Chemical Peel

Physician-supervised chemical peeling to exfoliate and resurface the skin by applying an acid solution that induces controlled shedding of the outer skin layers, revealing fresher, smoother skin beneath. At AE Derm the peel type and concentration are selected by MUDr. Helena Závodská based on skin type, Fitzpatrick scale classification and the condition being treated — ranging from superficial glycolic peels for general brightening and maintenance to medium-depth peels for acne scarring, melasma and pronounced photoaging.

Chemical peeling works by disrupting the adhesion between corneocytes in the outermost skin layers — the stratum corneum and superficial epidermis — causing controlled exfoliation. The depth of action depends on the acid type, its concentration, pH and the time of application: superficial peels (glycolic acid at lower concentrations, mandelic acid, lactic acid) affect only the stratum corneum and granular layer, producing a fresh glow and minor brightness improvement with minimal recovery. Medium-depth peels (higher-concentration TCA, pyruvic acid, or enhanced glycolic combinations) reach into the papillary dermis, stimulating more significant collagen remodelling and addressing acne scars, melasma and moderate photoaging. At AE Derm MUDr. Helena Závodská selects the peel formulation based on a thorough skin assessment covering Fitzpatrick phototype, the presence of active acne or rosacea, any prior chemical or laser treatments, and the patient's downtime tolerance. Superficial peels cause mild tingling and temporary redness; flaking begins two to three days after the session and is complete within a week. Medium peels may cause frosting (blanching of the skin surface) during application and more pronounced peeling over five to ten days; these require a degree of social planning. Combination with other modalities at AE Derm is common: chemical peels can be scheduled alternately with LED phototherapy sessions for acne, or used as a preparatory step before laser treatment to reduce pigmentation load and improve subsequent laser efficacy. For maintenance skin health and ongoing brightening, monthly superficial peels are a frequent approach, particularly for patients managing acne, hyperpigmentation or early photoaging. Contraindications include active herpes simplex (cold sore) — a prophylactic antiviral course is recommended if the patient has a history of cold sores — active inflammatory acne pustules in the treatment zone, recent sun exposure or use of retinoids. The doctor reviews all contraindications at consultation and provides a detailed aftercare plan including strict SPF 50+ use, gentle cleansers and avoiding any active exfoliants or retinoids for ten to fourteen days post-peel.