Physician Grade Chemical Peels

Croton Oil/Hetter Peel

The Croton oil peel is a great peel that can produce a dramatic improvement in skin texture, tone, skin tightness, and wrinkles. It also reverses sun damage and brown spots. Its depth can be varied from medium to deep by Dr. de Ramón 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. It can be performed under general anesthesia, twilight anesthesia or in the office with oral sedation and local anesthesia. The improvement can be dramatic and can last for years depending on the patient’s skin, subsequent sun exposure, and ongoing skin care regimen. The improvement attainable from a croton oil peel is unparalleled by any laser.  Patients say that they require much less cover-up make up after this peel because of a great improvement in sun damage and blemishes.

Am I a good candidate for a croton oil peel?

Patients who have concerns about skin texture, tone, discoloration and wrinkles would benefit from a croton oil peel. Patients must complete a specific skin care regimen prior to and after treatment, so a commitment to do so is important. A full-face peel or a spot peel for smaller areas of concern are both excellent options for patients of any age. If you have a darker skin tone, this peel may not be appropriate.  Improvement in wrinkles can be dramatic.

What is recovery like?

The croton oil peel requires 5-10 days of recovery depending upon the depth of the peel. A full-face peel has 4-6 days of peeling skin and requires post care treatment. A spot peel may have only 2-3 days of the area peeling. After 7 days, makeup can be applied to reduce the signs of redness. Sun exposure should be avoided for 4 weeks, and a high SPF sunscreen must be used.

Dr. de Ramón has a specially trained medical staff to offer personal care throughout the recovery process. Post-op patients are also given his personal cell phone number to contact him in case of problems or questions.

What is the cost of a croton oil peel?

A spot croton oil peel starts at $275. Lower lid or other regional croton oil peels start at $1800. A full face croton oil peel starts at $3800. If the patient chooses to have a croton oil peel as an outpatient, the costs will increase to include facility and anesthesia fees.

TCA Peels

This peel produces skin rejuvenation through its ability to tighten skin, remove sun damage, improve uneven pigmentation, and reduce wrinkles. Skin tone is greatly evened out requiring less cover-up makeup, the pore size can diminish and the skin surface is smoothed.  It’s a great peel for sun damage and requires less post peel care than a croton oil peel, but is not as deep or as good for wrinkles as a croton oil peel.

TCA (trichloroacetic acid) peels are light to medium depth peels performed in the office for dyschromia (uneven pigmentation) caused by sun damage. Skin tone is evened, dark spots are lighter, and fine lines are improved. These peels can be repeated one to two times per year to maintain or improve the results as needed. Because this peel is deeper than a glycolic or salicylic acid peel, the effect is much more dramatic. This peel is performed by Dr. de Ramón or our aesthetician depending on the concentration used and the planned depth of the peel.  Patients are offered mild oral sedation for comfort during the peel if desired.

Am I a good candidate for a TCA peel?

Patients who have concerns about skin tone, discoloration (brown spots and freckles) and fine lines would benefit from a TCA peel. Patients with darker skin tones may not be a candidate for a TCA peel.

What is recovery like?

Recovery from a TCA peel is 4-7 days during which time the skin will peel revealing new, fresh looking skin. There is little to no skincare required during the peeling phase. Sun avoidance is important while peeling. Sunscreen is recommended for 4-8 weeks after peeling to protect the new fragile skin.

What is the cost of a TCA peel?

Depending upon the depth of the TCA peel costs can vary from $250-850.


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