I'm African American, and would like to get a chemical peel, but I've heard that peels can cause hyperpigmentation. Is this true, and are there certain peels I could look for that would be safe for me?
Chemical peels are the most effective and efficient method to 'resurface' the skin to improve its color and texture that have been altered as a result of the cumulative effects of sun exposure, i.e., sun damage. The procedure involves applying a solution to the skin (we do not actually peel away the skin) that denatures the skin, the depth of which depends upon the solution and its concentration. Denaturation of skin is always accompanied by inflammation and in response to inflammation, the melanocytes in the regenerating skin often produce an overabundance of melanin that is observed as hyperpigmentation. Inflammation occurs in everyone and hyperpigmentation may be seen in all skin types; however, certain skin types are more prone to this post-peel (post-inflammatory) hyperpigmentation. However, unlike other types of post-inflammatory hyperpigmentation due to skin injury, i.e., acne lesions, insect bites, abrasions, that due to chemical peeling usually fades after several months.
Very superficial chemical peels, e.g., glycolic acid solution, Jessner's solution, usually are not associated with hyperpigmentation in any skin type - however, they do not significantly alter and improve skin color and texture, except for skin discoloration in the outermost layers of the epidermis, e.g., freckling.
You should consult with a physician who has much experience doing chemical peels to determine if you are a candidate for this procedure. The skin changes that you are interested in improving, your motivation for treatment, and your predisposition to post-inflammatory hyperpigmentation will be the determinants of whether to consider this procedure.
Published on Jul 11, 2012
It depends on the chemical peel you use. You will have to ask for the specifics to really know.
I would recommend the ViPeel which has a well documented track history of having good results with no problems on any type of ethnic skin.
Published on Jul 11, 2012
It all depends on the level of peel you are getting. Some peels are fine for you and others contain a very high risk of hyperpigmentation (darkening) or even hypopigmentation (lightening). Once you identify what your goals are, talk to an experienced (and preferably board certified) dermatologist or plastic surgeon about treatment options.
Published on Jul 11, 2012