CHEMICAL PEELS - POSTOPERATIVE INSTRUCTIONS

NORMAL SYMPTOMS

q       A burning sensation similar to severe sunburn will begin soon after the medication is applied (or after anesthesia wears off).  This feeling may last 24 to 72 hours.

q      Slight to moderate swelling will also occur.

q       Dermabrasion patients may use cold compresses applied directly to the tender area for the first 6 hours after surgery.

q       When your scab is gone, the area will be bright red.  You may apply moisturizer and makeup at this time.  No moisturizers than contain Alpha-Hydroxy acids such as glycolic or lactic acid should be used.

q       Redness will gradually fade over a several week to several month period.

SLEEPING

q      Rest on your back to avoid the pillow from rubbing against your face.  A semi-reclining position will aid in the reduction of swelling.

BATHING

q       You may shower or bathe, leaving the tape in place and keeping it dry. 

q       Leave the tape in place even if it becomes soiled.

FOOD

q       Drink only liquids with a straw for 24 hours after surgery.

q      Advance to soft foods taking small bites for the next 5 days. 

q       Continue cautious eating for 2 weeks following surgery.

HYGIENE

q     Brush teeth normally without stretching the lips; avoid the use of dental floss.

r On the third day following surgery, the tape will be removed and a special powder will be applied.  You will receive extra powder and instructions for the next three days

q       Reapply powder using a Q-tip to any wet or weeping areas until a scab is formed.

q       When a scab is completely formed, you may discontinue the powder.  Begin applying cold cream (not Vaseline) to the scab.  Leave the cold cream on for 10 minutes, then remove whatever material will come off easily.

q      Do not remove anything that is bleeding or stuck on.  Follow this regiment twice daily until the scab is gone.

ACTIVITY

q       Minimize facial expressions to prevent stretching and cracking of the new skin.  Minimize talking, rough chewing and laughing.

q       You are not a bed patient, but don’t overdo it.  Quiet activities at home are best for the first few days following surgery.  Avoid sweating if at all possible.  Jogging, aerobics, swimming and other such activities should be avoided until your doctor gives you permission.

q      Avoid kissing to reduce the risk of infection or cold sores.

q      Avoid sun exposure for at least 12-15 months post-operatively.  Do not expose the peeled area until it whitens.  Wear a sun block at all times.  Makeup containing sunscreen agents is NOT sufficient!  Tanning of red or pink skin may cause a permanent change in pigment.

CLOSING

q     Wear clothing that does not pull over the head to avoid touching the peeled areas with your clothing.

DRIVING

q       Someone should drive you to your first postoperative appointment.  You can drive when you are no longer taking prescription pain medication and your doctor gives you permission.