Chemical Peels in Santa Barbara at Evolutions Medical Spa

Last night’s Skin Ap-Peel event at Evolutions Medical Spa in Santa Barbara was packed! Santa Barbara cosmetic surgeon Dr. Terry Perkins shared his knowledge about how chemical peels work, the benefits of chemical peels and what types of chemical peels are offered at Evolutions. If you missed the event, you also missed the chance at winning a chemical peel and special offers that all attendees received. Insure that you won’t miss the next event by joining our email list (and you automatically get entered for a chance to win a free facial!).

Chemical Peels: What They Are and What They Can Do For You


Chemical peels are “the best bang for your buck” because they provide a great exfoliation in a short amount of time that usually results in dramatic changes to the skin (dependent upon the strength of the peel: stronger peels yield more noticeable results). In general, besides the immediate results of smoother skin and removal of environmental damage, chemical peels also help keep you ahead of the aging process.
How Skin Turnover Works
Basic facts about skin turnover helps to understand how chemical peels work. Skin cells are created in the basal layer and move upward. Cells die as they get closer to the skin and these surface cells fall off, to be replaced by new cells. In young people, a normal turnover is about 28 days, but as we age, the rate decreases to 40 or more days. Along with the decrease in skin turnover, the collagen and elastin in the skin decreases, combined with sun damage, and the result is thinner, less plump skin.
What Do Chemical Peels Do?
Chemical peels expedite cell turnover through exfoliation and stimulate new collagen to thicken the dermal layer. New cells replace the exfoliated cells at a faster rate and collagen and elastin production is increased.


The Benefits of a Chemical Peel
In the big picture, regular peels can create healthier, younger-looking skin throughout your lifetime. They can smooth the skin and improve texture and color uniformity. Peels will also:
  • Lighten by getting rid of superficial damage (age spot, sun spots)
  • Tighten by increasing collagen and elastin
  • Brighten by getting rid of the dead cells on the surface that build up (especially when cell turnover slows down with age) and creating plumper looking skin.
Question from the audience: Would peels get rid of freckles?
Answer from Dr. Perkins: Freckles are typically deeper down and peels would not get rid of freckles. If you are only trying to get rid of freckles, a peel would not be the right choice.

Do Chemical Peels Hurt?

The mild peels have a warm, tingly feeling and may create a minor discomfort. For the medium and darker peels, Evolutions has cooling devices to help make a peel more tolerable.
Will Skin Peel Off?
Yes, the superficial layer does peel off but since the peel is a “controlled injury” to the skin it does not produce scarring. Some lighter peels, such as the AFA Peel, creates a micro-exfoliation that may have very minor peeling such as flaky skin, but still gives you the benefit of a peel.
Question from the audience: When do you see peeling?
Answer from Dr. Perkins: In medium to deeper peels, the peeling may begin anywhere from 2 to 5 days post treatment.


Where Can Peels Be Done?
Realistically peels can be done anywhere on the body. Generally it is okay to be more aggressive on the face, but below the jawline you want to be more conservative.
Are Peels Mainly Done for Aging?
No, peels can be done for skin with acne and hyperpigmentation issues.
Are Peels as Effective as Laser Treatments?
Peels and laser treatments do different things. Laser energy can go deeper than peels can. Chemical peels are more reasonable to do cost-wise and are often a good starting point to get rid of superficial damage. For deeper damage, laser treatment may be considered. Note that Evolutions does offer a FotoPeel series that combines a FotoFacial using Intense Pulsed Light (IPL) and RadioFrequency energy to help with blood vessels, brown spots and more. These are alternated with chemical peels to get the maximum benefit from both treatments.
Question from the audience: Do peels help with large pores?
Answer from Dr. Perkins: Not necessarily. Pore are better treated with Laser Genesis that heats the collagen to tighten the pores.

Chemical Peels Available at Evolutions



Pumpkin Antioxidant Facial
  • cleans the skin up with a gentle exfoliation using enzymes
  • pumpkin is the highest concentration of salicyclic acid, Vitamin A, Vitamin C and beta-carotene found in any fruit or vegetable
  • the pumpkin peel draws out impurities while introducing vitamins, enzymes and nutrients
  • a good peel to get before an event
  • peeling amount: little to none
  • strength: light
AFA Peel
  • this peel provides powerful exfoliation, moisture retention with low irritation
  • benefits aging skin, sun damage, uneven texture and pigment problems
  • there is a home care line available: AFA gel (in different strengths) to keep the exfoliation consistent at home
  • peeling amount: little or none (depending on peel strength)
  • strength: available in varying strengths and also can be done in a series
Clay Mask Peel (Advanced Acne Facial)
  • excellent for clients suffering from oily or acne-prone skin
  • this peel combines the AFA peel with a clay mask to absorb oil and skin impurities
  • called the “Advanced Acne Facial” because not a lot of peeling occurs
  • peeling amount: little or none
  • strength: light to medium
Question from the audience: Does it work well for dry, acne-prone skin?
Answer from Dr. Perkins: Yes.


Alpha Beta Peel
  • Evolutions most popular peel
  • combines an alpha hydroxy acid and beta hydroxy acid to smooth the skin’s surface and stimulate collagen
  • great choice for clients who want to peel and see results quickly
  • peeling amount: most clients peel for about 2 to 4 days
  • strength: medium but can be tapered back to be a little less aggressive
* Comfort Peel
  • Evolutions newest peel
  • achieves significant results in a short amount of time
  • less discomfort than other comparable peels
  • the peel is done in one layer and the first step includes a numbing agent
  • EXCLUSIVE to Evolutions
  • peeling amount: peeling will occur and the amount of peeling depends on the strength of the peel
  • strength: available in light, medium and deep
Obagi Blue Peel
  • most aggressive peel that achieves significant results in a relatively short amount of time
  • excellent for pigmentation issues
  • only available through a physicians office
  • get better results by prepping skin with Obagi’s Nu-Derm system
  • peeling amount: all clients will peel for about 3 to 10 days
  • strength: deep
More Aggressive Options
Dr. Perkins offers more aggressive options at his Cosmetic Surgery Center in Santa Barbara (located near Cottage Hospital). Phenol peels and chemabrasion are done in the operating room and can be great for acne issues, scarring, deep wrinkles. The change is dramatic and there is more downtime than a peel done at Evolutions.
How Can You Improve Chemical Peel Results?
  • follow home care pre-treatment that is recommended by the Evolutions staff
  • prep with a Vibraderm treatment that provide physical exfoliation to help the peel penetrate deeper and more evenly
  • add on a stem cell treatment to introduce genetically flawless, live stem cells to replicate healthier, stronger, more youthful-looking cells
  • get a peel series where you have two or three peels in succession to get deeper than doing an individual peel
  • add on a laser light-based treatment to address deeper pigmentation problems
  • ask your clinician to recommend a home care system that will help you maintain your skin and keeps you ahead of the game
Parting Thought on Chemical Peels
Chemical peels are an important component in improving the quality of skin throughout your life by increasing cell turnover and they also allow home care products to penetrate more effectively.
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