Combination Therapy: Laser & Peel

Combination Facial Rejuvenation Therapy for Maximal Result:

Skin Resfurfacing and Chemical Peels

It has been well shown that combination therapies provide the best results for facial rejuvenation. Combining laser skin resurfacing and chemical peels has resulted in more improvement for the most common skin concerns including: skin discolorations such as from melasma, acne scarring, photoaging, fine lines and wrinkles.

What treatments are being combined?

Skin resurfacing with the ICON 1540 non ablative laser delivers pulsed energy to the dermis of the skin, causing microthermal zones to stimulate new collagen production. Increased collagen helps to minimize the appearance of fine lines and wrinkles, as well as scars. Remodeling the skin in this fashion helps to improve skin texture, firmness, and lessens pigmentation concerns.

The Vi Peel is a combination of trichloroacetic acid (TCA), Retin-A, salicylic acid, phenol, and Vitamin C. This combination of ingredients helps to further stimulate collagen growth while exfoliating the tissue, assisting with anti-inflammatory properties and antioxidants to help brighten the skin.

When a peel is applied after the ICON 1540 fractional laser, the ingredients of the peel are able to penetrate the skin through the controlled injury sites created by the laser. This combination of treatments leads to enhanced benefits of both treatments with improvement in uniformity of skin tone and texture.

Who is a candidate?

One of the best features of this combination therapy of a non ablative laser and chemical peel is that ALL skin types can be treated safely, regardless of ethnic origin.

There is a higher amount of pigment, or melanin, in the epidermis of individuals with darker skin. The ICON 1540 non ablative fractional laser targets the dermis, or deeper layer of skin, bypassing the epidermis. As a result, there is a decreased risk of thermal injury to the pigment producing cells, and decreased risk of subsequent complications seen with other energy based devices.

Where is the treatment performed?

The combination therapy of laser and chemical peel is performed safely in our office. A topical anesthetic agent is applied to the skin prior to the treatment. Overall, the procedure is very comfortable and well tolerated.

When can I have the treatment?

These procedures can be performed anytime. The microthermal zones of treatment by the laser are surrounding by healthy untreated areas, reducing the overall tissue stimulation and allowing for a more rapid recovery time.

There is approximately 1 week of “social downtime” during which there may be some pinkness or redness to the skin for a few days, with light peeling of the skin throughout the remainder of the week. You must avoid direct sunlight prior to and after your treatment to minimize the risk posed by UV radiation. You are able to go about your life with regular application of sunscreen immediately following the treatment. Repeat treatments are performed at least 4 weeks later.


Lucia S. Olarte, MD

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