A combined peel is an aesthetic medicine procedure that treats the different layers of the skin so as to renew it and thereby reduce skin imperfections. It restores the facial skin's natural radiance and gives it a fresh start.
Principle of a combined peel
The term "combined peel" refers to the use of several products to maximize the effects of the peel while limiting side effects. Due to their effectiveness, the large majority of peels performed at the practice are combined peels.
A peel is indicated for correcting skin imperfections on the face, neck, décolletage and backs of the hands. It notably corrects a dull complexion, enlarged pores, fine lines and wrinkles, acne scars, tired-looking eyes, under-eye circles, pigmented spots and facial skin laxity.
Indications for a combined peel
A peel's action:
- Corrects signs of aging and skin laxity
- Stimulates cell renewal
- Promotes the production of hyaluronic acid, elastic fibers and collagen in the dermis
- Maintains skin hydration
- Reduces the effects of oily or acne-prone skin
- Treats excess sebum (seborrheic skin)
- Reduces enlarged pores
- Treats superficial to moderate melasma
- Reduces sagging, lackluster skin
- Reduces pigmented spots
- Reduces reactive pigmentation
- Restores the skin's radiance
- Reduces superficial scars (acne, chickenpox…)
- Treats spots and lesions related to aging or sun exposure (actinic keratosis, solar keratosis).
- Corrects pigmented under-eye circles (brown or tan)
Dr. Cédric Kron performs latest-generation chemical peels that achieve effective, enhanced action while minimizing skin recovery time as well as side effects.
It should be noted that chemical peels are suited to all skin types (notably Black and Asian skin).
Types of peels performed by Dr. Cédric Kron
There are several possible options depending on the desired result, the areas treated, the recovery involved, and the characteristics of the patient's tissue.
Dr. Cédric Kron offers PRX-T33 biorevitalizing peels as well as peels from the mesopeel® MD range from the Mesoestetic laboratory. These latest-generation combined peels combine carefully selected exfoliating chemical agents to treat the main skin conditions with an optimal efficacy and safety profile. These peels carry CE marking and their effectiveness has been proven in clinical studies.
MESOPEEL® MD RETIFLASH
- Principle: Creates an immediate glow effect. Revitalizes the complexion and adds radiance while reducing skin imperfections.
- Indications: Dull complexion, tired skin.
- Composition: lactic acid (18%), glycolic acid (18%), retinol + retinal (2%), bakuchiol (1%), ascorbic acid, ferulic acid.
- pH: 2
MESOPEEL® MD OXYAGE
- Principle: Retexturizing peel that reduces surface skin imperfections. Evens out the complexion and skin texture, reduces pore size, oxygenates and purifies the skin.
- Indications: Moderate skin imperfections (texture, tone, pores)
- Composition: TCA (30%), kojic acid (6%), hydrogen peroxide, aminobutyric acid, chlorogenic acid, etidronic acid.
- pH: 2.2
MESOPEEL® MD PERIOCULAR
- Principle: Anti-aging peel that improves the eye contour and under-eye circles. Combined with mesotherapy for an optimal result.
- Indications: Signs of aging in the peri-ocular area: wrinkles, pigmented under-eye circles, skin sagging.
- Composition: glycolic acid (30%), salicylic acid (14%), phytic acid (5%), thioctic acid + caffeic acid and coumarin
- pH: 1.8
MESOPEEL® MD MELANOSTOP TRANEX
- Principle: Depigmenting peel that regulates the melanogenesis process and eliminates the melanin present in epidermal cells responsible for visible pigmentation.
- Indications: Lentigines, freckles, dull or uneven complexion and skin photoaging.
- Composition: salicylic acid (20%), 4-butylresorcinol (3%), kojic acid (3%), tranexamic acid (1.75%), 4-hexylresorcinol, glutathione.
- pH: 2.8
MESOPEEL® MD MELANOPLUS TOUCH
- Principle: Depigmenting peel for focal use that acts on excess melanin and regulates its production.
- Indications: Solar or senile lentigos and other hyperpigmentation.
- Composition: TCA (20%), kojic acid (4%), ferulic acid (1%)
- pH: < 1
MESOPEEL® MD BLEMISKIN
- Principle: Peel with keratolytic and comedolytic effect. Helps control sebaceous secretions. Reduces pore size and baseline erythema. Evens out the complexion.
- Indications: Acne-prone and seborrheic skin.
- Composition: salicylic acid (30%), retinol, shikimic acid, xanthophylls, zinc.
- pH: 2
MESOPEEL® MD AZELAN RX
- Principle: Peel with keratolytic and antibacterial action. Reduces capillary fragility and redness by soothing the skin.
- Indications: Sensitive skin, redness, couperose, rosacea.
- Composition: azelaic acid (18%), salicylic acid (15%), lactic acid (5%), retinal, glycyrrhetinic acid, tranexamic acid.
- pH: 2.5
PRX-T33 BIOREVITALIZING PEEL
- Principle: Stimulates skin regeneration without involving exfoliation of the epidermis.
- Indications: Enhancing skin radiance and luminosity, correcting skin imperfections on the face, neck or décolletage, and reducing stretch marks.
- Composition: TCA (33%), kojic acid (5%), hydrogen peroxide (Hâ‚‚Oâ‚‚).
What happens during a combined peel
Face diagnostic consultation
To support you in treating the signs of facial aging and help determine whether a peel treatment matches your needs and your expectations, the practice offers a face diagnostic consultation. During this diagnostic, an in-depth assessment of your facial skin will help develop a tailored treatment protocol.
Before the procedure
Any exfoliating cream containing glycolic acid should be discontinued (at least 48 hours before the first session). Taking aspirin should also be avoided in the five days preceding the procedure.
Before the peel, the skin needs to be cleansed with a cloth or cotton pad. The skin is degreased with an alcohol-based solution using light rubbing with gauze.
For particularly sensitive areas, a protective cream (Mesolips protectant) may be applied. Its exclusive texture creates a thin, transparent protective film with a hydrating effect.
Application of the peel
The procedure involves applying the product to the area to be treated after cleansing the facial skin. Applying the product takes about 20 to 30 minutes. A sensation of warmth and tingling is felt. Temporary redness is visible.
The number of layers (between 1 and 3) and the exposure time (up to 5 minutes per layer) depend on the type of peel used, the treatment goal, and the thickness and condition of the skin. Rubbing and pressure increase the depth of exfoliation.
After the peel
At the end of the treatment, a retinol-based product is applied to seal the peel and optimize results.
A mask may be applied to soothe and restore the skin. This mask is left on for 15 to 20 minutes before applying a regenerating cream.
The treatment ends with the application of an SPF 50+ sunscreen, as it is essential to protect the skin from UV rays after a peel.
Recovery and results of a light facial peel
For the 3 to 7 days following a facial peel, post-peel care must be performed by applying the prescribed moisturizing cream. More sensitive than usual, the skin may indeed peel following the procedure. These reactions fade within a few days, revealing renewed, more beautiful skin.
Between sessions and once the skin has recovered, the doctor may advise applying a moisturizing cream depending on the indication.
Treatments combined with a peel
As part of a comprehensive cosmetic, medical and aesthetic approach to facial skin aging, Universkin serums may be prescribed before and/or after a facial peel, to prepare the skin and optimize the result achieved.
Universkin is a functional dermatology protocol that creates custom cosmetic prescriptions, whose active ingredients and dosage are determined after a complete diagnostic of your skin's condition.
For an even deeper action, Dr. Kron developed the combined Dynamic HydraPeeling Face treatment. This combines HydraFacial, dynamic phototherapy and a combined peel. HydraFacial is a unique treatment that combines skin cleansing, exfoliation and hydration. Completely painless, this 3-step treatment achieves very significant, immediate and lasting results.
Result of the combined "Dynamic HydraPeeling" protocol
Result of a combined peel
To achieve an optimal result, 2 to 6 sessions spaced 2 to 4 weeks apart may be needed. To maintain the benefit of the results, maintenance sessions can be considered every 6 months.
Contraindications and precautions:
- In the presence of herpes or atopic dermatitis, a peel is absolutely contraindicated.
- In case of treatment with retinoids (for example, Roaccutane) or Vitamin A, the treatment is relatively contraindicated.
- Patients on antiplatelet treatment (Warfarin, Heparin, Aspirin, NSAIDs) may experience bleeding and the development of scabs.
- The treatment must not be used in patients with an active skin condition.
- A facial peel cannot be performed on inflammation, irritation, or abrasion.
- A facial peel must not be used together with other aesthetic treatments such as microdermabrasion, electrolysis, waxing, laser hair removal, depilatory waxes, or bleaching agents.
- It is essential to follow post-treatment requirements after the procedure, notably sun protection requirements (using a high-SPF sunscreen).
- The presence of excoriated acne can cause serious infections, and even scarring later on.