Plastic Surgeon Questions Chemical Peel

I have discoloration around my chin area. Can chemical peels help in treating it?

I have some discoloration around my chin area because of my PCOD. Can I try chemical peels to treat this?

12 Answers

Hello, yes chemical peels help, but it depends on the chemical being used and it’s strength. There are also different lasers that can help such as Lummeca and Picoplus. As well, depending on your akin color and type, you may need pretreatment with special creams to avoid whitening if the skin. I have my own cream formula based on the skin type. You may also visit my website at DrRoya.com for further information.
This may be a possibility. And in person physical examination with help to determine better course or treatment for this.
Hello and thank you for your question. In your question, you ask about discoloration around the mouth area. This is a common area to develop some hyperpigmentation or in rarer instances hypopigmentation. There are several reasons for this. Firstly, it is an area that may be oily (part of the T-zone). Secondly, hormonal changes (caused by ovarian cysts or other factors) also make this area susceptible to pigmentary changes. My approach is to take a thorough history and examine the region under a Wood's Lamp, which is a special UV light that can reveal the depth of the pigmentation. We would need to correct any hormonal issues if present first. In general, deep pigmentation, or dermal hyperpigmentation is more difficult to treat regardless of the tools we use, be it peeling or lasers. There is almost always an initial positive response and over 90% of the pigments do come back in about 6-9 months. More superficial pigmentation or epidermal pigmentation is much more responsive to treatment. Options include judicious use of sun protection (high SPF, preferable physical sunblocks with Zn), blanching creams (with or without hydroquinone, kojic acid, glycolic acid, vitc, etc.) A great one is TRILUMA. Further steps may include peels with Retinol and Vit C, Glycolic Acid, Mandelic Acid, and so on. Lasers such Q-switched Nd:YAG, Pico, or even fractional can be very effective. Newer agents on the block include the use of tranexamic acid, glutathione, and PRP.
Probably no. Peels are very superficial. Possibly several treatments with RF and IPL could do it.
Usually the discoloration will clear up if the PCOD is treated. However some hyper pigment can stay. We would need to see your skin to give an accurate answer.
Chemical peels can help especially in conjunction with bleaching agents, such as hydroquinones. Intense Pulsed Light therapy can also help. The aestheticians in our spa would be glad to consult with you for the best management options
Yes, some of the peels will depigment or decrease the pigment. Talk to a plastic surgeon or experienced dermatologist.

William A. Stefani, MD
Maybe
The simple answer is, as usual, that it depends. The reason for the discoloration may be inflammatory and in that case chemical peeling would probably make it much worse. You need to let a qualified dermatologist diagnose your problem and listen to his/her advice. Be careful.
If you experience the darkening due to pcod there may be hormonal issues you can discuss with your primary care physician. A chemical peel can also be a great option and you should consult with a board certified plastic surgeon or dermatologist about this.
Yes. Peels, laser, chemoceuticals may all help.
There are several options to treat the discoloration. Chemical peel is one. LASER, bleaching creams, injections, and radiation are just some of the options. Your plastic surgeon is best equipped to advise you on the best option.