Our thinking has been altered by the appearance on the scene of the Fraxel laser in terms of procedures that are best for patients desiring facial rejuvenation. While at one time deep chemical peels such as Baker’s phenol peels or strong trichloroacetic acid (TCA) peels were commonly performed to remove lentigines (freckles) and smooth the skin surface, the severe pain and the risk of undesirable pigmentary changes afterward always had to be accounted for. The Fraxel has proved much safer and gives uniformly better results.
Lighter chemical peels, on the other hand, are still a mainstay of skin maintenance regimens. Our aesthetician performs glycolic acid, salicylic acid, and Jessner’s solution peels daily in our office. Such procedures done at regular intervals can greatly enhance the benefit of other cosmetic procedures or skin care product regimens.