Chemical Peel Jessner's

The original Jessner's peel solution is a blend of three main ingredients, typically in equal concentrations (often 14% each):

1. Salicylic Acid (a Beta Hydroxy Acid or BHA): Dissolves hardened skin cells, has anti-inflammatory properties, and is oil-soluble, allowing it to penetrate and unclog pores effectively.
   
2. Lactic Acid (an Alpha Hydroxy Acid or AHA): Helps exfoliate dead skin cells, provides hydration, and promotes cell renewal.
   
3. Resorcinol: Enhances the effects of the other two acids, acts as an antiseptic, and aids in exfoliation.
   

The combination of these ingredients allows the peel to work in a synergistic way to remove the outer layers of the epidermis.

 The Jessner's peel is considered a medium-depth chemical peel, although its depth can be customized.

• Customization: The depth and strength of the peel are determined by the number of layers applied to the skin. Fewer layers result in a lighter, more superficial peel, while more layers create a deeper, more aggressive treatment.  
• Modified Jessner's Peels: The Jessner solution is often combined with other acids, such as Trichloroacetic Acid (TCA), to create a modified peel that can penetrate even deeper and achieve more dramatic results.  

 The peel can be used to treat a wide range of skin concerns, including:

• Acne and Congested Pores: Reduces acne, cleanses pores, and reduces acne-causing bacteria.  
• Hyperpigmentation and Uneven Skin Tone: Effective for reducing dark spots, sun damage, age spots, melasma, and post-inflammatory hyperpigmentation.  
• Aging Concerns: Smooths fine lines and wrinkles and stimulates collagen synthesis for improved firmness.  
• Skin Texture: Improves overall skin texture, giving the skin a smoother, more radiant, and youthful appearance.  

 During the Procedure:

1. The skin is thoroughly cleansed and prepped to remove all oils.  
2. The peel solution is applied to the face (avoiding the delicate eye area), often using gauze or a brush.  
3. You may feel a warm, tingling, or stinging sensation.
4. As the solution works, a whitish film, often called a "frost," may appear on the skin.  
5. Many Jessner's peels are self-neutralizing, meaning they do not require a separate neutralizing solution and are left on the skin for several hours.  

Recovery (Downtime):

• Immediate Post-Peel: Your skin will likely feel tight, dry, and may be red or swollen.  
• Peeling: Visible peeling typically begins around day 3 to 5 and can last for up to a week. The skin will shed in sheets.  
• Post-Care: 
  • Do not pick, scratch, or peel the skin to prevent scarring and infection.  
  • Use a gentle cleanser and a prescribed soothing, hydrating moisturizer.  
  • Strict sun protection (broad-spectrum SPF 30 or higher) is essential to protect the new skin and prevent hyperpigmentation.  

•  Sun Protection: This is critical. New skin is extremely sensitive to UV damage, which can lead to complications like hyperpigmentation.
• Darker Skin Tones: Individuals with medium to deep skin tones should exercise caution and always consult with an experienced dermatologist, as there is an increased risk of post-inflammatory hyperpigmentation (darkening of the skin).  
• Temporary Side Effects: Common side effects include mild redness, swelling, tightness, itching, and a burning sensation upon application.
• Contraindications: The peel is generally not suitable for people with active cold sores, open wounds, sunburn, moderate to severe rosacea, eczema, or those who are pregnant or breastfeeding.  
• At-Home Peels: While some home-use Jessner kits are available, a medium-depth peel should ideally be performed by a board-certified dermatologist or licensed professional to ensure proper application and minimize the risk of serious side effects like burns or scarring.

 Typically, TCA is a Medium-Depth, penetrating the entire epidermis and into the upper dermis. Lower concentrations can be superficial, and higher concentrations can reach the deeper dermis. 

 Fine lines and wrinkles, sun damage, more pronounced hyperpigmentation (like melasma), acne scars, and uneven skin tone/texture. It's often chosen for more moderate to severe skin concerns. 

 Available in a range of concentrations. A medical professional typically administers peels with a concentration of 20% or above. Concentrations in our office range up to 70%. 

A moderate to severe burning or stinging sensation during application. Skin will turn white ("frost") where the acid is applied. Significant peeling, redness, and swelling are expected for a recovery period of approximately 7 to 14 days for a medium-depth peel.