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Posts Tagged ‘vi peel’

New Paradigm in Chemical Peeling – The VI and Perfect Peels

Monday, May 28th, 2012

Chemical peels are the most ancient form of skin rejuvenation. For thousands of years, topical agents have been applied to the skin for an exfoliative effect. Chemical peels have evolved considerably in the past few decades as many different levels of penetration and exfoliation exist based on the agents in the formulations and their concentration.

Chemical peels have evolved into three basic levels of skin penetration which affects the result and the amount of recovery. Superficial peels, like glycolic acid and alpha-hydroxyacids, have a light effect with minimal recovery and are administered by aestheticians in a variety of clinical settings. Medium-depth peels, like trichloroacetic acid (TCA), produce more significant results but have longer recoveries particularly in the 25% and 35% strengths. These may be administered by physicians or aestheticians. Deep peels using phenol are physician administered peels that produce profound skin changes but with weeks of recovery.

In an almost linear relationship, the deeper the chemical peel the greater is the discomfort to undergo it. Similarly, deeper penetrating peels are associated with increased risks of skin burns and pigmentary changes. As the old motto goes, the greater the pain the greater the gain.

New peel formulations have appeared recently that blur these traditional lines of distinction and challenge some of these traditional peel concepts. Ushering in this shift in the chemical peel paradigm was the VI peel. This peel formulation cleverly combined all three depths of peeling agents including salicylic acid, TCA and phenol. It is the small phenol component that is revolutionary. Its main effect is that it acts like a topical anesthetic. As soon as the solution is applied, the skin goes numb. This allows the other agents to penetrate more deeply than a patient would normally find tolerable. In essence, a medium depth chemical peel that has the minimal discomfort associated with a more superficial peel.

As one might suspect, when a revolutionary change in a treatment occurs there is sure to be copycats, knockoffs and even improvements. In that vein along comes the Perfect Peel. This medium depth peel has many of the same ingredients as the VI peel with the exception of the addition of kojic acid and glutathione. Kojic acid is a well known agent for the treatment or prevention of hyperpigmentation, which can occur after any deeper exfoliative treatment. Glutathione has antioxidant properties through the neutralization of free radicals. It also effects melanin production so it too has a depigmentation effect.

In this new chemical peel paradigm, the VI and Perfect Peels offer exciting and advanced skin rejuvenation treatments. Since they can safely be applied by aestheticians in an office setting, they can have widespread use at a reasonable cost compared to more expensive laser treatments. Since the Perfect Peel has additional agents in its formulation that helps control the potential for hyperpigmentation, some have touted it as the superior choice. I would recommend that you try both and do your own comparison. You will be impressed with both the ease of the peeling experience and the skin results

Dr. Barry Eppley

Indianapolis, Indiana

Product Review: The Vi Chemical Peel for the Face, Neck and Chest

Sunday, May 9th, 2010

The use of lasers and light therapies has dominated the talk about skin retexturing and resurfacing over the past decade. While they do produce some wonderful results, their use has overshadowed the historical approach of chemical peeling of the face. Chemical peeling today has been largely relegated to the superficial peels done by aestheticians and not physicians. When combined with microdermabrasion, they are known to produce a nice refreshening effect but the results are not comparable with laser treatments.

Most chemical peels that produced any significant results, such as trichloroacetic acid (TCA) and phenol, have involved significant recovery and discomfort. Medium to deep-depth peels done by physicians required significant skin penetration to produce their results. This produces significant upper layer skin sloughing and downtime. Personally, I had assumed that ‘state-of-the-art’ chemical peeling was more about technique than the chemical compositions of the solutions.

My understanding of chemical peeling has undergone a change in the past year since we have begun using the Vi Peel. This chemical peel is an innovative combination of different ingredients. Cleverly combining TCA, phenol and salicylic acid peels with retinoic acid, Vitamin C and a proprietary mineral blend, a very interesting chemical peel has been created. It can create a significant skin change (repair) without the associated pain on application and with very little downtime. I am not sure of the chemistry of exactly how it works since skin results from peeling have been historically associated with the concept of ‘deeper = better results = more pain and recovery’.

My Indianapolis plastic surgery experience with the Vi Peel has shown that it is a real revolutionary peel. I say this for the following four reasons. First and initially important is that the peel produces a significant anesthetic effect on the skin on application. So one can have the peel without pain. That is really important to patients and encourages them to return for further treatments. I assume that the anesthetic effect is from the phenol component of the solution. Secondly, it does produce real skin improvement that appears to be equivalent to that obtained from micropeel laser treatments. (less than 50 microns) A series of Vi Peels can be a comparatively cost-effective skin rejuvenation program. Third, it can be safely used on all skin types (even a Fitzpatrick V or VI) as well as on the more sensitive areas of the neck and the chest. (historical ‘no-peel’ zones) Eliminating sunspots from the hands and chest and decreasing wrinkles in the décolletage areas has always been problematic with traditional peel solutions. Lastly, the peel can be safely applied by a trained aesthetician and does not require a physician to do so.

The Vi Peel is not a complete substitute for laser and light therapies. But it is a valuable addition to skin rejuvenation by providing a real effective option for the under 100 micron retexturing  needs in the face. For the neck and chest, however, this might be the best option that currently exists for real improvement without the risk of scarring.

Dr. Barry Eppley

Indianapolis, Indiana


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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