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1885 Glenanna Road, Suite 220, Pickering, ON, L1V 6R6
Chemical resurfacing treatments using controlled application of chemical solutions to remove damaged skin layers and stimulate renewal for improved texture and appearance.
Chemical resurfacing is a controlled skin treatment in which chemical solutions are applied to the skin surface to remove damaged outer layers and stimulate cellular renewal. By inducing a controlled wound response, chemical resurfacing promotes the regeneration of smoother, more evenly toned skin. This procedure is widely used to address a range of concerns, from superficial textural irregularities to more pronounced photodamage and scarring.
Chemical resurfacing works by applying a solution that dissolves the intercellular bonds holding damaged or aged skin cells together. As these bonds are disrupted, the outer layers of the skin are shed in a controlled manner, allowing new skin to form in their place. The depth of penetration depends on the type and concentration of the chemical agent used, the duration of application, and the number of layers applied.
The wound healing response triggered by the chemical application stimulates fibroblast activity and new collagen deposition. As the skin heals, the replacement tissue typically demonstrates improved texture, reduced pigmentary irregularities, and a smoother overall appearance.
Chemical resurfacing treatments are classified by the depth of skin penetration achieved. The appropriate depth is selected based on the condition being treated and the patient's skin characteristics.
Superficial treatments penetrate only the epidermis. These are the mildest form of chemical resurfacing and are suitable for minor textural concerns, mild discolouration, and general skin refreshing. Recovery is minimal, with most patients experiencing only slight redness for one to two days.
Medium-depth treatments extend through the epidermis and into the upper papillary dermis. These are effective for moderate photodamage, acne scarring, and more pronounced pigmentary irregularities. Recovery typically involves five to seven days of visible peeling and redness.
Deep treatments penetrate into the mid-reticular dermis and are reserved for significant photodamage, deeper wrinkles, and more severe scarring. These procedures require extended recovery periods and carry a higher risk of complications. Deep resurfacing is performed less frequently and requires careful patient selection.
Several chemical agents are used in resurfacing procedures, each with distinct properties and indications:
Chemical resurfacing is indicated for a range of dermatological concerns, including:
Preparation for chemical resurfacing may begin several weeks prior to the procedure. Patients are typically advised to discontinue retinoid products and certain other topical agents five to seven days before treatment. Sun avoidance and the consistent use of sunscreen are recommended in the weeks leading up to the procedure to reduce the risk of post-treatment complications.
During the procedure, the skin is thoroughly cleansed and degreased to ensure even penetration of the chemical agent. The selected solution is then applied in a controlled manner, with the number of layers and contact time adjusted according to the desired depth of treatment. A mild stinging or burning sensation is commonly experienced during application. For medium and deep treatments, a neutralising agent may be applied after the appropriate contact time has elapsed.
Recovery time varies significantly depending on the depth of the resurfacing treatment. Superficial treatments may result in mild redness and light flaking for one to three days, with most patients resuming normal activities immediately. Medium-depth treatments typically involve five to seven days of more noticeable peeling and redness, during which gentle skin care and sun avoidance are essential. Deep treatments require a more extended recovery period of two weeks or longer, with close post-procedure monitoring.
Results from superficial resurfacing are typically subtle and cumulative, often requiring a series of treatments to achieve the desired improvement. Medium and deep treatments tend to produce more dramatic results from a single session. Regardless of depth, strict sun protection is critical during the healing period to prevent post-inflammatory hyperpigmentation and to preserve the results of the treatment.
This treatment is classified as a procedural dermatology service. Procedural dermatology services are not covered by OHIP and do not require a physician referral. Appointments may be scheduled directly by contacting the Centre for Medical and Surgical Dermatology.
Dr. Maksym Breslavets at the Centre for Medical and Surgical Dermatology performs chemical resurfacing treatments at various depths, selected based on a thorough assessment of each patient's skin condition and treatment objectives. A personalised treatment plan is developed to ensure safe and effective results.
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No physician referral is required for procedural dermatology services. These treatments are not covered by OHIP and are available through direct consultation. Contact the clinic to schedule an appointment.