VI Peel Chemical Peel Pre-Treatment Instructions:

1. Wait at least one-year post Accutane/isotretinoin use before your peel.

One week before peel, patient should avoid: Electrolysis, Depilatory Creams, Waxing, Laser Hair Removal

2. 3 days before peel, patient should avoid these products and/or procedures: Retin-A, Renova®, Differin®, Tazorac®; any products containing retinol, alpha-hydroxy acids or beta-hydroxy acids, or benzoyl peroxide; any exfoliating products or procedures that may be drying or irritating.

3. If you are prone to herpes simplex outbreaks, such as cold sores, consult your provider on ways to treat prior, or discuss whether the procedure is appropriate for you.

4. If your face or treatment area has irritated skin (sunburn, open wounds, warts, sores, excessively sensitive skin) the day preceding your appointment, please contact our office before your appointment.

5. Chemical peels are contraindicated in patients with a history of recent chemotherapy or radiation therapy; allergies to salicylates like aspirin, phenol or hydroquinone allergy; rashes, or skin reactions; vitiligo, autoimmune disease (rheumatoid arthritis, psoriasis, lupus, multiple sclerosis), liver condition, or any condition that may weaken their immune system; and pregnancy or breast feeding.

VI Peel

VI Peel Chemical Peel What To Expect:

1. Your provider will provide you with a hand-held fan for comfort.
2. You will likely experience burning, stinging, redness, heat, or tightness as the peel is administered, and over the next couple of days.

VI Peel Chemical Peel Post Instructions:

1. You will be provided with a post peel kit and specific application instructions. You are encouraged to download and setup the VI Peel app, as it will provide you with reminders of what to do and when, and will supplement the written instructions provided with your post peel kit.
2. Skin may be tight and more red than usual. The peel is self-neutralizing; do not wash off or apply any other products for at least 4 hours.
3. Avoid use of topical products containing AHAs, Retinols, Vitamin A, or any type of exfoliant until the peeling process is complete.
4. Strictly avoid direct sun exposure for at least one week. Apply VI Peel SPF 50+
5. Avoid hot water, hot tubs, saunas, steam rooms, strenuous exercise, or excessive perspiration beginning the day of the peel and throughout the entire peel.

24 hours after the peel, and until peeling is complete:

a. Skin may be tight until it starts to peel.
b. Peeling will generally begin 48 – 72 hours after the peel has been administered, and last for 2 – 5 days after the skin has started peeling.
c. DO NOT PICK OR PULL THE SKIN. Allow the skin to peel at its own pace. (Premature peeling of the skin may develop into post-inflammatory hyperpigmentation.)

6. Some patients may experience extreme dryness after treatment. Continue use of post care products provided and/or recommended by your provider.

7. Patients should wait until the peeling process has completed before having any other facial procedures, including: facials, microdermabrasion, laser treatments, hair removal, and cosmetic injections.

8. Variations in amount of peeling: The degree of peeling may vary depending on the individual’s skin type and skin condition at the time of the peel. The success of the peel should not be determined by the amount of peeling, but by the end results that the peel will produce. Reasons why some patients experience decreased visible peeling:

• Receiving any peel, or this specific peel, for the first time.
• Severe sun damage (increased visible peeling should develop with subsequent peels).
• Having peels regularly with a short interval between peels.
• Frequent users of Retin-A®, alpha-hydroxy acids (AHA) or other peeling agents prior to the peel treatment.

Regardless of the degree of peeling, the skin is still sloughing off at an accelerated rate, which will result in the improvement of skin.