Chemical peeling and alternatives



Chemical peeling (peel, peel, remove) and its alternatives are an effective treatment for:

  • wrinkles caused by excessive exposure to the sun
  • by mild to moderate scars
  • different types of acne
  • improving the appearance of the skin with visible spots and loss of shine and
  • changes caused by ageing.

In many cases, this treatment is the first step towards maintaining a youthful appearance of the skin.

Today, we use various preparations are that have a superficial, medium-deep and deep effect on the skin layers, depending on the severity of the problem. Generally speaking, deeper peeling gives a better and longer lasting effect, on the other side milder forms of peeling lead to faster recovery, but also a shorter effect.


Chemical peeling is usually performed as a minor surgical procedure. Smaller areas of the skin do not require anesthesia, while chemical exfoliation of the whole face requires milder sedation and local anesthesia.

Prior to the procedure, the skin is thoroughly cleansed with an antiseptic liquid that removes all impurities and prepares the skin for the penetration of the active substance. Secondly, doctor applies the exfoliating solution with an applicator. Following this step, a burning sensation lasts 20-30 minutes. At the end of procedure, we apply an antibiotic cream or ointment to protect the skin and keep it moist.

In about 10 days, there is a change in the skin that takes on a pink color, and the surface is smoother and better toned. Generally, the skin color remains reddish for a few weeks after the procedure, but these changes can be masked by makeup. In most cases, after 6-8 weeks, the skin takes on a normal tone.

Eksfolijacija nakon pilinga
Exfoliation of the skin around the mouth after peeling on the 7th day. Peeling of the most stubborn changes and pink skin as the initial result of rejuvenation on other regions of the face.


Depending on the depth and intensity of the effect, we divide peeling into superficial, medium-deep and deep. Basically, for chemical peeling of the face we use 4 different types of peeling substance:

Glycolic acid – stimulates collagen production and leads to thickening of the dermal layer of the skin. We use it for mild wrinkles, clogged skin pores and acne. Later, patient can repeat it at regular intervals for a more lasting effect.

Salicylic acid – used in superficial peeling. As it does not penetrate into the deeper layers, it does not act on the deep wrinkles of the skin. Surface peeling offers some improvement in skin tone and surface area, but the results are temporary.

Trichloroacetic acid (TCA) – available in various concentrations that have a greater or lesser penetration into the skin, and is selected according to the nature of the problem. As a base for medium-deep peels, it brings better results than superficial ones. Healing is shorter than deep peeling.

The deepest peeling available, leads to a dramatic effect that lasts for years. Phenol is treatment for skin that has severe changes such as deep furrows and wrinkles, and pigment changes. Precautions are required when applying it.


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