CHEMICAL PEELS | the good, the bad & my choice peel
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- Опубликовано: 19 авг 2024
- / 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
Omg I’m a esthetician that been studying chemical peel and I love you for this !!!
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 🌸
I love this video! There’s not much on RUclips about chemical peels so thank you for this.
The volume is too low or is it just me?
Great video tho
Subtitles or pc
it is, i put my headphones in
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
You’re my favorite. I watch your videos over and over!
You also my favourite girl because you looking beautiful
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.
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.
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
this dude is pretty handsome
Gaaaaaaaay
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
hi could you talk about microblading eyebrows, enhancing lash Line and lips, and other permanent make-up techniques ? Thanks
Love this video- learned a lot about the kind of peel I need! Thank you so much Dr. Davin!
Love the outline/ overview information. Thank you for sharing. ❤️
Thank you for taking time to share your knowledge! Love learning from you
For those who find the volume too low, try earbuds.
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 🙏
I love Jessner Peels or Jessners + TCA layered. So good!
Would you say Jessner or VI is better?
I look forward to videos on at home treatments & affordable treatments.
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?
Thank uou.. can u do a review on The Ordinary peel pls
Best derm on RUclips 🙌🏼🙌🏼
This was really informative! Thank you for sharing your expert view and advice!
Agree! nothing in my experience has done more for my face than tca peels. And physical sunscreen of course :)
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
So simple and such precious infos for beginners, thank you 😎👌
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 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 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 in short dr lim is saying that bha peels are good for acne they are less irritating than aha and aha peels are good for general skin rejuvenation like for sun spots,melasma,whiteheads,blackheads and he personally likes retinoic acid peels they can give you good results in fewer sessions
No. Bha for black heads.
I really like TCA peels.
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
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.
Lets see a video on best practices for reducing the effects of acne scarring
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.
Best peel ever is the Perfect Derma Peel. Way better than the retinol peel.
So how do we neutralize AHA's? That was the most important information and you never said it
please speak of mandelic acid and alternatives for asthmatics in general. thanks
That was good thank you, your skin looks amazing btw!
I love acid peels, they are amazing!
Thank you so much Sir. You are my Fav skin guru. Please talk about KPNs and how they could be tamed. Thank you
Amazing personality, knowledgeable, helpful information, handsome, professional !
Awesome. Be really good to see some before and after examples of the various peels ? Also on different areas like the neck, chest and hands. Perhaps where you might do different peels & strengths for different areas. I think it's an artform in itself and yes.. should definately be revisited ! :-)
There is so much study and proof behind how they stimulate stem cells and collagen afterall.
Also maybe compare the results of lots of more regular weaker peels that people CAN do at home vs fewer strongers ones done professionally. Who cares if it takes a bit longer? For me at 52, what's a few more weeks/months! Great videos Davin.
Sarah, yes! :) I am not trying to self-promote here, but if you are curious about my personal results from 2014 to 2019 or 2020 with doing glycolic peels at home, I have it on my website. If you go to my youtube page, you can find my site. On the sidebar of my site it says Chemical Peels - and then you will find the link to the before and afters. I wish more people would document things like this because to me it is fascinating! :)
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
00:37 list of Dr. David Lim's peels
Please make a video on melasma,,,, treatment by lasers
Thank you Dr Davin Lim on this video very interesting ☺️
Is it possible to get any help for female 70+ years young?
Hifu even though its not recommended i get great results and led lights help dramatically.
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.
Hello Dr Lim
Was wondering if you would update us on hair removal? Cheers!
Excellent information- thank you!
Love your honest advice
I'm not peeling I did 10 percent 2x for 1 min at home... My skin is creapy and not peeling. It's been 5 days
Which would you reccomend for someone that is dealing with milia around the cheeks and eye area?
I started oil cleansing for longer periods of time, like 3 min or longer in one area, to clear out my pores. It’s surprisingly really helped with my eye milia!
@@maryc8292 That is surprising if it helped with it.
Linh, I would love to see his reply. But, I just wanted to share my personal recent experience. First, are you sure it's actual milia? I am just asking because sometimes people think it's milia but it may be something else as many people have those bumps under the eye area especially. I have them. For me, I recently had a TCA peel done and I noticed immediately that the bumps I have under my eyes are way way way less noticeable. I don't know how long it will last but it is great to see.
are peels suitable for acne scarring? namely scarring on the grade 1 or 2 scale
that is my exact question!
@@foxadams8813 i feel u..
brilliant Dr Lim, so enjoy your channel x
I use 0.01 Tretinoin every day, if I put on a thick layer and left it on for several hours would I get the results of a peel?
I want to know that too!
Good question... I like to know what too
You would likely get more irritation but it wouldn’t have the same impact as a chemical peel. I’ve heard of people using tretinoin as a mask especially if they can’t tolerate using it every day so there is a benefit there. However as he said in the video the chemical peels are 100x stronger than even prescription retinal.
No you wouldn’t. Probably more irritation but not the same outcome as the peel.
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 RUclips.
For asian which is best peel for tanned face skin??
I want to know this too
Retinoid peel
Paula's Choice 2% BHA Chemical Exfoliator is 100% effective for asian skin🔥
I want to know that too
Yes this would be good to know, what peel do you recommend for Asian skin. Thank you!
Thanks doc 😊what will be the peel of choice for skin of colour
I had the Replenix Perfect 10 Peel yesterday. Thanks so much for your video. Great content. (I reside in the U.S.)
I don’t know anyone here in Toronto that performs retinoid acid peels. Hmm 🧐 I should try and find someone lol. I’ve used 0.1% Tretinoin for 13 years so I could use a boost.
When I got diagnosed with HSV 2 it was hell for me, had the worst days, Mental breakdown, crying not eating or sleeping either. I was restless looking for alternatives to get rid of this virus in my system. not until I stumbled upon a video on RUclips about Dr. Aloha’s Herbal Medication and how effective they are. I reached out to him through his email: Alohaherbalhome@gmail.com and followed the instructions given on how to use the Herbal Medication. To my greatest surprise, it worked perfectly and today makes it a month and two weeks of testing Negative to HSV 2 after making use of his Organic Herbal Medication. It’s so amazing regaining my health back to normal and ridding my body of Herpes. Thank you so much 🙏 You can as well Contact Dr. Aloha through his email: Alohaherbalhome@gmail.com or WhatsApp +1(202)871-3222
I just got a ZO 3 step chemical peel. How far does that go down? Is that a strong peel? I’m trying to lighten my melasma, and I hope it’s going to be worth the $330. Next month, I’m going to get my 4th treatment of the PiQ04 laser. Spent $500 for those 4 treatments and very disappointed in the results. I’m a 45yo Asian with light skin tone. My melasma has been triggered by childbirth/breastfeeding/hormones. Please, tell me what you recommend. I’m about to fire my dermatologist.
Wich peels are safe for dark skin to treat pih?
Would love to know the same
Excellent video. I would definitely go to you. I am in the US.
What would you recommend for a 62-year old woman who I would say has very soft skin and scars easy I've got scarring on my face just from putting a silicone patch on and the end curled a little and I slept at night and my skin was a little uneven in the morning in the spot and I just get a little. My face and I'll get a scarf a little Ray's allergy spider little pimple of with fluid in it it disappears and I got us a little hole there with just a small scar so what would be the best acid pill for sensitive skin
How to perform a glycolic peel patch test
Which peeling should I use for the sun damage and sun sports on my cleavage please? I have sensitive skin, thank you
Honestly, you are the best!
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.
Love this. When you do the peel on yourself at home, what percentage are you using Dr. Lim? thanks much great video!
Love this video, thank you Dr. Lim!
Ur the bestt Doctor around ♥️
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?
I have got scare after TCA 20% peel . My cheeks got brown and it's been a year still cheeks are darker then other skin . Can you recommend me something
I’d like to have you review Clarisonic massage firming head that claims to tighten jaw line
Thank you for this! Super helpful
Awesome video u have been a good teacher bless you sir 💪
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.
How to prepare your skin before you do chemical peel? Specially when you use retinol and vitamin c? Thank you doctor!
Thoughts on The Ordinary AHA 30% and BHA 2% Peeling Solution?
I have these and don't feel like it does all that much..
Doc what is the best percentage for first timers?
What about using led light therapy afterwards? Specifically near infrared and or blue led
Thanks Dr Lim,this is fantastic information 👍😊
After washing peel should I put tretinoin same night.."?
Perfect and I always like ur videos.
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?
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??
Doctor I have got a lot of milia around my eyes and cheeks. I am only 23. Please suggest something which can help me get rid of these tiny cysts.
Love from india🙂
Trentinoin takes too long. What about at home 15% TCA peel? I recently purchased, but I’m so afraid to do it. I did purchase a neutralizer as well. It is Trichloroacetic Acid...Medical grade
Would love to se you perform a peel on your skin ❤️
One of his older videos demonstrates himself doing a vitamin a peel at home.
Can you talk more about 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
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
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🙂
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. :)
I have large open pores on my nose. Will a TCA peel help?
I've got melasma and would need your advice about Cosmelan.
Thanks
Hi doctor, I have Addison's disease. Is facial chemical peel safe for me, I have a white body but Brown face, I was born white, My family is white, but I have Brown face because of my condition. Please let me know. This will be a Huge help. I have never asked anyone ,
Very informative. Thank you.