Chemical peels can improve the appearance of weathered skin by exfoliating the top layers to reveal healthier skin below. They are used to treat conditions like sun damage, wrinkles, acne scars, and irregular pigmentation. The document discusses different types of chemical peels like glycolic, Jessner's, salicylic acid, lactic acid, resorcinol, and trichloroacetic acid peels. It provides instructions for a beginner skin care regime using glycolic peels and Retin-A and recommends avoiding aggressive skin care products for 1-4 weeks after medium-depth peels to allow skin to heal.

1. PHILIP YOUNG MD - CHEMICAL
PEEL OF SEATTLE BELLEVUE

2. Before And After
Images
Before Chemical Peel to Improve
Skin Tone | Appearance and
Reduce Sun Spots |
Hyperpigmentation
After Chemical Peel to Improve
Skin Tone | Appearance and
Reduce Sun Spots |
Hyperpigmentation

3. Seattle Bellevue
Chemical Peel
Experts
Learn the Benefits of Beauty: Are you tired of
looking weathered and aged? Do you feel like
you've lost the confidence that you've had in the
past. Rejuvenating your skin through Chemical
Peeling can help you feel refreshed. Feeling better
about yourself can sometimes make everything
that happens in your life a little bit better as well.
Dr. Philip Young who has studied beauty for the
past 12 years and who has developed a New
Theory on Facial Beauty, knows how beauty can
tip things in your favor.

4. This is our current
beginners skin
care regime
instructions
1. In terms of the at home glycolic peels you only
want to start that on Sunday night once a week.
Basically put it on and take it off immediately when
you first start using at home chemical peels. You
can then increase it by the number of times of
week and how long you keep it on your skin. Just
be careful not to burn yourself and cause scarring.
If in doubt, just put it on and take it off immediately.
Don't put any skin products on after the chemical
peel. Start these peels first and then add on Retin
A and then the Glycolic Cream 10% respectively &
slowly as tolerated.

5. Skin Care Regime
Instructions
2. Start the Retin A on Wednesday night and
only do that once a week as well. You can
increase that as tolerated and for each of the
products you never want to put it on if you are
ever red or irritated. Retin A can make you
sensitive to sunlight so it should only be
applied during the nighttime.
3. For the Glycolic Cream 10% or the
Rebrightalyzer Kit, do this once a week for
starters and do it on Fridays. You can increase
that as tolerated but you never want to put it on
if you are ever red or irritated.

6. More on Chemical
Peeling
A chemical peel exfoliates the skin's top layers to
reveal the softer and healthier skin below. Chemical
peels are used to treat a variety of skin conditions,
including environmentally damage/hyperpigmented
skin, sun spots, acne, fine wrinkles and more. In
many cases, wrinkles caused by sun damage, age
and your genetic predisposition can be reduced and
eliminated through the use of a series of chemical
peels.
Irregular skin pigmentation, sun-damaged skin, and
even pre-cancerous keratoses may also improve as
a result of chemical peels. This is done by removing
pre cancerous cells and allowing new cells to
resurface your skin. The strength of the chemical
peel is determined by each patient's individual skin
type and the degree of damage to the skin.

7. Glycolic Peels
For quick superficial peels we can help you with 10-
20% Glycolic Peels. Glycolic peels are Alpha-Hydroxy
Acid Peels and originate from Fruit. They can be used
for conditions like Melasma, Acne, Seborrhea,
Photoaging, and Post Inflammatory Hyperpigmentation.
These Gylcolic Peels lead to slight redness and will
really lead to no significant peeling. The recovery is
quick. Glycolic acid peels have antiinflammatory,
keratolytic, and antioxidant properties. Glycolic Acids
are hydrophillic, meaning that they are more attracted
and blend into water. They are less likely to penetrate
oily barriers (our skin contains a lot of oil). This property
prevents Alpha-Hydroxy Acids from deeper penetration
into the skin than Beta-Hydroxy Acids which are
lipophillic or oil attracting (Beta-Hydroxy Acids blend in
with oil substances and chemicals more).

8. Before And After
Images
After One Year of our Skin Care
Approach to treat Active Acne to reduce
scarring and improve the appearance of
the skin.
Before

9. Jessner Peels
A Jessner's Peel is made up of 14 g of
resorcinol, 14 g of salicylic acid (a beta-
hydroxy acid) and 14 g of lactic acid (an
alpha-hydroxy acid) dissolved in enough
ethanol to make a total of 100 cc / ml of
solution.

10. Salicylic Acid
Is a beta-hydroxy acid. This chemical is oil soluble
and is able to penetrate deeper than alpha-hydroxy
acid peels. The connection of epidermal skin cells
depends on desmosomes, which contain many
proteins, like desmogleins. Salicylic acid attacks
these desmosomal proteins. As a result of this, the
attachment of epidermal skin cells is broken which
leads to the breakdown and removal of progressive
layers of the skin. Beta-hydroxy acid peels are able to
control sebum production, a major contributor to poor
skin issues. Oily skin can be cosmetically
unacceptable and can also be uncomfortable for
people. Sebaceous glands that are overactive can
cause excessively oily skin by secreting and
producing Sebum. Sebum is the source for skin's
oiliness.

11. Lactic Acid
Is also an Alpha-Hydroxy Acid Peel. It is a
bigger molecule than Glycolic Acid and is,
thus, thought to penetrate less deep than
the smaller Glycolic Acid. They work in the
same way and are both treat to a degree
dark spots, wrinkles, acne, skin scarring,
surface wrinkles, large pores and oily skin.

12. Resorcinol
Resorcinol is one of the main natural phenols in
argan oil (Traditional Phenol peels have been used in
the deepest type of peels. Dr Young has performed a
number of old fashioned phenol peels during his 16
years of practice. He no longer does Phenol peels in
this way but does use Resorcinol in the Jessner's
peel). The effectiveness of resorcinol in treating a
number of skin conditions is likely related to its
antibacterial, antifungal, local irritative, and keratolytic
actions. Resorcinol causes protein precipitation which
is likely the source of its anti-bacterial and anti-fungal
actions. It breaks down the skin like the other hydroxy
acids (the exact mechanism is unknown) and this
may contribute to the antifungal effect because
removal of the top layers of the skin suppresses
fungal growth.

13. Trichloroacetic
Acid Peels
These peels have been used for over 100 years.
One of the fist documented use was in 1882 by Dr.
Unna of Germany. In the past, these peels were
used in 8-80% concentration. Now most clinicians
do not use more than 35%. Some use up to 80% for
ice pick scars which we do as well. One of the more
popular formulations is the Modified Monheit peel
using Jessner's then 30-35% Trichloroacetic acid
peels in combination for a medium depth peel. The
TCA peels can be used for improving skin tone, fine
lines, melasma, hyperpigmentation and facial
scarring including acne scarring. This chemical is
similar in structure to vinegar. It is the only chemical
peel approved by the FDA for treating pre-
cancerous skin lesions (Actinic Keratoses).

14. Post Chemical
Peel Care
For one week before and after your peel, you may
be advised to stop using electrolysis, waxing,
depilatories, masks, peels or dermabrasion,
Tretinoin (Vitamin A creams), Lightening Creams,
Hyperpigmentation Skin Products and aggressive
cleansing with Loofas. Aggressive skin care using
Retin A, Lightening Creams, glycolic creams, etc
are to be avoided until 2-4 weeks after your peel
depending on how deep the peel is applied.
Superficial peels, like glycolic 10-20% peels, need
1-2 weeks before resuming aggressive skin care
products. Jessner's peels usually need 2-3
weeks. Medium depth Trichloroacetic Acid with
Jessner's peels (Monheit Peel) need 3-4 weeks
off after these peels before resuming aggressive
skin care.

15. Chemical Peel
Before & After
Images Before Chemical Peel
Trichloroacetic Acid, Jessner’s,
Dermasanding Cheek
After Chemical Peel
Trichloroacetic Acid, Jessner’s,
Dermasanding Cheek

16. Thank You For Watching