the Effects of Combination AHA Peels vs. Traditional Peels - Dermatology

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What can you tell me about glycolic acid peels?


Hello, Doctor: I would like to ask you about chemical peels with alpha hydroxy acids (AHAs).
I just had a combination AHA peel yesterday, and my face is very red and uncomfortable.
It feels like my skin is peeling off.
How should I choose between combination AHAs and traditional AHAs? I had traditional AHA peels (8 sessions) six months ago, and recently I tried the combination AHA peel.
However, after yesterday's treatment, my skin is extremely red, and it really feels like it's peeling off.
My family was shocked.
But with the traditional AHA peels I had before, I didn't experience this.
Am I more sensitive to the combination peel? Or could I be sensitive to one of the ingredients? Or did the aesthetician use too strong a concentration? During the procedure, I felt a lot of stinging and pain, and the duration of the peel (the time the AHA was left on my face) was longer.
Thank you!

Tracy, 20~29 year old female. Ask Date: 2006/02/11

Dr. Zheng Lizhen reply Dermatology


Hello: The symptoms you are experiencing are related to the medication used, the duration of use, and your skin condition.
If you have any discomfort, you should immediately return to consult with the operating physician.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2006/02/11

More Info


When considering the effects of combination AHA (alpha hydroxy acid) peels versus traditional peels, it's essential to understand the differences in formulation, application, and potential side effects. AHA peels are commonly used for their exfoliating properties, helping to improve skin texture, tone, and overall appearance. Traditional AHA peels typically contain a single type of acid, such as glycolic acid or lactic acid, while combination AHA peels may incorporate multiple acids or additional active ingredients to enhance efficacy.


Understanding AHA Peels
1. Composition: Traditional AHA peels usually contain one type of acid at a specific concentration, which can be adjusted based on the skin type and desired results. In contrast, combination AHA peels may include a blend of different acids (like glycolic, lactic, and citric acids) and other ingredients such as antioxidants or anti-inflammatory agents. This combination can provide a more comprehensive treatment, targeting various skin concerns simultaneously.

2. Efficacy: Combination peels are often designed to address multiple skin issues, such as hyperpigmentation, fine lines, and acne. They can be more effective for certain skin types or conditions, but they may also carry a higher risk of irritation, especially for sensitive skin. Traditional peels, while effective, may not provide the same level of multifaceted treatment.

3. Sensitivity and Side Effects: The redness and peeling you experienced after your recent combination AHA peel could be attributed to several factors:
- Skin Sensitivity: Your skin may be more sensitive to the specific combination of acids used in the peel. If you have previously tolerated traditional peels well, it does not guarantee that your skin will react the same way to a combination peel.

- Concentration and Application Time: The concentration of the acids and the duration for which they were left on your skin can significantly impact the level of irritation. If the aesthetician used a higher concentration or left the peel on for a longer time than what your skin can tolerate, it could lead to increased redness and peeling.

- Individual Reaction: Everyone's skin reacts differently to treatments. Some individuals may have sensitivities to specific ingredients, which could explain the heightened reaction you experienced.


Choosing Between Combination and Traditional Peels
When deciding between combination AHA peels and traditional peels, consider the following:
- Skin Type: If you have sensitive skin or a history of reactions to certain ingredients, you may want to stick with traditional peels or consult with a dermatologist to determine the best option for your skin type.

- Desired Results: If you are targeting multiple skin concerns, a combination peel may be more beneficial. However, if you are looking for a more straightforward exfoliation, a traditional peel might suffice.

- Consultation: Always consult with a licensed skincare professional or dermatologist before undergoing any peel. They can assess your skin's condition and recommend the most appropriate treatment based on your individual needs and concerns.


Post-Peel Care
After a peel, especially a combination AHA peel, it is crucial to follow proper aftercare to minimize irritation and promote healing:
- Moisturization: Use a gentle, hydrating moisturizer to soothe the skin.

- Avoid Sun Exposure: Protect your skin from sun exposure, as it will be more sensitive post-peel. Use a broad-spectrum sunscreen with at least SPF 30.

- Gentle Cleansing: Use a mild cleanser and avoid harsh scrubs or exfoliants for a few days after the peel.

- Monitor Reactions: Keep an eye on your skin for any unusual reactions. If redness or irritation persists, consult your skincare professional.

In summary, while both combination AHA peels and traditional peels have their benefits, the choice between them should be based on your skin type, sensitivity, and desired outcomes. Always prioritize safety and consult with professionals to ensure the best results for your skin.

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