SUPERFICIAL PEEL WITH FRUIT ACIDS

What is a superficial peel ?

A superficial peel is an aesthetic medicine procedure that causes exfoliation of the superficial layer of the skin through the application of a chemical agent.

  • A fruit acid (AHA). The main one is glycolic acid, possibly combined with other acids such as salicylic acid or phytic acid.
  • Trichloroacetic acid or TCA at 10% or 15%.


The composition of the peel used will be selected based on the specific needs of the patient’s skin.
This treatment has the advantage of not requiring any social downtime.

Contents

Key Points

Superficial peel with fruit acids and TCA in Geneva

A chemical peel is a treatment that removes dead cells from the epidermis or superficial dermis using specific acids. Unlike mechanical exfoliation, which works through friction using grains, the chemical peel acts without physical effort. This treatment revives the skin's radiance, corrects imperfections, reduces spots, fine lines, and scars, and slows down the signs of aging.

The peel is particularly beneficial for patients seeking a brighter and more even complexion, as it purifies the skin and immediately improves its appearance. There are different types of peels, each suited to specific needs. Cosmetic peels, which can be used at home, are ideal for regular and gentle skin maintenance. Dermatological peels, performed by a physician, provide more significant and longer-lasting results.

image mechanism peeling

How does a peel work ?

The results of superficial peeling are due to a triple action.

  • Exfoliation of the superficial skin layer. This layer renews every month during adolescence and every month and a half in adulthood.
  • Reduction in sebaceous gland activity. This explains its use for oily and acne-prone skin.
  • Stimulation of dermal synthesis. Superficial peels slow down skin aging by increasing the production of collagen and elastin fibers, which are essential for skin firmness and elasticity.
photo of perfect skin after peeling

Who is a superficial peel for ?

A peel is a skin care treatment: both preventive and corrective.
The indications are :

  • Improvement of skin texture, particularly enlarged pores.
  • Dull complexion : peels give a real glowing skin.
  • Prevention of skin aging.
  • Acne.
  • Early skin aging : peels help improve fine lines and wrinkles.
  • Oily skin.
  • Keratosis pilaris.
  • Melasma treatment with peel : gentle TCA peels are particularly effective in treating melasma, often called "pregnancy mask." The peel reduces these stubborn pigmentations and gives a more even complexion in just a few sessions. Typically, 3 to 4 sessions spaced 3 to 4 weeks apart are necessary to observe significant improvement.
  • Treatment of hyperpigmented spots with peel : peels act by blocking melanin production, the pigment responsible for skin coloration. Superficial TCA peels are commonly used for this type of treatment. Several sessions are required.
  • Body imperfections : body peels utilize the exfoliating properties of acids to gently eliminate dead skin cells, refine skin texture, and stimulate microcirculation. By activating microcirculation, these peels reoxygenate tissues and enhance the absorption of moisturizing creams. Body peeling is an excellent method to revitalize the skin, protect it against external aggressors, and prevent premature aging, while toning and improving skin texture.

At what age should you get a peel?

photo age start peeling

A superficial peel is a medical procedure that can be performed at different ages, as each age has specific skin care needs.
In adolescence, the peel can help treat acne and improve skin texture by removing dead skin cells and reducing seborrhea, resulting in a more even complexion.
At 30, the peel helps prevent the first signs of aging, such as fine lines and pigment spots, by stimulating cell renewal and reviving the skin’s natural glow.
At 50, a superficial peel cannot reduce deep wrinkles, but it improves skin elasticity and firmness, reduces age spots, and provides a more even complexion.

Superficial peels for men

photo peeling man

Superficial peels are becoming increasingly popular among men concerned with their appearance and skin health.
These treatments are particularly effective in improving skin texture, reducing imperfections, minimizing pigment spots, and brightening the complexion in men as well.
They are ideal for addressing common skin concerns in men such as enlarged pores and early signs of aging. With quick recovery and visible results from the first sessions, superficial peels are an effective and discreet solution for men to maintain healthy, radiant skin.

Can a peel be performed on all skin phototypes ?

Superficial peels can be performed on all skin types, but for phototypes IV and above, there is an increased risk of post-treatment hyperpigmentation. It is therefore essential to consult an experienced physician to determine the most appropriate type of peel and to carry out the procedure with the necessary precautions.

The different tpes of peels

Various acids can be used for peels: salicylic acid (BHA), trichloroacetic acid (TCA), and AHAs (alpha hydroxy acids), which are the most commonly used — the best-known AHA being glycolic acid. Depending on the skin type and the imperfection to be treated, Dr. Romano selects the product best suited to the patient's needs. A solution containing several active ingredients is often used.

AHA, BHA and TCA — which one to use?

photo injection for a beautiful chin

AHA peels are used when the goal is to restore radiance to the skin and visibly reduce fine lines. AHA exfoliates the most superficial part of the epidermis and acts on the cells of the stratum corneum. Its small molecular size and hydrophilic properties allow it to penetrate relatively quickly.

BHA peels are preferred for oily and acne-prone skin. Thanks to its keratolytic properties, it helps to unclog pores, thereby limiting the formation of microcysts and comedones. Its exfoliating action improves skin texture and reduces excess sebum.

TCA peels even out the complexion and act on early wrinkles. TCA is primarily used for medium-depth peels, but a 10% TCA solution is considered a superficial peel. 

At-home peels

At-home peels provide gentle exfoliation, making them suitable for frequent use. They contain fruit acids at much lower concentrations than those used in dermatological settings. These peels are ideal for refreshing the complexion and purifying the skin by removing dead cells and impurities. However, even at-home peels can cause unwanted side effects, depending on each patient’s skin type and sensitivity.

photo of peeling session

How does a peeling session take place ?

Before the peeling session, it is recommended to :

  • Apply the cream prescribed by your doctor, starting three weeks before the session, to prepare the skin and avoid pigment rebound.
  • Avoid any exfoliating treatments (scrubs, exfoliating masks, acne creams…) for three weeks prior.
  • Shave the evening before (for men).

On the day of the peel, on clean skin, the doctor applies a pre-peel solution to degrease the skin and enhance the penetration of the peeling solution.
Then, the peel is applied with a brush and left on for about one minute. Once removed, a healing cream is applied to the skin.

After the peeling session, it is advised to :

  • Avoid sun exposure for one month.
  • Apply a healing cream for one week.
  • Avoid any skin irritation.

How often should you get a peel ? The peel protocol

The number and frequency of sessions depend on your skin type and the concern being treated. The protocol is personalized. The standard protocol includes three to five peels spaced one month apart. One to two maintenance sessions per year are recommended to slow down skin aging and maintain long-lasting improvements in skin texture.

Why three peel sessions ?

Multiple peel sessions are often recommended to achieve optimal results. The first session exfoliates the superficial layers of the skin, while subsequent sessions target deeper layers and further stimulate cell renewal. In general, three sessions spaced one month apart are ideal for visible and lasting results.

Contraindications

photo how to remove botox

It is not recommended to perform the peel during sunny periods.
Superficial peels are contraindicated in the following cases :

  • Contact allergies.
  • Infection, lesion, or skin cancer on the area to be treated.
  • Use of certain acne medications.
  • Pregnancy and breastfeeding.

What are the risks of a peel ?

With superficial peels, complications are rare but still possible.

  • Scab formation : often caused by premature sun exposure on darker skin or by using an overly aggressive product.
  • Indented or raised scars : extremely rare after a superficial peel and usually due to aggressive manipulation of the skin by the patient.
  • Brown spots : hyperpigmentation may occur, especially in patients with darker skin tones.
  • Bacterial infections : these require appropriate medical treatment to avoid serious complications.
  • Herpes infections : patients with a history of cold sores may experience a generalized facial outbreak after a peel. In such cases, preventive antiviral treatment is necessary.

Results before / after a superficial peel

Results from a superficial peel are quickly visible.
The benefits usually become apparent after a few sessions, with each treatment reinforcing the effects of the previous ones.
By removing dead skin cells from the surface, the peel brightens and illuminates the complexion while refining the skin texture.
Patients notice smoother, more even skin and a reduction in imperfections such as brown spots and fine lines.
In addition, the superficial peel stimulates cellular renewal, making the skin firmer and more elastic.
For optimal results, it is essential to follow your doctor’s recommendations.

What is a 'failed peel' ?

A peel is considered “failed” when the results do not meet the patient’s expectations or if complications arise.

Possible complications include:

  • Skin burns.
  • Hyperpigmentation, with the appearance of persistent brown spots.
  • Scarring.
  • Skin thickening, leading to a rough or grainy texture.
  • Skin infections.


These complications, although rare with superficial peels, can be caused by several factors :

  • Inappropriate product dosage : the dosage must be tailored.
  • Excessive application time.
  • Lack of experience from the practitioner.

In some cases, no specific cause is identified and complications result from an unpredictable individual reaction.

Solutions after a failed peel

If a peel goes wrong, it is crucial to consult an experienced doctor for appropriate management.

Possible options include :

  • Observation and patience : waiting a few months may be enough for spontaneous resolution.
  • Topical creams.
  • Laser treatment : to reduce brown spots that appear after the peel.

How much does a superficial peel cost ?

The cost of a superficial peel depends on the skin issue being treated, the product used, and the patient’s skin. Several sessions are typically required.

Type of consultation Generally practiced rates
Superficial peel
200 CHF per session

Superficial peel : reviews

The superficial peel is highly appreciated by patients for its effectiveness.
Thanks to the use of gentle acids, this treatment delicately exfoliates the superficial layers of the skin, revealing a brighter and more even complexion. Patients often notice an immediate improvement in their skin texture, with a reduction in small imperfections and pigmentation spots. The superficial peel is particularly valued due to its low risk of complications and very short recovery time. Most patients describe their skin as radiant, softer, and visibly rejuvenated after just a few sessions. This treatment is ideal for those looking to revitalize their skin without the downtime associated with deeper peels.

Is a superficial peel painful?

The superficial peel may cause a slight sensation of stinging or heat, but is generally well tolerated. Any discomfort is temporary and disappears quickly after treatment.

Yes, superficial peels can be combined with other treatments such as the PRP injectionsskinboosters injections or mesotherapy.

This depends on the problems to be treated and the type of skin. Superficial peels based on AHAs (alpha hydroxy acids), such as glycolic acid, are widely used for their ability to gently exfoliate, improve skin texture and revive radiance. TCA peels are more suitable for pigmentation and skin ageing.

Several factors can influence the effectiveness of a peel.

  • Poor skin preparation.
  • Use of inappropriate products.
  • Unrealistic expectations in relation to results.

It's important to remember that several sessions are needed to achieve significant results.

A peel cannot 'remove' pores, but it can make them less visible. By exfoliating the surface layers of the skin, a peel helps to remove dead cells and impurities that can clog pores, reducing their appearance and improving the overall texture of the skin.

The effects of a superficial peel are generally visible a few days after the treatment, once the skin has had time to heal. The complexion improves and the skin becomes smoother. For optimal, long-lasting results, several sessions are required.

Yes, peels are good for the skin when done correctly. They exfoliate dead cells, stimulate cell renewal and improve various skin problems such as pigmentation spots, blemishes and the first signs of ageing. However, it is essential to consult an experienced doctor to determine the type of peel best suited to your skin.

The best time to have a peel is generally autumn or winter, when the sun is not shining. In fact, UV rays can sensitise the skin after a peel, increasing the risk of hyperpigmentation. 

A superficial peel session generally lasts about ten minutes.

After a superficial peel, it is important to moisturise the skin regularly and apply sun protection and a healing cream. Sun exposure and the use of irritating and exfoliating products should be avoided for a month after treatment.

A facial peel is a non-invasive medical procedure that involves applying a chemical solution to the skin to exfoliate and remove damaged surface layers.

Yes, after leaving the glycolic acid to work, it's essential to rinse thoroughly with warm water to neutralise it and avoid any skin irritation or burns.
Glycolic acid-based creams do not need to be rinsed off.

It is generally not advisable to perform a superficial peel on tanned skin. Tanned skin is more sensitive and more prone to irritation and pigmentation spots. It is preferable to wait until the tan has faded before proceeding with a peel.

The results of a superficial peel are not definitive. This type of peel temporarily improves the texture and appearance of the skin. Maintenance sessions are necessary to maintain the results.

Yes, it is possible to return to work immediately after a superficial peel. However, the skin may be slightly red and more sensitive for a few hours to a few days after treatment.

Dr Romano personally carries out the peels.

The number of sessions required depends on the condition of the skin and the patient's aesthetic goals. In general, a cycle of 4 to 6 sessions, 2 to 4 weeks apart, is recommended for optimum results.

Fruit acid-based peels are available over the counter from chemists. Side effects may occur, as the procedure is not supervised by a doctor.
Grandma's recipes should be avoided .

To get new skin, adopt a skincare routine that includes gentle cleansing, regular exfoliation, the application of serums and moisturisers suited to your skin type, and daily sun protection.
Medical treatments (peels, mesotherapy, injections and lasers) are the most effective.

Fruit acids, or AHAs (alpha hydroxy acids), are found in many skincare products available from chemists, parapharmacists and cosmetics shops. They are also present in certain foods such as citrus fruits, apples, grapes and fermented milk.

Other treatments

Menu