Home Chemical Peels for Acne & Acne Scars

Chemical Peels for Acne & Acne Scars

Acne vulgaris is one of the most common skin conditions for many adolescents and adults, and it can be persistent and frustrating. One in every five individuals who develop acne breakouts is estimated to develop acne scars. Acne scars can be even more challenging to treat than the initial breakouts, so prompt and effective acne treatment is crucial. A chemical peel is a cosmetic treatment used to reduce active acne, acne scarring, and post-inflammatory hyperpigmentation. A board-certified dermatologist should perform chemical peel treatments to guarantee safety and ideal results. In addition to chemical peels, a range of non-invasive cosmetic treatments are available at Dr. Michele Green’s private NYC dermatology office to improve the appearance of acne scars, including microneedling, subcision with dermal fillers, and laser resurfacing.

A chemical peel is a non-invasive cosmetic treatment that involves applying a chemical solution to the skin’s surface, designed to accelerate the rate of exfoliation and skin cell renewal. This process removes dead skin cells, unclogs the pores, and stimulates the production of new collagen, which can help address a wide range of skin concerns, including skin discoloration, dark spots, dullness, active acne, fine lines, and acne scars. Several chemical peels are available, and the peel selected for your rejuvenation treatment depends on your skin type, skin tone, and the specific skin concerns being addressed. Consulting with a board-certified dermatologist is the best way to understand which chemical peel suits your needs and how many treatment sessions you may need to achieve optimal results.

Dr. Michele Green is an internationally renowned cosmetic dermatologist with over two and a half decades of experience providing her patients worldwide with the best non-invasive cosmetic treatment options, including chemical peels. Dr. Green takes a holistic approach to facial rejuvenation treatment, providing her patients with natural and long-lasting cosmetic results. She is consistently voted one of the best dermatologists in NYC by Castle Connolly, the New York Times, New York Magazine, and Super Doctors for her dedication to her patients and expertise. When you consult with Dr. Green for your chemical peel treatment, she will work with you to develop a personalized treatment plan tailored to your unique needs and goals.

What is Acne Vulgaris?

Acne vulgaris is a common skin condition in which sebum, dead skin cells, acne-causing bacteria, and debris become trapped in the skin’s pores, leading to inflammation, infection and scarring. Several types of acne include pustules, pimples, cysts, nodules, blackheads, and whiteheads. There are additional underlying factors that can contribute to the development of acne. Genetics, the environment, hygiene, skin care products, hormonal fluctuations, underlying medical conditions, puberty, certain medications, stress, diet, and other factors can influence acne breakouts. Untreated acne, especially cystic acne, has the potential to leave behind scars. Diagnosing and treating acne as early as possible is crucial for preventing scars. Acne breakouts are often treated with oral antibiotics, topical medications, specially formulated skincare products, Isotretinoin (Accutane), and various cosmetic procedures, including chemical peels and laser treatments. The first step to treating your acne is to consult with an expert board-certified dermatologist, such as Dr. Michele Green in NYC. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will collect a thorough medical history and physically assess your skin condition, working with you to create a customized acne treatment plan that best suits your particular needs and goals.

What causes acne scars?

Acne scars occur when inflammation associated with acne lesions causes irreversible damage to the underlying skin tissue. Inflammatory acne lesions, such as cysts and nodules, are the most likely lesions to result in acne scars. The scarring a patient develops depends on the skin’s response during the healing process. Atrophic scars, characterized by indents in the skin, occur if the body is unable to produce enough collagen to repair the damage. Ice pick scars, boxcar scars, and rolling scars are the three types of atrophic acne scars. Ice pick scars are deep, narrow scars that may resemble enlarged pores. The term “ice pick” scar originates from the fact that the skin appears as if it has been pierced by a sharp tool, such as an ice pick. Boxcar scars are round or oval-shaped and have deep vertical sides. Rolling scars are shallow indents without well-defined borders that make the skin’s surface appear wavy. In contrast, hypertrophic scars appear as raised scars on the skin, resulting from an excessive production of new collagen during the healing process.

Chemical peels are most effective for treating active breakouts, atrophic acne scars, and hyperpigmentation that can occur after an acne breakout, which is also known as post-inflammatory hyperpigmentation. To effectively manage breakouts and minimize the appearance of acne scars, Dr. Green will tailor your treatment plan to address your unique skin concerns and aesthetic objectives.

What is a Chemical Peel?

A chemical peel is a non-invasive exfoliating treatment during which a chemical solution is applied topically to the skin’s surface. Chemical peels are among the most popular cosmetic treatment options in the United States, as they significantly improve fine lines, melasma, active acne, post-inflammatory hyperpigmentation, dull skin, acne scars, and other skin concerns. Chemical peels effectively exfoliate the top layer of skin, sloughing off dead skin cells and debris to clear pores, stimulate new collagen production, and help eliminate acne-causing bacteria. The various strengths and types of chemical peels determine how deeply the peel penetrates the skin’s layers and their resulting cosmetic effects. The amount of downtime associated with a chemical peel varies, with some peels requiring little to no downtime. For optimal cosmetic results, many patients combine their chemical peel treatment with other non-invasive cosmetic procedures, such as injectables and laser resurfacing, to achieve comprehensive facial rejuvenation.

Is a chemical peel good for acne?

Chemical peels are well-known for their anti-aging benefits and serve as an excellent option for treating acne, helping to keep pores clear, reducing active acne, and preventing new breakouts. To effectively address active acne, most patients require a series of chemical peels, each spaced approximately four weeks apart. Depending on the severity of your acne breakouts, Dr. Green may also suggest a combination of oral or topical medications, specially formulated skincare products, and other in-office treatments such as acne surgery or the HydraFacial. During your consultation with Dr. Green at her private dermatology office in Manhattan’s Upper East Side, she will gather a comprehensive medical history, physically evaluate your skin condition, and review any previous treatments you may have attempted. She will then work with you to develop a personalized acne treatment plan that best meets your needs and aesthetic goals for a lasting clear complexion.

Will a chemical peel clear acne?

A chemical peel can be an excellent acne treatment because it is an exfoliating procedure that removes dead skin cells and debris from the skin’s pores while killing acne-causing bacteria. Acne vulgaris is a skin condition that occurs when dead skin cells, acne-causing bacteria, and debris clog the pores, leading to inflammation and irritation. By keeping the pores clear and inhibiting the growth of acne-causing bacteria, chemical peel treatments can reduce active acne and prevent new breakouts from forming. Depending on the severity of the acne and the patient’s skin type, Dr. Green may recommend using a combination of oral and topical medications, as well as specially formulated skincare products, alongside chemical peels. Your acne treatment plan should always be customized to meet your needs, and Dr. Green is here to help.

How does a chemical peel treat acne scars?

Chemical peels can be an excellent option for treating acne scars because they stimulate new collagen production and remove discolored, dead skin cells, revealing healthy new skin. Collagen is the most abundant protein in the skin, providing a firm foundation and structural support. Depressed acne scars form when the inflammation associated with acne lesions causes irreparable damage to the underlying skin tissue, leading to the destruction of collagen. By replenishing collagen and speeding up the rate of skin cell turnover, chemical peel treatments can significantly improve the appearance of acne scarring, post-inflammatory hyperpigmentation, and other skin concerns, including melasma, fine lines, dullness, and uneven skin texture.

How to prepare for a chemical peel

Preparing for a chemical peel is straightforward and can help ensure that you optimize your results. For those with a history of herpes simplex or cold sores, Dr. Green recommends taking an antiviral before your chemical peel to prevent a breakout. It may be advisable to use a topical retinoid cream for several weeks prior to your chemical peel to promote skin cell turnover and minimize downtime afterward. Other specially formulated skin care products, such as topical bleaching agents like hydroquinone, may also be recommended in the weeks leading up to your chemical peel, as this can help create an even skin tone and prevent hyperpigmentation after the procedure.

Moisturizing, applying sunscreen, and avoiding direct sun exposure daily are essential before and after your chemical peel. Avoid shaving, waxing, or plucking in the treatment area for 24 hours prior to your chemical peel to minimize irritation and ensure optimal results. Patients are advised not to use exfoliating products, including Retinols and Retin-A, for 24 hours before the chemical peel. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will evaluate your skin to determine the best chemical peel for you and review all necessary steps to prepare for the treatment.

How do I select the best chemical peel for my skin type?

Dr. Green offers a variety of chemical peels at her private dermatology office in Manhattan’s Upper East Side. The best type of chemical peel for you will depend on your skin type, skin tone, the concerns you want to address, and the amount of downtime your schedule permits. During your consultation with Dr. Green, you can discuss your skin concerns and overall aesthetic goals. She will help you determine which type of chemical peel is most suitable for your rejuvenation treatment plan, tailored to your unique needs and goals.

What is the process for having a chemical peel?

The first step in getting a chemical peel treatment is to consult with a board-certified cosmetic dermatologist, such as Dr. Michele Green. Collaborating with a board-certified dermatologist helps ensure that your chemical peel treatment is safe and effective for your skin type and tone, resulting in optimal rejuvenation outcomes. Dr. Green will gather a comprehensive medical history, including allergies, and physically evaluate your skin’s condition to identify the unique combination of treatments best suited to address your concerns and meet your goals. During your consultation with Dr. Green, she will assess whether you are a suitable candidate for a chemical peel and if it will benefit your acne treatment. Once it is determined that you are a suitable candidate for treatment with a chemical peel, the procedure may be performed on the same day or scheduled for a later date, depending on time availability and personal preferences.

Before the chemical peel treatment, your skin will be cleansed of all makeup, sunscreen, and oils. It is normal to experience a mild tingling sensation or to feel some heat on the skin when the chemical solution is applied to the skin’s surface. During the peel, a chemical solution is applied to the skin’s surface, removing the outermost layer of skin, the stratum corneum. The solution is left on the skin for a specified time, depending on the strength of the peel. This exfoliation process encourages the rapid generation of healthy new skin cells. As dull, discolored, dead skin cells are sloughed off, patients observe a more radiant complexion and a reduction in acne and acne scars. Ultimately, patients enjoy new, brighter, healthier, and smoother skin. Dr. Green will provide all the necessary aftercare information to help you achieve and maintain your ideal results. Most patients require a short initial series of chemical peels to achieve optimal results. Dr. Green will develop a timeline with you for your chemical peels and will assess the progress of your treatments during each follow-up appointment.

What different types of chemical peels do dermatologists perform?

The American Academy of Dermatology specifies three different types of chemical peels. The various types are determined by the strength of the chemical peel and the depth to which it penetrates the skin layers. The three significant classifications of chemical peels are light or superficial peels, medium-depth peels, and deep chemical peels. To ensure optimal cosmetic results and minimize potential unwanted side effects, it is recommended to undergo chemical peel treatments with a board-certified dermatologist, such as Dr. Michele Green in New York City.

Light or superficial chemical peels affect the outer layers of the skin. These peels can treat fine superficial lines, acne breakouts, and dry skin while also correcting uneven skin tone and texture. Light chemical peels can be performed every two weeks for several months. They typically have minimal downtime, and peeling lasts only a few days. Patients can return to work immediately after a light peel, as some mild dryness, redness, and irritation may occur while the skin exfoliates dead cells.
Medium peels penetrate deeper into the skin to treat deep lines and wrinkles, melasma, acne scars, post-inflammatory hyperpigmentation (PIH), and skin discoloration. The chemicals in these peels are more concentrated than those in a light peel, resulting in a stronger reaction. This type of chemical peel exfoliates the skin, and you can expect to experience redness and tightness in the treatment area immediately after the procedure. You should use moisturizer and sunscreen throughout the healing process, and strict sun avoidance is essential to prevent a recurrence of the underlying skin condition.
Deep peels are rarely performed due to the long healing time required and the increased risk of hypopigmentation and hyperpigmentation of the skin. These peels remove skin cells from both the epidermis and the dermal layer. They are recommended only for deep lines, scars, and extensive sun damage. Deep chemical peels are not advised for treating acne breakouts. Additionally, deep chemical peels should not be performed on patients with darker skin tones, as this can increase the risk of skin damage. Anesthesia or pain management is required both before and after the procedure. Following the process, you will leave the office with a bandaged face. Given the extended recovery time and potential side effects, Dr. Green does not perform deep chemical peels.

Within the three major classifications are four common types of peels: Alpha Hydroxy Acid peels, Beta Hydroxy Acid peels, Trichloroacetic Acid Peels (TCA), and Phenol peels. Common chemical peels include glycolic acid, lactic acid, salicylic acid, trichloroacetic acid, VI peel, and Jessner’s peel. The type of chemical peel recommended for your rejuvenation treatment will ultimately depend on your skin type, the concerns you wish to address, your skin tone, and the amount of downtime you are comfortable with.

Trichloroacetic acid(TCA) Chemical Peel

TCA, which stands for trichloroacetic acid, is the most commonly used chemical solution for medium-depth peels in dermatology. A medium-depth peel exfoliates both the top layer of skin and the underlying layers immediately below. Various strengths of TCA are utilized, ranging from 15% to 50%. Higher concentrations of TCA can be used for a deeper peel, affecting a greater portion of the underlying skin layers. The downtime required after a TCA chemical peel can vary based on the strength used, from one day for a light peel to as long as 14 days for a deeper peel. TCA peels are ideal for improving skin tone and texture, effectively addressing concerns such as acne scars, active acne, enlarged pores, fine lines, hyperpigmentation, and other signs of aging. However, TCA peels are not recommended for patients with darker skin tones, as they carry a higher risk of hypopigmentation, post-peel discoloration, and hyperpigmentation.

Mesopeel for Post-Inflammatory Hyperpigmentation from Acne Breakouts

Following an acne breakout, inflammation can lead to an increase in melanin production in the skin, resulting in dark spots that may persist much longer than the acne lesions themselves. Thankfully, a Mesopeel is a chemical peel that effectively addresses hyperpigmentation on both the face and body. A series of Mesopeels can significantly reduce unwanted pigmentation caused by melasma, post-inflammatory hyperpigmentation, and sun exposure.

Mesopeels are specifically designed to gently yet effectively treat and diminish the visibility of skin discoloration and dark spots. They are an excellent option for delicate areas of the body, such as the inner thighs, groin, axillae, face, and under-eyes, that may be affected by hyperpigmentation. These sensitive regions typically cannot be treated with traditional chemical peels, which are often too irritating for fragile skin. Mesoesthetics has developed Mesopeels to be safe and effective for these delicate areas. Mesopeels gently combat hyperpigmentation by reducing the melanin responsible for dark spots. There is no downtime associated with Mesopeel, and patients can resume their daily activities immediately afterward, provided they use sunscreen and avoid direct sunlight. As with most chemical peels, multiple mesopeel treatment sessions, spaced three to four weeks apart, are generally required to achieve the best cosmetic results.

Cosmelan Peel

The Cosmelan peel is a two-step depigmentation treatment that removes dark spots and regulates melanin production to prevent their reappearance. The Cosmelan peel can help eliminate or reduce melasma, post-inflammatory hyperpigmentation associated with acne scars, skin discoloration caused by excessive sun exposure, and other forms of hyperpigmentation. Its formulation contains key tyrosinase inhibitors that block melanin production in the skin, along with other lightening agents to restore beautiful, clear skin. The Cosmelan peel involves applying a mask to the pigmented area, which is washed off after a specified amount of time, as determined by Dr. Green. Following this, a strict protocol of specially formulated creams must be adhered to in order to further reduce hyperpigmentation or melasma. To achieve and maintain optimal cosmetic results, patients should limit sun exposure both during and after the Cosmelan peel while using proper sun protection. Exposure to the treatment area can worsen hyperpigmentation and dark spots, even after the Cosmelan treatment is complete.

At-home chemical peels

Many patients wish to treat their acne with at-home chemical peels. While some individuals may see improvement, Dr. Green advises caution against using these peels at home. Certain chemical peel ingredients can irritate the skin, and if used improperly, may result in discoloration and hyperpigmentation; therefore, selecting the right ingredients is crucial. The first consideration is understanding if you have sensitive skin and have a safe and effective chemical peeling solution from a reputable cosmetic company. Glycolic acid peel pads are perfect for oily skin types and exfoliate the top layer of your skin. Lactic acid is suitable for all skin types and can help fade dark acne scars. Mandelic acid and Phytic acid are beneficial for fading dark spots on darker skin tones, particularly for patients with sensitive skin or those suffering from post-inflammatory hyperpigmentation caused by acne. When considering at-home chemical peels to address acne or blackheads, it is essential to avoid strong acids, as these chemical peeling agents can cause blisters and scarring if misapplied. A stronger chemical peel should only be performed by a board-certified dermatologist, such as Dr. Michele Green in NYC, who can confirm that the chemical peel will be safe and effective for your skin.

TCA Cross to treat acne scars

Trichloroacetic acid (TCA) Cross is a chemical treatment particularly effective for atrophic ice pick scars, as it stimulates the production of new collagen and elastin. The TCA Cross technique involves placing a small amount of 70% TCA directly into the skin’s indentations, unlike a TCA peel, which treats the entire face with a 10-20% TCA solution. By targeting the deep scars, the TCA Cross prompts the body’s natural healing process, resulting in collagen and elastin production. These proteins support the formation of new skin cells, helping fill in the indentations and resulting in a smoother and more even skin texture. This treatment is not suitable for patients with type 3 or darker skin due to the risk of hyperpigmentation. For optimal results, most patients undergo 3 to 5 treatments, with sessions spaced 6 to 8 weeks apart. New collagen production can start as early as four weeks after the treatment, with continued improvement of the skin surface for up to four months post-procedure.

What is the best chemical peel for acne and acne scars?

The best chemical peel for treating acne and acne scars depends on your skin type, tone, and the severity of your condition. Generally, the most effective superficial chemical peels for acne typically contain glycolic acid or light trichloroacetic acid (TCA). Alpha hydroxy acids, such as glycolic acid at 30-50%, are ideal for superficial chemical peels for acne and scars, as they exfoliate the skin, revealing new, healthy cells underneath. This peeling process helps open up pimples and acne breakouts, allowing debris to escape from the pores and accelerating the healing process. With regard to acne scars and hyperpigmentation, blemishes appear lighter when new skin forms after the peel, leading to improved discoloration. Dr. Green often combines chemical peels with the home use of her MGSkinLabs line of skincare products, which contain targeted ingredients to further enhance the appearance of acne and acne scars.

While you may notice an improvement in your skin’s complexion after just one chemical peel, the best results for acne and acne scars come from a series of 3 to 6 chemical peels, depending on the severity of acne, scars, and hyperpigmentation. Proper sun protection should be used throughout this chemical peel process to prevent sun damage. Your new skin will be even-toned and radiant as a result of the chemical peel.

What is the best peel for acne spots?

Salicylic acid peels, or beta hydroxy acid (BHA) peels, are an excellent option for treating mild to moderately severe acne breakouts. These peels can also address melasma and hyperpigmentation. Unlike alpha-hydroxy acids, which only work superficially, beta-hydroxy acid peels can penetrate deeper into the pores to soften and remove debris. This makes them more effective for skin concerns such as acne blemishes and pore congestion. Salicylic acid is oil-soluble, allowing it to easily penetrate the skin’s pores, breaking up excess sebum and dead skin cells to clear congestion and reduce acne. Additionally, salicylic acid possesses anti-inflammatory properties that lessen irritation related to acne breakouts and may help prevent scarring. Most patients require a series of salicylic acid peels for optimal cosmetic results, and the total number needed depends on the severity of the skin condition. When consulting with Dr. Green about chemical peels for acne breakouts, she will assess your skin and create a personalized treatment plan tailored to your needs.

How do I take care of my skin after a chemical peel?

When you consult with Dr. Green for a chemical peel, she will provide all the necessary aftercare information to achieve and maintain your ideal results. It is crucial to avoid heavy exercise or heat, including saunas, steam rooms, hot showers, and hot tubs, for 72 hours, as this can lead to discomfort, swelling, and skin irritation. Depending on the type of chemical peel performed, mild redness, peeling, swelling, or crusting may develop the next day and persist for several days before resolving. A superficial peel, such as one to improve moderate acne or acne scars, requires very little recovery time, with patients typically experiencing some dryness for a few days. Recovery from a medium-depth peel typically takes about one week, during which redness and flaking may occur. A light to medium-depth chemical peel, including those used to treat acne and scars, involves no discomfort. Patients may experience a slight stinging sensation during the light to medium-depth peel, which typically lasts a few minutes and requires minimal recovery time. After undergoing a deep chemical peel, it is necessary to allow several weeks or more for complete recovery. A deep chemical peel may necessitate significant pain medication and extended recovery time.

Dr. Green will review the best skin care products to use at home after your chemical peel. It is essential to continue moisturizing your skin after your chemical peel with thick, bland moisturizers that do not contain irritating ingredients. Daily moisturizers help counteract the irritation or peeling caused by the chemical peel. Using a gentle skin cleanser is also important. Dr. Green recommends avoiding exfoliating products, such as tretinoin, retinol, alpha-hydroxy acids, and beta-hydroxy acids, for one week after the peel or until your skin returns to normal. Careful and consistent use of broad-spectrum sunscreen with an SPF of 50 is essential to prevent discoloration and the recurrence of pigmentation. Your new skin is more susceptible to the sun after your chemical peel, so daily sunscreen use is critical to prevent hyperpigmentation and sunburn.

What are the side effects of a chemical peel for acne?

An experienced, board-certified dermatologist should perform chemical peels to ensure optimal cosmetic results and minimize unwanted side effects, such as skin discoloration or scarring. Some of the side effects that can potentially occur when a chemical peel is applied include:

Redness
Crusting
Increased photosensitivity (sunscreen and limiting sun exposure are essential)
Infection
Herpes flare (If you have a history of herpes infections, an antiviral medication may need to be taken for one week)
Hypopigmentation or loss of pigment
Temporary hyperpigmentation or darkening of the skin color
Scarring

What are the best skin care products to use with chemical peels for acne?

Patients with acne-prone skin or active acne who are undergoing treatment with chemical peels can greatly benefit from incorporating suitable skincare products into their routine between chemical peels to enhance the treatment’s effects. They should focus on using hydrating, non-irritating, and non-comedogenic products.

Moisturizer is essential in any skincare regimen, especially for patients receiving chemical peels. Avoiding moisturizer can worsen acne breakouts, as it helps to loosen sebum in the pores, making it easier to remove with other acne products while enhancing the skin’s natural protective barrier. Many individuals with acne-prone skin prefer a lightweight, oil-free Moisturizer is essential in any skincare regimen, especially for patients receiving chemical peels. Avoiding moisturizer can worsen acne breakouts, as it helps loosen sebum in the pores, making it easier to remove with other acne products while enhancing the skin’s natural protective barrier. Many individuals with acne-prone skin prefer a lightweight, oil-free moistmoisturizer tha’moisturizer that won’t clog their pores. MGSKINLABS, Inc.’s Ultimately Sheer Hydrating Lotion is an ideal solution for acne. It is enriched with aloe and rosewater, providing instant hydration without clogging pores. Dr. Green’s Ultimately Sheer Hydrating Lotion features an advanced pore-regulation formula that helps to prevent excess sebum production and offers a matte finish.

Limiting sun exposure and using a broad-spectrum sunscreen with SPF 50 are essential aftercare steps following a chemical peel. Chemical peels accelerate the skin cell turnover rate, increasing the skin’s photosensitivity and susceptibility to UV damage. This means that, ideally, patients should avoid sun exposure in the treatment areas. Choosing a non-comedogenic lotion is important for individuals with oily or acne-prone skin. Dr. Green’s MGSkinLabs, Inc. offers a non-comedogenic Hydrating Sunscreen with SPF 50 that combines a moisturizer and SPF in one product. This sunscreen is perfect for individuals seeking to streamline their skincare routine while maintaining healthy, moisturized skin and protection from UVA and UVB rays, which can contribute to skin cancer and premature aging.

When you consult with Dr. Green, you will have the opportunity to discuss an appropriate skincare routine, including which products should be part of your regimen. She will work with you to develop a personalized skincare protocol that incorporates the right topical medications and products to help you achieve a healthy, clear, and smooth complexion that lasts.

Frequently Asked Questions (FAQs) about Chemical Peels for Acne and Acne Scars

Will a chemical peel make my acne worse?

Some patients may experience acne breakouts after a chemical peel, prompting them to ask, “Why am I getting pimples after a chemical peel?” Purges occur because the intense exfoliation associated with chemical peels quickly brings impurities from deep within the pores to the skin’s surface. Patients with persistent, active acne vulgaris who undergo chemical peel treatments for their breakouts may require oral or topical medications in addition to their peels. It is essential to avoid popping or picking at your acne To maintain clear, healthy, and pimple-free skin, Dr. Green will work with you to develop a personalized acne treatment plan that combines in-office therapies, oral medications, topical treatments, and specially formulated skincare products tailored to your unique skin type, needs, and tone.

How long does acne last after chemical peels?

After an exfoliating chemical peel, debris and dead skin cells that are brought to the surface can lead to acne-like lesions, which typically last ten to fourteen days. The best practice for treating post-peel breakouts is to keep your skin clean and hydrated, as it becomes more susceptible to bacteria and sun damage. These breakouts should clear up within two weeks, leaving you with clear and healthy skin. If the acne persists, Dr. Green may recommend oral or topical treatments in addition to the chemical peels to help you achieve your aesthetic goals. To maintain clear, healthy, and acne-free skin, Dr. Green will work with you to create a customized acne treatment plan that incorporates a combination of in-office treatments, oral medications, topical treatments, and specially formulated skincare products tailored to your unique skin type, needs, and skin tone.

How to treat acne after a chemical peel?

Following a chemical peel, some patients experience mild acne as dirt and debris are released from the pores. This purge resolves on its own and more quickly than traditional acne vulgaris. Some patients may wish to use acne topicals such as benzoyl peroxide or salicylic acid. However, it is important to avoid exfoliating ingredients for several days after your peel. Since the chemical peel is an exfoliation treatment, any powerful active ingredients may cause or worsen skin irritation during the healing process. Stick to gentle, nourishing moisturizers to enhance your natural protective barrier. Most importantly, limit sun exposure and use broad-spectrum, non-comedogenic sunscreen to protect your skin after a chemical peel.

When you consult with board-certified dermatologist Dr. Michele Green at her private office in Manhattan’s Upper East Side neighborhood, she will provide all the necessary aftercare information required to ensure you achieve and maintain ideal results. If acne persists, Dr. Green may recommend adding oral or prescription medications to your treatment.

Are chemical peels for acne covered by insurance?

Typically, chemical peels are not covered by insurance because they are considered cosmetic procedures. As such, insurance companies generally will not cover the cost of the procedure. The best way to determine your coverage is to contact your insurance company directly.

Does a chemical peel remove acne scars?

Chemical peels are highly effective in eliminating atrophic acne scars that can form after an inflamed breakout. In particular, they work well to reduce the appearance of indented acne scars and hyperpigmentation that can occur following the inflammatory response to acne. Chemical peels resurface the skin and trigger the body’s natural healing process, resulting in firmer, brighter skin. They can stimulate the production of new collagen as well as remove dead, pigmented cells to provide patients with smooth, clear skin that lasts.

How many sessions of chemical peels for acne?

The frequency and number of chemical peels depend on many factors, including the strength of the peel and the severity of the acne and scarring. Some light chemical peels can be applied as often as every two weeks, while medium-strength and deep chemical peels require less treatment but have more significant downtime. The best way to determine how frequently and which type of chemical peel you should receive is to consult with an experienced, board-certified dermatologist, such as Dr. Michele Green, in her private dermatology office. During your consultation, Dr. Green will create a personalized treatment timeline that fits your schedule, providing you with clear, acne-free skin.

How much does a chemical peel cost for acne?

The cost of cosmetic peels varies based on the type of chemical peel, the provider’s experience level, the office’s geographic location, and the number of treatment sessions needed to achieve your desired results. A chemical peel in a metropolitan area may be more expensive than one in a suburban location. Furthermore, although a board-certified dermatologist may charge more than a nurse at a MedSpa, it is essential to have your chemical peel performed by an expert to reduce the risk of infection, scarring, and hyperpigmentation. Dr. Green has over 25 years of experience in cosmetic dermatology and excels at selecting a chemical peel that is best matched to your specific skin type, tone, and concern.

Chemical Peels versus Laser Resurfacing for acne and acne scars

Chemical peels and laser treatments aim to rejuvenate the skin by reducing pigmentation, sun damage, wrinkles, or acne scars. The choice between lasers and peels depends on several factors. One of the most crucial factors in determining which treatment to use for your acne is your skin color. Individuals with dark skin, specifically those with Fitzpatrick skin types III and above, are generally more sensitive to the effects of chemical peels and laser treatments. These patients are at a higher risk of experiencing unwanted side effects such as hypopigmentation, hyperpigmentation, or scarring if the wrong treatment is chosen. Fortunately, there are both chemical peels, such as the Cosmelan or Mesopeel, and lasers, such as the eMatrix and Clear + Brilliant, that are safe and effective for treating acne scarring in patients with darker skin tones.

A careful choice of lasers is paramount to avoid pigmentation and worsening of the current condition. As such, gentle lasers such as the eMatrix and Clear + Brilliant are excellent options for people with darker skin tones. These lasers are considered “color-blind” and can safely be used on darker skin tones without the risk of discoloration or scarring. Dr. Green is an expert in treating hyperpigmentation caused by lasers and cautions patients with darker skin tones about the importance of conducting thorough research and seeking treatment from an experienced, board-certified dermatologist. When you consult with Dr. Green, she will recommend treatment options best suited for you.

Both lasers and chemical peels can safely and effectively improve the appearance of acne and acne scars. Some of the most popular lasers offered at Dr. Green’s office are the Fraxel, eMatrix, and Clear+Brilliant.

The Fraxel laser is an FDA-approved treatment for reducing the appearance of acne scars, fine lines, wrinkles, sun damage, and other forms of hyperpigmentation. The Fraxel laser utilizes fractional energy to stimulate the production of new collagen in the dermal layers of the skin. While the Fraxel laser has two different wavelength settings, Dr. Green utilizes the 1550nm wavelength setting to improve skin texture and reduce the appearance of acne scars. As a non-ablative and fractionated laser treatment, Fraxel creates microscopic laser columns that penetrate deeply into the skin, leaving the top layer intact and the surrounding skin untouched. Downtime is minimal, and patients typically experience redness and mild swelling that dissipate 48 hours after treatment. After the procedure, patients must adhere to strict sun protection. Typically, three to five Fraxel laser treatments spaced one month apart are required to treat acne scars.

The eMatrix is a laser resurfacing treatment that stimulates the production of new collagen and elastin in the targeted area. The eMatrix laser is safe for all skin tones, making it an excellent treatment option for acne scars in patients with darker skin tones. The heat energy from the laser penetrates the deeper layers of the dermis, leaving the top layer of skin unharmed and allowing for a decreased risk of scarring or hyperpigmentation. Typical side effects of the treatment include mild facial redness and skin swelling, which may persist for up to 48 hours. For optimal cosmetic results, Dr. Green recommends approximately five eMatrix laser treatments for atrophic scars, spaced 4 to 6 weeks apart.

The Clear + Brilliant laser improves the appearance of pore size, pigmentation, fine lines, acne scars, and the skin’s overall appearance. Clear + Brilliant, often referred to as “mini-Fraxel,” can help achieve a more even skin tone and texture with little to no downtime. Using fractionated laser energy, Clear + Brilliant can stimulate skin cell turnover and collagen synthesis, allowing for the growth of healthy new skin cells and helping to soften or eliminate acne scars, dark spots, sun spots, and age spots. Clear + Brilliant laser treatment has minimal downtime and is recommended every 3 to 4 weeks, with an average of 5 to 6 treatments typically required for the best results.

Are chemical peels good for acne scars?

Yes. Chemical peels are an excellent treatment to help diminish the appearance of acne scars and post-inflammatory hyperpigmentation associated with acne. Post-inflammatory hyperpigmentation is a skin condition characterized by dark spots that remain after an inflammatory injury or wound, such as acne. Excess melanin can be produced by the skin during the healing process, causing dark spots. Chemical peels induce skin cell turnover and exfoliate the skin, sloughing away hyperpigmented, dead skin cells and revealing healthy, new cells that are more evenly toned. Chemical peels also stimulate new collagen production. Collagen is a structural skin protein depleted when depressed acne scars form. By replenishing collagen in the treatment area, chemical peels can improve the appearance of acne scars. Most patients require a series of chemical peels to achieve their ideal results, whether targeting depressed acne scars or post-inflammatory hyperpigmentation.

Can you pop pimples with a chemical peel?

Chemical peels do not “pop” your pimples. Chemical peels can treat acne lesions without causing the irritation or trauma associated with popping pimples. Chemical peels can be a very effective treatment option for active acne breakouts, post-inflammatory hyperpigmentation, and residual acne scars. When used for active acne, chemical peels help soften and remove sebum, debris, bacteria, and dead skin cells within the pores, thereby treating and reducing acne lesions. It is best to consult a board-certified dermatologist, such as Dr. Green, who can help determine whether a chemical peel is the best option. Factors such as the type and severity of the acne scars, skin type, skin condition, and skin tone can influence your safest and most effective treatment options. When you first meet with Dr. Green, she will help determine the best acne treatment plan tailored to your needs by reviewing your medical history, evaluating your skin condition, and discussing your previous treatment options.

Can you do a chemical peel with active acne?

Yes! Patients can benefit from chemical peel treatments during an active acne breakout. The chemical peel addresses acne by accelerating the skin cell turnover rate, which helps unclog pores and improve the appearance of the skin. Depending on your medical history, family history of acne, and the severity of your breakouts, Dr. Green may recommend a personalized combination of in-office procedures, specially formulated skincare products, and prescription medications to manage your breakouts effectively. Once the acne is under control, patients can explore treatments for acne scars to achieve a clear, healthy, and smooth complexion that lasts.

How do I get started with chemical peels for acne and acne scars today?

According to the American Academy of Dermatology, acne is the most common skin condition in the United States, affecting up to 50 million adolescents and adults annually. One in every five individuals with acne is estimated to develop acne scars. For many, breakouts and acne scarring can lead to low self-esteem. Improving the appearance of acne scars often poses a more significant challenge than resolving the initial breakout, which is why prompt and effective acne treatment is crucial. Fortunately, many treatment options for acne and acne scars, including chemical peels, are available at Dr. Green’s private dermatology office in New York City. A chemical peel is a non-invasive cosmetic treatment option that can help eliminate active acne and reduce the appearance of acne scars, dark spots, dullness, fine lines, and wrinkles. After a series of chemical peel treatments, patients enjoy a healthy, clear complexion that is more even in tone and texture. To safely and effectively treat acne scars, the first step is to schedule a consultation with a board-certified cosmetic dermatologist, such as Dr. Green.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options, including chemical peels for acne and acne scarring. Dr. Green takes a holistic approach and adopts a less-is-more philosophy regarding facial rejuvenation, tailoring each patient’s treatment plan to best suit their specific concerns and personal aesthetic goals. She is consistently recognized as one of New York City’s top dermatologists by Castle Connolly, New York Magazine, and Super Doctors for her dedication to her patients and expertise. When you consult with Dr. Green, she will work with you to develop a personalized treatment plan that incorporates the in-office procedures and specially formulated skincare products to ensure you achieve the smooth, clear, healthy complexion you’re after. To schedule a consultation, please contact the office of Dr. Michele Green online or call our New York City office at 212-535-3088.