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Question :
What are the different options available for chemical peels?

Answer :
Chemical peels are classified as superficial, medium and deep.  Superficial peels are usually done by aestheticians under a physician’s supervision.  These include lactic acid, glycolic acid, ascorbic acid mixtures with ingredients like resorcinol.  These clean up the outer most layer of the skin, the stratum corneum.  They can be used to remove some superficial faical dyschromia, excess brown spots.  A medium depth peel like a TCA (trichloroacetic acid) and resorcinol; this depth of peel goes into the superficial dermis of the skin and can remove some superficial wrinkles.  It is similar in results to a Portrait® plasma treatment.  The deepest peel is a peel containing phenol and croton oil.  These peels go into the deeper layers of the dermis and can remove deep wrinkles; the results can be similar to the results with a carbon dioxide laser.


Posted in Chemical PeelPortrait Plasma Skin Resurfacing on October 14th

Question:
Can a chemical peel be used to smooth the skin on my upper chest? I think years of being in the sun with a bathing suit on has aged this skin. I look pretty bad when I wear a dress or blouse that exposes my chest at all.

Answer:
A medium depth peel is often safe, as is a Portrait plasma skin regeneration.


Question:
Can a chemical peel be used to smooth the skin on my upper chest? I think years of being in the sun with a bathing suit on has aged this skin. I look pretty bad when I wear a dress or blouse that exposes my chest at all.

Answer:
Yes and no. A physician very skilled in peels could do a medium depth TCA (tricholoracetic acid) peel, but it can be risky. Healing after a peel (chemical or laser) is from the pilosebaceous units in the skin, the hair follicles and sweat gland units. They are not plentiful on the chest so scarring is a risk. Better ways to treat this area for hyperpigmentation are intense pulsed light (IPL) or Portrait plasma. I use plasma less often here, but it can tighten the skin a bit after a number of treatments.

Here are a couple links to photos of IPL treatments:

http://www.drbentkover.com/photogallery/brown-spots-hyperpigmentation/pa...
http://www.drbentkover.com/photogallery/brown-spots-hyperpigmentation/pa...


Question:
How effective are laser skin resurfacing procedures? What exactly do they do?

Answer:
As with any procedure, it all depends on picking the right patient for the technique. I have been doing carbon dioxide resurfacing since 1995 and Portrait plasma skin resurfacing since 2006. The laser vaporizes old skin, and the plasma heats it with an electrified nitrogen gas. In both cases the skin will start to peel on its own at 4-5 days. I use the laser for deeper wrinkles and acne scars. Both procedures can also be used to lighten the skin. I really like the color results we see with the nitrogen plasma (Portrait). Here is a link: http://www.drbentkover.com/laser/wrinkles-worcester-boston.shtml





Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry.  I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?





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