What are the chemicals used in chemical peeling and in what concentrations ?

Trichloroacetic acid (TCA I0%-70%), hydroxy acid (such as glycolic acid GA 20%-70%),Salicylic( beta hydroxy) acid, Carbolic acid (phenol 88%) are the most commonly used agents. Other agents like acid, Lactic acid and Resorcinol are also used. There are also some standard formulations used for chemosurgery namely, Jessner's solution, Baker's solution and Resorcinol paste.

What are the skin problems where chemical peeling is helpful ?

Chemical peeling is useful in: Melasma, pigmentation (dark circles), skin discoloration like pigmentation due to sun exposure ( photo), pregnancy, birth control pills, drug reaction, post-inflammatory hyperpigmentation i.e. pigmentation as a result of a healing skin disease or infection.
Superficial scars as a result of acne, Freckles and lentigenes, Fine wrinkles, Dilated pores.

How is chemical peeling performed?

Chemical peeling is an office procedure. It does not require any hospitalization. After properly studying the skin type and its sensitivity, the dermatosurgeon decides on the type of peeling agent or agents and their concentration. The selection of the chemical agent also depends on the extent and depth of skin damage. The skin is first cleaned with soap water to remove excess oil. The peeling agent is then applied gently onto the lesion or on the full face till the 'end point' is achieved. During or shortly after the procedure, the patient might experience warmth or stinging sensation for a few minutes. pigmentation persists, the procedure can be repeated after 3 weeks.

What happens after chemical peeling?

After a superficial peel, redness appears and there is peeling of skin over three to seven days. More than one sitting may be required. In the Indian skin type, only superficial and medium depth peeling is recommended.