Medical Chemical Peel — Skin Renewal & Resurfacing

Medical chemical peels at FaceExpert are performed by MUDr. Besperát and the physician team using precisely formulated active acid solutions — retinol, AHA/BHA combinations, TCA (trichloroacetic acid), or anti-pigment complex — to dissolve damaged, aged, or pigmented skin layers and stimulate production of healthier skin beneath. Unlike salon chemical peels, FaceExpert's protocols are medical-grade: the physician selects acid type, concentration, and contact time based on skin type, Fitzpatrick classification, and the target concern, and monitors the treatment through an endpoint assessment (erythema, frosting, neutralisation timing). The retinol and AHA/BHA peels offer a mild introduction with 2–5 days of minimal flaking. The TCA peel at 4,900 Kč is a medium-depth peel delivering more significant resurfacing for deeper wrinkles and more established pigmentation, with 5–7 days of visible peeling. Chemical peels may be added to microneedling sessions for 1,900 Kč as a synergistic combination. Dennis, a verified Estheticon reviewer, notes that the chemical peeling at FaceExpert was 'painless and effective — after healing I noticed improved skin texture and reduced acne.'

Medical chemical peels use controlled acid application to disrupt cell-to-cell adhesion in the epidermis and — at deeper penetrating agents — in the dermis, causing programmed exfoliation and triggering the skin's regenerative response. The depth of injury (and therefore the degree of improvement and downtime) is determined by the acid type, concentration, pH, contact time, and the number of passes applied. At FaceExpert, the physician controls all of these variables and performs a post-application endpoint assessment before neutralisation — making it a medical procedure rather than a cosmetic one. **Peels offered at FaceExpert:** *Retinol Peel (2,900 Kč):* Retinol (vitamin A alcohol) is applied as a leave-on peeling agent that penetrates the epidermal barrier and converts to retinoic acid intracellularly. Rather than creating surface exfoliation via acid disruption, it works through nuclear retinoic acid receptors to increase epidermal cell turnover, thicken the epidermis, and stimulate dermal collagen synthesis. The retinol peel causes 2–5 days of mild shedding and is ideal for patients new to chemical peeling, those with sensitive skin, or those wanting progressive skin renewal without significant downtime. *Acne AHA/BHA Peel (2,900 Kč):* A combination glycolic acid (AHA — alpha-hydroxy acid, water-soluble, dissolves corneocyte adhesion) and salicylic acid (BHA — lipid-soluble, penetrates into the sebaceous follicle to dissolve impacted sebum) peel. This dual-acid formula addresses both the surface accumulation of dead cells (exfoliated by glycolic) and the intrafollicular sebum plugs that feed acne lesions (dissolved by salicylic). The result is reduced comedone burden, reduced active acne severity, and improved skin texture. Mild peeling over 3–5 days. *TCA Peel (4,900 Kč):* Trichloroacetic acid (TCA) at 15–35% concentration (standard range for medical aesthetic use) creates a medium-depth peel penetrating through the epidermis to the papillary dermis. At this depth, TCA stimulates significant new collagen deposition and replaces the full epidermis with a new, evenly pigmented cell population. Clinically, TCA peels are used for: deeper wrinkle improvement, moderate-to-severe sun damage, dyschromia and post-inflammatory hyperpigmentation, acne scarring. The 'frosting' endpoint (white precipitate of TCA-denatured protein) indicates penetration depth and is the physician's assessment tool. Peeling lasts 5–10 days and is more pronounced than superficial peels. *Anti-Pigment Solution Peel (3,500 Kč):* A proprietary blend combining a peel agent with melanogenesis inhibitors — typically kojic acid, arbutin, and/or licorice extract — to simultaneously resurface the skin and interrupt tyrosinase enzyme activity responsible for excess melanin production. This combination addresses existing pigmentation (removed via exfoliation) and prevents its reformation (via inhibitor activity in the regenerating epidermis). Most effective for post-inflammatory hyperpigmentation (PIH) and solar lentigines. **Chemical peel as microneedling add-on (1,900 Kč):** When added to a microneedling session at the end of the procedure, the peel agent penetrates through the micro-channels into the dermis — significantly deeper than it would achieve on intact skin. This combination enhances the surface renewal effect and allows a lower-strength peel to achieve results equivalent to a higher-strength standalone peel on intact skin, reducing downtime while improving efficacy. **Preparation:** Skin preparation with a topical retinoid or AHA 2–4 weeks before a TCA peel significantly improves the evenness of penetration and reduces the risk of post-peel PIH in darker skin types. The physician advises on preparation protocol at the initial consultation. **Contraindications:** Active herpes simplex lesions, open wounds or active acne lesions in the peel zone, isotretinoin use within 6 months, pregnancy and breastfeeding, history of keloidal or hypertrophic scarring, Fitzpatrick types V–VI (higher PIH risk with TCA — requires careful assessment and preparation).