may have.