Deeper chemical peels deliver dramatic results

When skin needs significant improvement, Medium and deep chemical peels can be good choices. In the care of Dr. Peter Accetta in Orchard Park, NY, this treatment is carefully controlled, for predictable results.

What do Medium and Deep Chemical Peels do?

A chemical face peel resurfaces skin by removing damaged outer layers. A peel exfoliates chemically, rather than surgically as with dermabrasion, or ablative laser resurfacing.

Peels refine the texture of skin, reduce wrinkles, and improve pigmentation irregularities.

Types of chemical peels

Medium and Deep chemical peels resurface the skin without surgery or laser and can be a very cost effective alternative for significantly improving the appearance of your skin/

Medium depth peels use a combination of acids and are particularly effective for exposing age spots and blotchy couplexions. Often there is also improvement in fine lines as well.

Your skin will peel for seven days and new skin will appear fresh and pink with pinkness fading over the next few weeks. Cosmetics can be applied after day seven.

Deep chemical peels are very effective at improving lines that are present when your face is at rest. This peel is an excellent choice for vertical lip lines and other lines around the mouth as well as wrinkles around the eyes and cheeks. The recovery  for this peel is approximately 12 days and improvement can be dramatic. Deep peels require commitment to about two weeks of healing time. However, at Orchard Park Dermatology, extra steps are taken to ensure a comfortable patient experience. Application of the chemical is carefully monitored, and aftercare instruction contribute to prompt recovery. After skin crusts and peels, new pink skin is revealed. Within several months, pinkness fades to a smooth, even complexion. Wrinkles are softened, and skin is luminous with improved elasticity.

Before After Chemical Peels

Why Orchard Park, NY patients choose deeper chemical peels

  • Medium Depth peels are safe for all skin types – even dark tones
  • Peel strength can be customized to match your exact skin type.
  • The patient is sedated for a deep peel, and sometimes with local anesthetic to further relieve discomfort
  • Only one peel treatment is needed
  • Freckles can be permanently eliminated
  • Results are remarkable and long-lasting
  • Chemical peels are more cost effective than comparable treatments with similar results, such as laser skin resurfacing

Learn more about nonsurgical skin rejuvenation with a consultation at Orchard Park Dermatology. The number is (716) 675-7000.

Phenol Peel is ideal for discolored skin as performed here by Dr. Accetta

Phenol Skin Peel, How Deep Chemical Peels Work

Detailed video – Phenol Peel

Today we are demonstrating a full face phenol peel on a patient, who presents with a number of skin concerns, she has Dyschromia characterized by brown blotches on both cheek form chronic sun exposure, she has that mainly on the cheeks but also extending up on to the forehead. She is a patient that we have also treated for pre cancers in the past with liquid nitrogen so she has a long history of sun damage and also of concern to our patient are these vertical upper lip lines you can come in a little bit closer, that many women develop after menopause we commonly call them smokers lines but they occur in women who have never smoked and has more to do with estrogen levels and what we have done is we have pretreated her with a retinoid, a retinae for the past several weeks and that is the primary skin for the peel and this morning she took some sedatives, she is not asleep – say hello! Hi! She is groggy but she is not asleep and we will be able to talk to her throughout the procedure, we do monitor her vital signs with heart rate blood pressure and that way it is another way we can track and see how she is doing, so we administer the peel over about a 90 minute period, she will go home and because she took an ambient earlier today she will wind up sleeping the afternoon away. She is really not going to have significant discomfort after the procedure. We will see her back in the morning, checkup and she will have only a hazy memory of what happened here today. 

Ok now we are moving to the other side with some fresh peel solution, again we are going to go right up close to the eye lid margin, and we do that because this thin skin will tighten up nicely after the peel. Now we use different strength solutions, for different areas of the face, because of differences in skin thickness. Okay next we are moving to the upper li we are going to use a stronger solution here and I really want to stretch the sin out so I get down into those vertical lip lines and I am going to work on one half of the upper lip – it is okay to get the solution down on to the vermillion or what we call the red part of the lip, and we know she has had a lot of sun damage here – we have frozen pre cancers form this area so hopefully this is going to have a therapeutic effect on that as well. You see with the stronger solution we get a quicker and whiter frost than we did with the milder solution and to the other side, again I am going to stretch the skin, so we get our solution right in there. This is an area where I think patients achieve the most satisfaction, because these lines tighten up and disappear. If not if they don’t totally disappear they are marginally improved. Okay we are starting now on the chin! This is also an area that has a high concentration of sebaceous glands which allows us to use a stronger solution here. She has got some lines near the corner of her mouth and we are hoping to get those improved. 

You can see her upper lip the frost has already completely faded. Nice contrast white frost, and as we look at the other side grey frost!

Okay – so I want to point out that we are moving out to the cheek and this is the driver’s side – Margaret’s driver’s side and she has got lots of solo antigens or what you may call brown spots and she has more on this side than she does on the other side and this peel is going to do a terrific job in removing those so I want to make sure we get a nice close up of what these look like before we start. Okay starting on her cheek, and gain we are looking for that same white frost, and we are just going to change direction and go right up to her cheek bone, we have to work a little bit harder to get that frost here – now I am just going to spot treat on some of the darker areas.

As I move from area to area we will note little areas of imperfections that require extra attention whether they be brown spots or pre-cancerous Keratoses or fine lines around the eyes we, we address each of these in turn, the entire peel experience takes about 0 minutes and when the patient goes home today as I said earlier. She will just sleep the afternoon away she will have a lot of redness and swelling over the next few days and she will peel for a full ten days sometimes 12 days. Now after that point the skin will be very pink but she wil be able to use make up and cover up and these before and after photos that I am going to show now are taken probably a month or more after the people experience, But as you can see overall the complexion is brighter and the brown spots are no longer present and she has nice improvement around the mouth area – those vertical lip lines. Overall it is a very satisfying procedure for the right patient, the patient who has the downtime that this requires this is our deepest chemical peel but also it is the most effective one.


Dr. Peter Accetta, MD, FAAD

Dr. Peter Accetta is dedicated to developing and preserving his patients' skin's health and brightness. Dr. Accetta is a dermatological board-certified physician who graduated from Fordham University and the University at Buffalo Jacobs School of Medicine. He is a member of both the American Academy of Dermatology and the American Society of Dermatologic Surgery.

He likes all facets of dermatological practice, but he is particularly interested in general dermatologic therapy and skin cancer care. He specializes in photodynamic therapies.

When you put your trust in Dr. Accetta and his staff, you can expect prompt attention to your requirements, competence, experience, and real compassion.

Peter Accetta, M.D. strives to make a difference in the lives of his patients by providing the highest quality care in a comfortable environment.

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