Broadly used in aesthetic medicine, the medium peel is a preventive or curative skin care treatment that removes the entire epidermis up to its junction with the dermis, at the level of the superficial dermis.
It is an intermediate between deep and superficial peeling and rejuvenates the skin with the lowest number of side effects.
As a result, the medium peel can rejuvenate the radiance of the face, cleavage or neck.
Principle: how does a medium peel work?
The skin is arranged into two main layers:
-The epidermis, a superficial epithelial layer without vessels, acts as a barrier.
-Below is the dermis, a vascularized connective layer with a supporting, trophic function. The hyaluronic acid of the dermis creates a contour, while the fibers give firmness (collagen) and elasticity (elastin).
Peeling will "peel" different layers of the skin by eliminating them in order to boost the natural cell renewal.
The mechanisms vary depending on the layer involved:
-The epidermis is regenerated by the basal germinative base, the first layer of the epidermis situated against the superficial dermis. This is a simple mitosis.
-The dermis is regenerated by young fibroblasts activated from stem cells due to growth factors. These fibroblasts create the fibers of the dermis and its hyaluronic acid.
A medium peel therefore generates a double skin rejuvenation, involving the dermis and the epidermis.
In order to avoid the deeper dermis, your aesthetic doctor will pick the right acid, the right dilution and the right duration of action. The distinction between medium peel and deep peel is not only related to the acid chosen, but also to the intensity of its action.
For example, phenol or resorcinol may be used for both deep peel and medium peel, depending on their dilution and duration of action.
However, in order to ensure a margin of safety for medium-facial peel, peel specialists prefer to select an acid with easily controlled penetration. Trichloroacetic acid (TCA) is often the preferred solution at usual concentrations of 12 to 18 per cent.
Indications: what is the purpose of a medium peel?
A medium peel may be used for prevention or as a treatment to rejuvenate the skin of the face, neck or cleavage. It is intended mainly for the fair skin of I-IV skin types. Phototype V-VI must be treated with mild medium peel, such as Mela Peel.
The medium peel is ideal for the following:
- Recovering the luminous complexion by reducing age spots or other pigmentation spots (melasma) due to photorejuvenation;
- Rejuvenation of the skin by attenuating wrinkles or fine lines;
- Correcting skin imperfections such as dilated pores, scars, acne, actinic keratosis, stretch marks, etc.
- Strengthening the epidermis and the dermis for younger, more sensual skin.
The TCA facial peeling process
This medium peel performed at the Dubai Clinique des Champs Elysées involves preparatory and follow-up care at home. The procedure is identical for the face, cleavage, neck or hands.
Before your medium peel appointment
Your peeling specialist will prescribe a daily local treatment for about 3 weeks. The aim is to block the activity of pigment cells (melanocytes) and to exfoliate the stratum corneum.
During the TCA peel appointment
Depending on the skin and the indications, your doctor will apply the appropriate product at the right concentration. For a TCA, he generally selects a concentration between 12 to 18%, sometimes as high as 30% on a few well-targeted areas.
After cleansing the skin, TCA is applied with a pad or brush, in liquid or semi-gel form. The patient may feel a slight tingling sensation as the skin whitens due to frosting or icing.
At the end of the peel, your doctor neutralizes the reaction and cleanses the skin by rinsing it well. An emollient treatment soothes redness.
After the TCA peel session
For 2/3 days after a medium peel, irritation or slight oedema are common after a medium peel. The skin will peel with sometimes brown tones over the course of a week. After this, a beautiful pink, soft and rejuvenated skin will appear.
Emollient care and sun protection are essential.
Results of the TCA peel
A single medium peel is often satisfactory, to be repeated 1 to 3 times a year. The results of a medium peel before/after are noticeable in a few days, with an optimal result in 3 to 4 weeks for dermal renewal: your skin is rejuvenated, more radiant, softer and more sensual.