Chemical Peel Complications

Doctor Jacqueline Watchmaker presented on complications associated with chemical peels, drawing on her clinical experiences. She highlighted the distinction between superficial, medium, and deep chemical peels, noting that each depth poses varying risks for side effects like scarring or post-inflammatory hyperpigmentation (PIH). One case involved a 24-year-old nurse who experienced adverse effects due to improper neutralization of a glycolic peel, underscoring the need for strict adherence to peel protocols. Another case featured a 31-year-old skin type 5 patient who developed persistent PIH after a strong combination peel, demonstrating the risks when treating darker skin tones. The treatment involved using a 1927 thulium laser, which successfully resolved the pigmentation issues. Additionally, a third case illustrated complications arising from uneven application during a TCA peel, resulting in visible streaking that resolved over time with appropriate care. Watchmaker emphasized the importance of even application and taking time during procedures to minimize risks. Other preventative tips included considering HSV prophylaxis for patients, being cautious with compounded peels, and ensuring proper patient care and follow-up for complications. Overall, her presentation served as a reminder of the potential risks involved with various types of chemical peels and the importance of thorough patient assessment and adherence to guidelines.