Chemical Peels
Austin, TX




Before and Afters

*Each patient is unique and individual results may vary.

Doctors Edward Buckingham and Erin Smith offer Chemical Peel solutions for patients in Austin & Sunset Valley, TX. Board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, Dr. Buckingham has extensive training and experience in surgical and nonsurgical facial treatments. Many people are intimidated by the peeling process and fear leaving the treatment center with a bright red face. The post peel treatment reality is, however, a glowing, more youthful and healthy complexion. Dr. Buckingham may recommend peels to exfoliate dry skin, improve uneven skin tone and texture, or reduce the appearance of fine lines, wrinkles, acne scars, breakouts, and dark spots.

The Chemical Peel Procedure

In the 1990’s, many physicians replaced chemical peels in favor of full ablative laser and resurfacing techniques. But, because these new resurfacing treatments had a higher risk of scarring and pigmentation loss, the cosmetic field introduced fractionated CO2 laser technology and returned to chemical peeling to achieve significant skin rejuvenation with minimal risk. Dr. Buckingham has experience with many of the most popular peeling and laser resurfacing treatments on the market, and he has chosen only the most reliable and trusted treatments for use at Buckingham Center.

Dr. Buckingham customizes each peel treatment to match the patient’s needs, skin type, and skin sensitivity, and many patients can benefit from the wide variety of peels that are offered at Buckingham Center.

Physician administered Chemical and Laser Peels

Dr. Buckingham also offers medium depth chemical as well as laser peels that are more surgical in nature. TCA, trichloroacetic acid, is utilized as the skin peeling agent and fractionated CO2 or Erbium laser are available as a laser treatment. TCA Peel and Erbium Laser benefits are appropriate for patients who desire a greater level of improvement and have significant wrinkles or age spots. These patients must be able to tolerate a longer recovery time. Chemical peeling and laser resurfacing can be used with a combination of agents to achieve tremendous results with minimal risk. For instance, when Dr. Buckingham addresses acne scarring, he may recommend multiple treatments like a combination of chemical peeling and BBL Ultra Peel laser to obtain the optimal result. BBL Ultra Peel laser includes a variety of treatment levels that are used by Dr. Buckingham to achieve varying degrees of improvement that are balanced with a patient’s recovery time tolerance.

What to Expect During the Procedure

The use of Retin-a and Hydroquinone prepare your skin for the treatment and is believed to aid with the healing process. Fractionated laser is performed with topical anesthesia and the use of mild sedation when needed. The recovery may take five to 14 days, depending on the depth and concentration of skin rejuvenating treatment. Full-strength physician peels and deeper, more invasive peels are typically performed in an accredited ambulatory surgery center. Peels that are limited to the mouth and lip region are sometimes completed in the office. There are several peel treatment options at Buckingham Center, and Dr. Buckingham will provide you with specific procedural expectations during your consultation.

Deep, Medium & Light Chemical Peel Recovery

Buckingham Center provides each chemical peel patient with written instructions describing in detail how to care for the skin before the peel and during the healing phase. Different levels of recovery can be expected, based on the depth of the peel and the area that is treated. Dr. Buckingham will recommend a treatment that matches your recovery-tolerance level. A deep chemical peel treatment requires an ointment, which must remain on the face continuously for ten days. A special cleanser will be used during this time. The patient must stay makeup-free for 14 days. After this time, a mineral-based makeup, provided by Dr. Buckingham, can be used to cover any remaining redness. Buckingham Center provides all of the necessary care items for each patient and will see the patient during the recovery process as they guide them through the healing process.

Chemical Peel Expectations

Dr. Buckingham offers a wide variety of skin resurfacing and chemical peel treatments that activate the cell turnover process and remove damaged and dead surface cells to reveal new, healthy skin. Significant skin rejuvenation and natural-looking results can be expected from the different types of peels that are offered at Buckingham Center in Austin, TX. Dr. Buckingham creates a customized chemical peel plan for male and female patients which treats their skin and removes wrinkles, acne scars, sun damaged skin, fine lines, uneven skin tone, and irregular pigmentation. Patient results vary, and Dr. Buckingham provides each patient with photos or other information specifying the type of results that they can expect to achieve. Dr. Buckingham offers chemical peeling and laser resurfacing treatments to patients who desire healthier, younger-looking, revitalized skin.

Chemical Peel Consultation

Dr. Buckingham feels that positive treatment results are based on a good rapport between the patient, himself, and the staff. Each consultation includes a complete facial analysis that is used to determine the best chemical peel option. Dr. Buckingham takes the time that is needed to carefully explain his recommendations and to answer his patients’ questions and concerns.

The Ideal Chemical Peel Candidate

The ideal chemical peel candidate is an adult male or female who is in good general health. It is essential for the candidate to have realistic expectations. Patients who want to achieve a significant reduction in facial lines, pigmented spots, acne scars, and other age-related changes may be a good candidate for a chemical peel.

Please follow the Postoperative Instruction Sheet carefully.

Apply cold packs to the treated area 20 min each hour for 48 hours.

Items needed for post-operative care:

Aquaphor healing ointment, Cetaphil Cleanser, Cetaphil Facial Cream, (Provided by The Buckingham Center)

4 X 4 Gauze or clean soft wash clothes, Q-tips

General Cleaning Instructions:

  1. Hydrate! Hydration of the body is essential for healing. Drink plenty of water during your recovery. Avoid caffeinated beverages including coffee, soda, and tea.
  2. Wash face gently in a circular motion with cool/warm water and Cetaphil Cleanser (provided by the clinic). You may use a soft clean cloth or sterile gauze to gently remove the excess ointment.
  3. Rinse off with water by gently splashing face over sink or by squeezing a soft, damp cloth over area.
  4. Dry area gently by patting off the water with a soft cloth.
  5. Apply Aquaphor ointment evenly over entire area including the edges with a q-tip or clean tongue depressor (provided by the clinic).
  6. We recommend applying ointment at least three times daily, or more frequently, so as to avoid drying out your skin. Be generous in your application. A thick coating ensures that all your skin is well moisturized.
  7. Initially for the first two days, cleansing should be done twice daily. We then encourage cleaning up to four times per day.

After the first 3 days:

After the first 3 days, you may rinse your face in the shower by letting warm water gently hit your forehead and run down your face. You should avoid any extremely hot water as this may cause a significant burn. The goal is to have your skin peel off easily. Sometimes you may see yellowish build-up or crusting. Gently remove this build-up with a wet q-tip. It is strongly advised that you apply or remove ointment, crusting, etc. with q-tips and not your fingers as you may contaminate your open wounds with bacteria. Listen to your skin. You don’t need to be aggressive.

After the first 8 to 10 days:

After the first 8 to 10 days, a new skin outer layer will have formed. After we have seen your progress and instructed you to do so, you may stop applying Aquaphor to your face. Cetaphil Facial Cream may then be started and applied in a generous layer to replace the aquaphor. If any areas of dryness persist, aquaphor may be added to those areas.

Do not wear any make-up or other chemicals including sunscreen until instructed to do so. Makeup and perfumes may cause significant irritation to your new skin and may lead to chronic dermatitis, where areas of the skin stay red for a prolonged period of time. Don’t take chances. After 14 days you will be given a light mineral based makeup to use on your skin which contains a physical sun block.

What to watch out for:

Your skin will remain a light-red to pink color for several weeks but may return to your normal skin tone earlier. If you notice that your skin becomes significantly redder (or bright red) or becomes irregular in contour (lumpy-bumpy), you may be experiencing a dermatitis (i.e., an irritative reaction). If you begin to notice these changes stop applying whatever agents to your skin that might be irritating it, and contact us immediately. If you begin to notice little white bumps (known as milia) in the peeled area, these will usually resolve. However, occasionally we may need to assist with there treatment.

After 3 weeks if you notice any areas that appear tan or darkened it is important that you contact us. This is a temporary and easily treatable condition known as post-inflammatory hyperpigmentation. A prescription lightening cream will control this reaction, but the sooner it is started the more quickly it will resolve.

Chemical Peel Cost

Chemical peels vary in cost depending on the type of treatment and the depth of the peel. At the Buckingham Center there are payment options available that can fit most budgets.

Chemical Peels Frequently Asked Questions

What is a Chemical Peel?

A chemical peel is a process that is used to rejuvenate the skin, remove dark spots, acne scars, wrinkles and other skin issues. There are different chemical peel treatments available at Buckingham Center, and Dr. Buckingham will provide you with a treatment that matches your expectations and recovery tolerance.

Where is the Peeling performed?

Dr. Buckingham completes lighter peels in his office, while deeper peels are completed at a local surgery center in Austin, Texas.

What type of anesthesia is used for a Chemical Peel?

Only deep chemical peels require the use of anesthesia. When anesthesia is needed, the procedure is performed in a surgery center along with intravenous, monitored anesthesia.

How is the Peeling procedure performed?

There are different types of chemical peel procedures offered at Buckingham Center. During the procedure, a solution is applied to the skin that removes dead skin and smooths the texture. Different levels of treatment are available that offer a variety of outcomes, including a reduction in wrinkles and improved skin pigmentation.

What is the downtime for a Chemical Peel?

Chemical peel recovery and downtime vary, and Dr. Buckingham will provide you with specifics about your procedure during your consultation. The skin may peel for one to three days after a light chemical peel. A deeper peel treatment will require a longer recovery period, and an ointment must be applied to the facial skin continuously for ten days. Makeup can’t be worn for 14 days. After this time, a special mineral-based makeup can be used to cover any residual redness.

Do I need to discontinue certain products before the Chemical Peel?

Dr. Buckingham will provide you with a list of products that should be discontinued before the treatment, including products with Retin-A. Dr. Buckingham will also conduct a detailed medical history before the procedure to verify that all appropriate agents have been discontinued for the correct length of time.

Can I wear makeup after a chemical peel?

Deep chemical peels will require that no makeup is worn for 14 days. Dr. Buckingham will provide you with specific makeup and product details for aftercare.

Do I need to stay out of the sun after a Chemical Peel?

Dr. Buckingham will provide you with specifics about your chemical peel. Deep peels require that you remain out of the sun for 14 days after the peel. Dr. Buckingham will then provide makeup with sunscreen, and limited sun exposure can be resumed. Prolonged sun exposure is not permitted for at least one month.

Is a Chemical Peel painful?

There is little to no discomfort after the chemical peel is completed. The skin will feel warm and tight but not painful.

What is the Chemical Peel aftercare like?

You will be provided with detailed written instructions on how to care for your skin before and after the peel. A deeper peel will require you to use a special cleanser and an ointment that must be applied for ten days.

Am I a good candidate for a Chemical Peel?

You may be considered a good candidate for a chemical peel if you are in good general health and desire smoother, healthier, and younger-looking skin or a better complexion. There are a variety of chemical peels available at Buckingham Center, and Dr. Buckingham will provide you with a treatment option that will help you to meet your cosmetic goals. Call today for a consultation with Dr. Buckingham, where you will learn if you are a good candidate for a chemical peel and which chemical peel can provide you with the best results.

How effective is a chemical peel in removing pre-cancerous cells from the skin?

A chemical peel can be effective in removing pre-cancers, but I can’t answer the question as to how effective as that would take a scientific study. Most pre-cancers start at the basal layers of cells in the skin at the epidermal-dermal junction. As long as the peel goes deeper than this junction, it may be preventative. We certainly offer peels that go to this depth.

Is chemical peel safe for young people?

Chemical Peels for young people can be a good idea for certain young people who want to refresh their skin or treat light scarring, wrinkling, or discoloration because the treatment is fairly minimally invasive for light peels.

Schedule Your Chemical Peel Consultation in Austin Today

Board-certified, facial plastic surgeon Dr. Edward Buckingham and Dr. Erin Smith are recognized for the exceptional results that they provide for their patients. Call 512.401.2500 to request a consultation with Dr. Buckingham or Dr. Smith at Buckingham Center in Austin, Texas. We look forward to meeting you!


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