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Chemical peels for acne scars on dark skin
A chemical peel is a treatment method used to increase the rate of skin cell turnover to produce a smooth and even skin texture and tone. Chemical peels can also be used as a means to achieve a reduction in the appearance of acne scars. A chemical peel treatment entails the topical application of a peeling agent to remove the topmost layer of the dermis, helping to slough off dead skin cells as well as other imperfections from the skin and allowing new, healthy skin cells underneath to make their way to the surface. Chemical peels work to treat unwanted hyperpigmentation, eliminate active acne lesions, and get rid of various types of acne scars.
Chemical peels are safe to use as treatment in all skin tones and for all types of scars. Some formulations are particularly beneficial for specific types of acne scars. For example, for patients who are looking to treat the appearance of dark patches associated with post-inflammatory hyperpigmentation, Dr. Green can combine a traditional chemical peel with various strength hydroquinone creams in order to brighten the skin. While undergoing chemical peel treatment, patients must use a daily sunscreen of SPF 50 or higher in order to prevent damage to healthy new skin. For patients with darker skin tones, Dr. Green typically recommends using gentler chemical peel formulations, V-Beam or eMatrix laser treatment, dermal fillers, or microneedling to treat acne scars.
Cosmelan Peel for Dark Spots
One common aspect of acne scars is that of dark spots that remain on the surface of the skin after an acne breakout subsides. This discoloration can appear as small, flat red or brown marks on the skin, commonly referred to as post-inflammatory hyperpigmentation, or as red or darkened atrophic or hypertrophic scars. In the case of discoloration, Dr. Green typically recommends a combination of Cosmelan, chemical peels and retinoids, and hydroquinone creams to brighten and smooth the skin. It’s good to note that the use of some intensive lasers can exacerbate issues of hyperpigmentation or melasma among patients with darker skin types. Hence, Dr. Green recommends caution when engaging with laser resurfacing for dark spots. When you work with Dr. Green, she will make sure your treatment plan protects your skin from any additional unwanted pigmentation.
Cosmelan was initially developed to treat melasma, a skin condition characterized by patches of hyperpigmented skin. Dr. Green has expanded the use of Cosmelan to incorporate the treatment of acne scars, post-inflammatory hyperpigmentation (PIH), sun spots, and sun damage and discoloration on the face, chest, and body. The Cosmelan® peel is a professional-grade mask used by board-certified dermatologist Dr. Michele S. Green in her practice on the Upper East Side. The mask is left in place for a number of hours (depending on the degree of pigmentation and skin type). The cream is easily removed at home by the patient, with a neutral, gentle facial cleanser several hours later. Cosmelan will produce an initial “peeling” of the skin, which will leave the skin smooth and dramatically decrease the signs of facial pigmentation. Cosmelan is a simple and safe treatment with minimal downtime. The patient returns three weeks later for a touch-up of Cosmelan in order to treat any residual pigmentation.
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