A medium chemical peel uses stronger acids—typically 30–35 % trichloroacetic acid (TCA) or 89 % phenol—to remove damaged skin from both the outer layer (epidermis) and upper dermis, helping treat pigmentation irregularities, mild wrinkles, sun damage, and acne scars. It penetrates deeper than light peels, delivering more visible and longer-lasting improvements. Healing usually completes within a week, though redness may linger for 4 to 6 weeks.
During the procedure, a medical professional applies an acid solution to clean skin, which may cause a brief burning sensation; the chemical is then neutralized or washed off after a few minutes. This controlled injury stimulates collagen and elastin production, while gently exfoliating and resurfacing the skin. Medium peels can be repeated for deeper correction, and may be customized using TCA alone or in combination—such as Jessner’s solution or glycolic acid—to target specific skin concerns.
Recovery typically spans 5–7 days, with noticeable peeling, redness, and swelling in the first week and residual pinkness for several weeks thereafter. Patients should use soothing cleansers, occlusive ointments like petroleum jelly, and avoid sun exposure while new skin regenerates. Strict sun protection and gentle skincare are essential to preserve results and prevent pigmentation, with repeat peels spaced 4–6 months apart to allow full skin renewal.
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