South Florida Plastic Surgery Associates - Don R. Revis, MD

Chemical Peels

Stimulate the Growth of Fresh New Skin by Removing Damaged Layers

The desire to reverse the aging process and remove facial blemishes has generated tremendous interest throughout history. Chemical peeling is a procedure to improve the texture of the skin. The goal of chemical peeling is to remove a controlled thickness of damaged skin in order to stimulate normal healing and skin rejuvenation.

The effects of chemical peeling are similar to what can be achieved with other skin resurfacing methods, with a few important differences. Laser resurfacing and dermabrasion also achieve rejuvenation of the skin, and you are encouraged to read about those alternative procedures as well.

Chemical peels involve the application of solutions to the skin to cause exfoliation of the damaged, outer layers. Chemical peels are generally the least expensive of the three methods available for improvement of the quality of your facial skin.

TCA Peels

There are many types of chemical peels available today, and Dr. Revis prefers the 35% Trichloroacetic Acid (TCA) peel.

Trichloroacetic acid (TCA) is typically used as an intermediate-to-deep peeling agent in concentrations of 10 to 35%. This type of peel is useful for patients with surface wrinkles, superficial blemishes, and pigmentation problems. TCA may be used on the neck as well as other areas of the body such as the hands, forearm, and chest. The treatment is rapid, requiring only thirty minutes from beginning to end. Dr. Revis may chose to perform this procedure in the office or in the operating room where it is commonly combined with other procedures.

Once the treatment is completed, you can expect to shed the dead, outer layer of skin for approximately three days. Following this, you can expect your skin to be completely healed within ten days. At that time you will notice improvement in the appearance of your skin, which will be more soft and supple. You will appear more youthful, with fewer less wrinkles, blemishes, and pigmentation discolorations. You will also notice a healthy glow as your face appears radiant and shining.

TCA is a deeper peel than most of the superficial peels offered by a salon or dermatologist. Because it is a deeper treatment, your "downtime" will be approximately one week. During this time of peeling and healing, you will be required to keep your facial skin moist with our Gentle Healing Ointment at all times. After you are healed, sunscreen use is very important because you are initially much more sensitive to the harmful ultraviolet radiation from the sun.

If you think you might be a good candidate for a chemical peel or other skin rejuvenation technique, this page will give you a basic understanding of the procedure and the results you can expect.

The cornerstone of Dr. Revis' approach is to individualize treatment to your specific circumstances and goals and to ensure that you have an adequate understanding of the issues involved so that you are able to make a fully informed decision. This will help you achieve the appearance you desire with the least invasive procedure available, thus creating a mutually rewarding experience. Dr. Revis invites you to visit his office for a complimentary consultation to discuss the procedure in greater detail. You are also invited to email Dr. Revis with your questions, or we can mail you more detailed information regarding the procedure.

As you consider plastic surgery, one of the most important decisions you will make is choosing your surgeon. Our pledge to you is to provide the latest, state of the art cosmetic plastic surgery in a safe and professional environment. Dr. Revis is a recognized specialist in the field of cosmetic plastic surgery and is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. He is also an active member of the American Society of Plastic Surgeons and has also been named among "America's Top Surgeons" by the Consumers' Research Council of America.

Our goal is to provide you with the ultimate patient experience. Our well-trained staff will help you understand your procedure, our financial policies, the scheduling of your surgery, and your post-operative care. We are available to assist you during our regular office hours, Monday through Friday. Dr. Revis is also available 24 hours a day to post-surgical patients; he will give you his cell phone number after surgery so that you will always be able to reach him with any questions or concerns you might have during your recovery.

The Consultation

During your initial consultation, Dr. Revis will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure.

If you have a history of cold sores or Herpes simplex infection, it is extremely important to inform Dr. Revis. Facial resurfacing by any method increases your risk of a cold sore outbreak. Dr. Revis will give you a short course of antiviral medication to prevent an outbreak if you have such a history.

After reviewing your medical history, Dr. Revis will discuss your concerns, priorities and motivations for pursuing plastic surgery, as well as your fears. After examining you, Dr. Revis will be able to offer advice and options to help you achieve the appearance you desire. He will explain the advantages and disadvantages of the different options you have before you.

At the completion of your consultation, our Patient Coordinator will give you a written estimate of the cost of your procedure. At this time, you will also have the option to schedule your procedure if you so choose. The decision to undergo a procedure is a very important one, and the final decision should be given very careful consideration. Dr. Revis realizes the importance of this decision, and at no time will you be pressured to make a decision. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation.

Where Your Procedure Will Be Performed

Dr. Revis may perform your chemical peel in his office, or he may choose to perform your procedure at a local hospital or outpatient facility. Dr. Revis has been granted staff privileges at our local hospitals and outpatient surgery centers.

Types of Anesthesia

Deeper peels may require oral sedation or the injection of local anesthetics to numb the area to be treated. Dr. Revis will discuss these options with you more thoroughly at the time of your consultation, and please ask him about anything you do not understand.

Details of the Procedure

You should thoroughly cleanse your face with a nonresidue soap on the evening before and morning of the procedure. Dr. Revis will instruct you not to wear makeup, sunscreen, or any other product on your face the morning of your procedure, because these must be removed prior to the procedure being performed.

After you are appropriately anesthetized, Dr. Revis will apply the solutions to your skin. Afterwards, Dr. Revis will apply a thin layer of Gentle Healing Ointment to encourage healing.

After Your Procedure

Chemical peels are performed as an outpatient procedure. You will be able to go home following your procedure. You will experience peeling in two days that will be complete by seven to ten days.

The Results You Can Expect

With superficial peels, you should be able to resume your normal daily activities immediately following your procedure, including the application of makeup and sunscreen. Within minutes to days, depending on the type of peel chosen, you will notice that the treated area is more smooth with less wrinkles, having a more youthful appearance. Your newly rejuvenated skin should have a healthy glow and appear soft and supple.

With deeper peels, you will go through a process of shedding and healing that should be complete seven to ten days following your peel. At this time you will notice a marked improvement in the quality of your facial skin.


Please call (954) 630-2009 for further information or to schedule your complimentary consultation. We are conveniently located to serve the entire South Florida community including Miami, Fort Lauderdale, Boca Raton, Palm Beach and beyond.



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