Heading now into the warmer months, my cosmetic patients are starting to make plans to undergo elective surgery.
My advice to them is always to prepare their skin and start getting close to an ideal body weight.

These two preparations can go a long way to a satisfied result and their importance cannot be stressed enough.

Slowly mimicking the facelift results

Being physically fit is something I cannot control, but skin quality is something I can – that is why I want to teach you a few things about Chemical Peels.

I hope you enjoy


Light peels

Light chemical peels are the most superficial and common peels with mild primary ingredients. This are most commonly alpha hydroxy acids (AHA), such as glycolic, lactic or fruit acid. Light peels remove the top layer of the skin in order to reveal the new layer of healthy skin underneath.

These peels are best for people who are encountering superficial skin problems only.

Lunchtime Chemical Peels

These peels are so quick and easy and you can get back to your normal activities straight after the procedure. This is why they are commonly known as “lunch time” peels.

The procedure goes like this:

  • Your skin will be cleansed before gently applying the peel.
  • The duration is 10 to 15 min during which you may feel some mild tingling or stinging feeling.
  • After the allotted time the peel will be washed off, revealing a pink colored but renewed skin.

The slight redness (and some possible blotches) is totally normal and should fade soon after. These are the only after effects to be expected.

In order to obtain optimum results, different AHA concentrations can be applied weekly or monthly but Yana will typically recommend you repeat it every 4 to 6 weeks, then monthly after that for a glowing a radiant skin.

Alternatives to Surgery

Chemical Peels are one of a very popular series of tools used by Plastic Surgeons to either enhance surgical result or employ as anti-ageing alternatives to surgery. Other options include Botox and Dermal Fillers.

Medium Chemical Peels

When it comes to medium peels, more potent acids are used, such as trichloroaetic acids (TCA). These peels are more intense in the sense that they penetrate further into the skin and can reduce deep acne scars, smaller wrinkles and help even skin tone.

TCA peels have been known to be especially successful in treating patients with darker skin tones.

These peels may require pre-treatment with AHA or Retin-A creams but we will guide you through the whole process.

Because its concentration is closer to that of a deep peel, medium peels can, to a certain extent and depending on the concentration and manner of application, achieve the results of a phenol (deep) peel.

During a medium peel:

Yana will cleanse the skin before applying the peel. The area will then turn a whitish-grey color and we will apply a saline compress to neutralize the acid in the peel. It is normal for your face to swell and burn while the peel is applied. Patients usually report a stinging feeling for around an hour after the treatment.

It roughly takes one week for most patients to recover after a medium peel. Your skin will be itchy and will then start to peel, first turning to a dark brown color and then becoming red.

In order to get the best results out of your medium peel, you should repeat the procedure monthly until you reach the desired effect and thereafter maintain the result with regular treatments every six to 12 months.

The final outcome will show a major improvement once your skin has fully healed.

Deep Chemical Peels

As its name suggests, the third peel category is the strongest: meet the Deep Peel (also called phenol peel). It is a great option if your face is showing deep wrinkles from unprotected sun exposure. It is also ideal for wrinkles around the lips and chin area but its high potency means you need to chat about it in detail with Dr Serrurier.

A full-face phenol peel usually takes Dr Serrurier 1 to 2 hours to perform and only a specialist should perform these peels.

After this procedure, your face will feel burny, itchy and swollen and you must be warned that you could feel unwell and experience moderate to severe pain for a few days.

It will be around two weeks before you can socialize again after a deep peel. But on the plus side, phenol peels give the most dramatic results by far and the effects can last up to ten years!

Dr Charles Serrurier

Plastic & Reconstructive Surgeon
MBBCH (Wits), FCS Plast. Surg (CMSA)
PR. N0. 0304131                                              

Suite A9, Life Fourways Hospital

Cedar Road & Cedar Avenue West
TEL: 011 875 1630
FAX: 011 875 163 Dr Charles Serrurier
BLOG – drcharlesserrurier.wordpress.com

WEBSITE: http://www.drserrurier.co.za/

Dr Serrurier July Newsletter: Dermaceutic cosmeceuticals

Over the last couple of newsletter editions I’ve touched on procedures that I like to perform in the winter months – the cold weather aids certain procedures with recovery.

This month is somewhat different as I want to discuss your skin. The winter in the Highveld is dry and takes its toll on your skin – dehydrated skin hastens wrinkle formation and this deterioration of skin quality makes more pronounced visible signs of ageing.

Yana at the practice was hired in the practice to provide Chemical Peels and Facials to help reduce visible skin ageing and last month we ran a midmonth newsletter detailing her skills. This month I want to let you know about the product of choice at my practice – Dermaceutic.

I hope you enjoy what follows.

Skin Rejuvenation for Non Surgical Anti-Ageing

The Story behind Dermaceutic

Developed in France and Belgium by renowned dermatologists and scientists, Dermaceutic is a range of cosmeceuticals exclusively offered at trained professionals. In other words it is only available at specialist doctors. Dermaceutic offers professional and home care products and I chose to represent them because they offer quality skin treatment, protection and safety

What makes Dermaceutic unique?

The secret behind the Dermaceutic range is that it contains an original combination of active ingredients at concentrations proven to offer results. I do not want to stock a product in my rooms without prior research to know that results are proven if used correctly.

The professional treatments offered at my rooms consist of Chemical Peels from very superficial to medium and deep peels. These Chemical Peels if used correctly can resurface the skin, stimulate new collagen growth and eliminate wrinkles. Other Chemical Peel treatments address regulating sebaceous secretion, acne also decreasing and relieving pigmentation problems.

They are all followed up too with homecare options to enhance your final result.

Surgical Chemical Peels:

The deeper the Chemical Peel the better the result, but longer the downtime. For the most aggressive Chemical Peel I will need to take you to theatre and the downtime will be significant. Your skin, when healed, will be brand new and unblemished but you will need to take about a week off work.


The Cosmo Peel

The Dermaceutic Cosmo Peel is one of Yana’s favourite treatments. It is a simple skin rejuvenation procedure with a very little down-time.

It is a highly efficient treatment that Yana will use to improve a variety of skin disorders caused by ageing:

  • Fine lines and wrinkles,
  • Smoker’s skin complexion
  • Dark sun spots.

 The Cosmo Peel treatment is usually done over several sessions. Yana usually advises 2 to 3 Cosmo Peel sessions in order to improve your skin quality.  Each treatment will last 35 to 45 minutes, but that is because we like to offer a relaxed treatment with some added extra’s.

The Spot Peel

Yana will use the Dermaceutic Spot Peel to treat:

  • Pigmentation spots,
  • Pregnancy dark spots
  • Melasma.

She also highly recommends it if your skin suffers from actinic keratoses and pigmentation disorders.

Dermaceutic Spot Peel is also perfectly suited for any kind of skin. Darker skin tones have always proven to be tricky to treat but using Spot Peel they can be safely treated with a natural blending of skin colours and no risk of hyper-pigmentation.

What happens during a Dermaceutic peel?

First, Yana will clean the skin to remove all oil and make-up. She will then apply the Dermaceutic peel using a small brush. Patients usually report a feeling of tingling and heat during the application – but nothing unbearable.

Once the Dermaceutic peel treatment is complete, Yana will remove the peel or neutralize it from the skin.

The frequency and number of treatments will be determined depending upon the peel applied, your skin condition and your desired result.
For optimum results, the sessions will need to be repeated every two to four weeks and its important to complete the treatments.

It common for patients to experience redness similar to a mild sunburn for a couple of days following a Chemical Peel. It is also of utmost importance to protect your skin from the sun – especially after a Chemical Peel.

Dr Charles Serrurier

Plastic & Reconstructive Surgeon
MBBCH (Wits), FCS Plast. Surg (CMSA)
PR. N0. 0304131

Suite 9

Life Fourways Hospital

Cedar Road & Cedar Avenue West
TEL: 011 875 1630

FAX: 011 875 163 Dr Charles Serrurier
BLOG – drcharlesserrurier.wordpress.com

WEBSITE: www.drserrurier.co.za