Berkowits Hair & Skin Clinic offers chemical peeling treatments that involve applying a chemical agent to the skin for controlled exfoliation, leading to skin rejuvenation and improvement of various skin issues such as aging and imperfections. The document outlines different classes of chemical peels based on depth, suitable agents for each class, contraindications, and benefits of the treatments. It emphasizes the time-saving nature of chemical peels compared to traditional facials, making them an appealing option for individuals with busy schedules.

1. BERKOWITS HAIR & SKIN CLINIC
Skin Peeling
Chemical Peeling Treatment
Berkowits
5/3/2018
Chemical Sin Peeling is a medical procedure which includes application of a chemical agent to the skin,
causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and
removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues.

2. Skin Peeling
Chemical peeling is a medical procedure which includes application of a chemical agent to the skin,
causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and
removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues.
In simple words chemical peeling or chemical rejuvenation is procedure where a chemical agent or
combination of agents of defined strength are applied the skin causing a controlled destruction of layers
of the skin. This is followed by regeneration and remodeling leading to improvement of texture and
surface abnormalities. It is a safe, effective and affordable option for improving skin ageing and
imperfections.
Skin Histology
Skin is considered the largest organ of the body and has many different functions. The skin is divided in
two main regions, the epidermis and the dermis. The dermis is attached to an underlying hypodermis also
called subcutaneous connective tissue.
Epidermis – It is the most superficial layer of the skin. The first barrier of protection from the invasion of
foreign substances. The epidermis is divided into four layers – stratum corneum, stratum granulosum,
stratum spinosum and stratum basalis(basal layer).

3. Dermis – It is composed of fibroblasts which are responsible for secreting collagen, elastin and ground
substance that gives support and elasticity to skin. It supplies the epidermis with nutrients and has its role
in thermoregulation. The dermis is subdivided into two zones, upper papillary and lower reticular layer.
Classification of Skin peeling according to histological depth
Very superficial peel – Exfoliation of the stratum cormeum, without any epidermal necrosis.
Superficial peel – Destruction of the full epidermis, up to the basal layer
Medium peel – Destruction of the epidermis, papillary dermis and upto the upper one third of the reticular
dermis.
Deep peel – Necrosis of the entire epidermis and papillary dermis with inflammation extending to the mid
reticular dermis.
Classification of chemical Skin peeling agents
Very superficial Peel:
Glycolic Acid 30-50% applied for 1-2 minutes
TCA* 10% applied as one coat
Jessner’s solution 1-3 coats
Superficial Peel:
Glycolic acid 50-70% applied for 2-10 mins (depending on the type and thickness of the skin)
TCA 10-30%
Jessner’s solution 4-10 coats
Very superficial and superficial Peels are the mildest form and often called, “the lunchtime peel.” These
peels break down corneocyte adhesion, causing dead skin cells to shed off to reveal the fresh, healthy
underlying skin. These peels address minor skin irregularities like discoloration, acne, surface scarring,
fine lines, and sun spots.
Medium Peel:
Glycolic acid 70% applied for 3-30 mins (depending on the type and thickness of the skin)
TCA 35-50%
Glycolic Acid 70% plus TCA 35%
Jessner’s solution plus TCA 35%
Deep Peel:
Phenol 88%
Baker Gordon phenol formula

4. Medium and deep peels increase the collagen and glycosaminoglycans content, cause collagen
remodeling and increase dermal thickness to improve the clinical appearance of the skin with reduced
wrinkles, skin tightening and pigmentary dyschromia.
Skin Peeling Contraindications:
• Active bacterial, viral and fungal infection and open wounds
• Oral isotretinoin use within the past three months
• Pregnancy and breast feeding
• History of keloid formation
• History of taking oral contraceptive and photosensitive drugs
• Unrealistic patient expectation
• Uncooperative patient, eg. Patient is careless about sun exposure or application of medicine
• For medium depth and deep peels, history of abnormal scarring, atrophic skin and isotretinoin use in the
last six months.
Benefits of chemical peels:
• The skin becomes noticeably smoother and rejuvenated.
• It reduces pigmentation, improves dull and uneven skin tone, reduces signs of photoagaeing, acne and
enlarged pores.
• Removes dead and damaged skin cells and improves skin texture

5. • Helps in removal of tan
• Skin becomes brighter and more vivid because chemical peels not only cause re-epithelialization of the
epidermis but also collagen remodeling.
Pre peel and post peel precautions
 Patient has to be motivated enough to get multiple sittings of the peel ( 4-8, depending on the
indication and type of peel) every 2-3 weekly to get the desired result.
 Patient should not wax, bleach, scrub, shave(the same day) or get any other aesthetic procedure
like microdermabrasion, ipl, derma-roller one day before the chemical peel procedure. A gap of
atleast 7 days before and after the peel should be maintained.
 Patient should use a mild soap/ non soap cleanser after the peel
 Broad spectrum sunscreen and moisturizer should be used liberally, atleast 2-3 times a day and
sun exposure should be avoided.
 Patient should be strictly prohibited from scratching, picking or scrubbing the skin.
Skin Peeling is Must in Present Age
We are so busy building our careers that we tend to ignore our health. Our schedules don’t allow us to
focus on our mind and body and this, in turn, leads to weight gain, dull skin, diseases etc. Even the
corporates these days give weight age to candidates who are groomed well not only in terms of their
education but how presentable they look. For working ladies, it becomes all the more difficult, as they
have to juggle between their personal, professional and social life. Finally, we have the relentlessly harsh
weather taking a toll on our skin.
Skin care is an imperative for any individual these days. Problem is, facials, cleanups or other skin
massages can take upto an hour, per session. And we just don’t have that sort of time!
But there’s good news. And it’s called PEELING!
Why go for peeling?
It does precisely what facials and cleanups don’t! That apart, it is a super time-saving treatment – so you
both save time AND get a great looking skin! Isn’t that a win? You can wrap up a peeling session within 5
minutes – which makes it easy to sweeze one in during your lunch break!

6. How does it Chemical Peel for skin work?
Peeling gives you a fresher looking skin and the results are visible from the very first session onwards.
Depending on the problem area – for instance dull skin, acne, scarring, pigmentation, sun tan etc - the
skin consultant will suggest the number of sessions you will require to enjoy the desired results. Mild
peeling sessions usually come with gaps of 3-4 weeks.
Peel off the old - and reboot your skin with Berkowits
Berkowits Hair & Skin Clinic has various Peeling options available. Depending on your skin type and
problem areas, their skin experts recommend the right treatment and the number of sittings that you will
need – to sport a fresh new look!
Go for it! Book your appointment at Berkowits Hair And Skin Clinic, you may contact on 91-9999666699.