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Chemical Peels city, state

young womanA combination of life-long ultraviolet damage (UVA and UVB) from sunlight, plus age-related changes in the skin, can lead to fine lines (rhytids) in the facial skin and many different issues with pigmentation or discoloration (dyschromias). Fine lines are frequently prominent in the area around the eyes (crow’s feet) and may become more obvious with facial movement (such as smiling, laughing, etc.). In mild cases and younger patients, Botox cosmetic may be sufficient to treat this issue. In more advanced cases, however, these lines are visible at rest and may extend into the cheek area. For these patients, skin resurfacing is required, and Dr. Ransom offers a variety of chemical peels to suit all skin types and specific needs.

In some patients, a similar issue arises in the area around the mouth (perioral), causing fine lines (rhytids) that radiate away from the lips like the spokes of a wheel. These are sometimes referred to as “lipstick bleed lines” because they may permit small amounts of lipstick or lip liner to run onto the face. Lines around the mouth are of variable depth – many are shallow, like those around the eyes, but others may be very deep (particularly in smokers). Treatment of lines in this area often requires multiple modalities and sometimes multiple treatment sessions, depending on each patient’s unique anatomy.

Chemical peels can also treat some pigmentation issues, including brown or purple-colored spots (dyschromias) and visible, tiny blood vessels (telangiectasias). By removing the top layer of the skin (epidermis), the peel can take away these spots, replacing them with a smoother, more uniform skin color and texture. An added benefit of chemical peels is the ability to remove some precancerous skin lesions, such as actinic keratoses. Because the epidermis sloughs off after the peel, areas that may have turned into a skin cancer (i.e., those with cancerous potential but that have not penetrated into the deeper layers) are removed. Healthy new skin then heals from below!

Facial resurfacing is a category of procedures including chemical peels, ablative lasers, and dermabrasion. Each of these approaches remove variable amounts of the epidermis (the superficial or outside layer of the skin) and the dermis (the deeper or inside layer of the skin). There are many types and strengths of chemical peels available, but the most effective formulas must be administered under the direct supervision of a doctor. Dr. Ransom most commonly uses TCA (trichloroacetic acid), glycolic acid, or Jessner’s solution. He personally administers your peel, making sure that you achieve the best results with the quickest and easiest recovery possible.

Who is a candidate?

Chemical peels can be performed on anyone who has skin surface irregularities, fine lines (rhytids), and/or pigementary dyschromias (colored spots, freckles, telangiectasias, etc.). Different formulations and strengths may be used, depending on the innate properties of the skin (such as skin pigmentation, sensitivity, etc.). For patients with medium to dark skin, less aggressive peeling is performed in order to avoid unwanted changes in the skin color after the procedure. In some cases, it is necessary to perform a “test spot” (placing a small amount of the peeling solution on an area that is easily hidden) to see how the skin reacts. Chemical peels are contraindicated for people with certain skin or connective tissue disorders, and for women who are nursing. Finally, there are special considerations for patients who have been taking Accutane (isotretinoin).

There are a variety of approaches to skin resurfacing, and Dr. Ransom will work with you to make the best plan to suit your needs and skin type!

Frequently Asked Questions

Question: How long is recovery after a chemical peel?
Answer: Recovery after a chemical peel varies according to the type of peel used, the depth of the desired effect, and each person’s unique skin characteristics and healing capacity. Most medium-depth peels cause some skin irritation over the first couple days, followed by slough (flaking off, like dry skin) over a few more days. The new skin below is very sensitive as it heels, but patients are able to go out and can use make up. This process takes about a week. For superficial peels, the recovery is even shorter.
Question: What should I do to prepare for a chemical peel?
Answer: Dr. Ransom will work with you to get your skin ready for the peel. Depending on your skin type and history, this may begin up to two weeks before the peel is scheduled. Treatments may include topical creams to strengthen the skin (such as retinoic acids, or Retin A) or tone down the pigments (bleaching agents, such as hydroquinone). You should avoid excessive exposure to UV (direct sunlight) and make sure that the area to be peeled is not sunburned. If you have a history of cold sores, an antiviral medication will be given for prophylaxis. A gentle daily cleanser is important as well, but harsh treatments should be avoided.
Question: Which peel solution is right for me?
Answer: Dr. Ransom will work with you in your consultation to identify the best peeling strategy and formula for your goals and skin type. Commonly used peels are glycolic acid (mild), Jessner’s formula (medium), and TCA (different strengths). These peels may be used alone or in combination to adjust the depth of the desired peel. For more information, please schedule a consultation today!

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.