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Skin Care Services

Chemical Peels

Chemical peels allow for skin rejuvenation to tighten skin, remove sun damage, improve uneven pigmentation, and dramatically reduce wrinkles. Skin tone is greatly evened out requiring less cover–up makeup.


Glycolic acid/Lactic acid peels are light peels designed to have no down time. Sometimes called lunchtime peels, these exfoliate dead skin, stimulate cell turnover, and smooth the skin surface. They leave your skin silky smooth and allow makeup application to go on perfectly. Lactic acid is an effective yet gentle alpha hydroxyl acid (AHA) that increases moisture levels by stimulating the production of glycosaminoglycans. By accelerating the cell renewal process, stimulating collagen synthesis, and improving elastin fibers in the dermis, this light chemical peel revitalizes photo damaged skin and helps reduce the appearance of fine lines and wrinkles. Usually done in a series of 6 peels every 2 weeks this peek will brighten up your skin and improve fine lines. This peel is performed by trained staff at de Ramon Plastic Surgery Institute, PC.


Salicylic acid/Mandelic acid peels are specifically formulated for patients with acne or problem skin. Dr. de Ramon has chosen to offer this specifically formulated SkinCeuticals ® peel because of the dramatic results he has seen. Combined, salicylic and mandelic acid work synergistically to exfoliate the skin while decongesting pores and reducing irritation. Although one of the strongest AHAs, mandelic acid’s large molecular structure and even penetration help prevent inflammation and irritation that can sometimes occur with AHA use. Salicylic acid is a lipid soluble BHA that penetrates pores to dissolve sebum and cellular debris. By accelerating the cell renewal process, stimulating collagen synthesis, and improving elastin fibers in the dermis, this light chemical peel revitalizes sensitive skin and helps improve the appearance of problematic skin. The peel is appropriate for serial applications and as a companion treatment for microdermabrasion or IPL. This peel is performed by staff at de Ramon Plastic Surgery Institute, PC.


TCA (trichloracetic acid) peels are light to medium depth peels performed in the office for dyschromia (uneven pigmentation) from sun damage. They require 4–7 days recovery for the skin to peel revealing newer, fresher, and brighter skin. Skin tone is evened, dark spots are reduced, and fine lines are improved. This can be repeated one to two times per year if needed. Because this peel is deeper than either the glycolic or salicylic peels discussed above, the effect is much more dramatic. A single TCA peel can accomplish what 6 glycolic peels accomplishes, perhaps more. This peel is performed by Dr. de Ramon. The patient is offered mild oral sedation for comfort during the procedure.


The Croton oil peel or Hetter peel is a great peel that can produce even more dramatic improvement in skin texture, tone, skin tightness and wrinkles. It improves sun damage and brown spots as well. Its depth can be varied from medium to deep depending on a patient’s recovery time and specific needs. Deeper peeling results in a greater degree of improvement but also requires greater recovery time. This is a specially formulated peel based on recent publications and research. The croton oil peels require 5–10 days of recovery depending on the depth of the peel. This peel dramatically improves wrinkles and tightens skin. It can be performed under general anesthesia or in the office with oral sedation. Dr. de Ramon will show before and after pictures to see what can be achieved. The improvement can be dramatic. The improvement attainable from a croton oil peel is unparalleled by any laser.


There are many things to consider prior to having a Croton oil chemical peel.


During a consultation, Dr. de Ramon reviews your medical history, discusses your concerns and goals and performs a physical exam. There is opportunity for questions and an explanation of the procedure(s). A second consult is recommended for final questions and to discuss the risks of treatment. Insurance does not cover chemical peels since it is considered a cosmetic procedure designed to improve appearance. Patients should expect to spend 7–10 days off work, have crusting, swelling and peeling for 1 week. After that makeup can be applied and patients are able to return to work.



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