Living Well Blog: Saratoga's Holistic Health Forum

Skin Care Tips: May 2010 Archives

Recently, a client confided to me that she wanted to work on her fine lines, wrinkling and sun damage.  I suggested that she have a Jessner peel.  She explained to me that she'd gone to another spa and had a $300 glycolic peel that produced no peeling whatsoever, and so, she was justifiably curious as to what constitutes a peel.

So, what exactly is a peel and how do they work?

There are a lot of misconceptions about peels and understandably so, since what we refer to as a "peel" is actually part of a variety of products with results that offer a great range of effects from barely visible changes to those which require time to heal.

So, let's start with a few, common types of peels used by skincare professionals like me ranging from least to more agressive:

Lactic Acid:  One of the gentlest exfoliants derived from milk, which generally does not produce actual peeling of the skin.

Enzymes:  Oftentimes enzyme peels are derived from fruits like pineapple or pumpkin, and they are also a gentle peel/exfoliant that do not normally produce visible peeling.

Alpha Hydroxy Acid.  This is also what's known as a "glycolic" peel, and generally speaking, glycolic peels are a form of exfoliation, and, when used in strengths of 5 - 30 percent may not produce any visible peeling or changes to the skin.  They do enhance overall skin quality and brightness and over time will help with fine lines and wrinkling.  This is sort of a maintenance type peel, again, used for better exfoliation.

Beta Hydroxy Acid.  This is also called a "salicylic" peel and is often used to help refine skin and pores by allowing better cleaning.  Like the glycolic, it has similar effects in that it doesn't normally produce visible peeling but can improve overall skin health and quality.

Jessner Peel.  The "Jessner" Peel, named after it's creator, Dr. Jessner, is a combination of chemicals that can and often does produce peeling of the skin for several days.  It works very well for congested, sluggish, oxygen-deprived skin and often produces lovely results for fine lines, sun damage and wrinkling.  This is a more aggressive peel than the lactic, enzyme, glycolic or salicylic peels, however there are peels that are even more aggressive, which can be done by medical doctors.

Now that I have given a basic definition of a few popular peels, I would like to take a moment to discuss peeling and protection.  It is my opinion that we consider our lifestyles when undertaking skin care.  This being said, I recommend exercising caution in undertaking peeling under certain conditions -- most importantly seasonal changes.  If you are planning on spending a good amount of time in the sun during summer season for swimming, hiking, gardening, boating, golfing, etc., you need to take this into consideration if you are contemplating a deep exfoliation. 

This could translate to vigilance with sunscreen (I recommend SPF 30 or higher of a physical sunblock), or for those of us who live in the north, perhaps even planning your peeling during fall or winter, when the sun isn't as strong.  If you're going to be outdoors a lot, you may need those dead skin cells for protection -- and my recommendation is to keep this in mind. 

This reminds me of another note that I'd like to make:  it's important to take breaks from using products that contain exfoliants like retinol, vitamin A or glycolic acid as these products should not be used on an all-the-time basis -- unless you have been specifically instructed to do so.  As with all things, it's good to maintain balance and consult professionals who care for you.

Oh, and about that client?  She went on to have a Jessner Peel and is loving the results!  Her exact words were: "Now, *this* is a peel!" 



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Reisa Mehlman

As a New York State Licensed Aesthetician, New York State Licensed Nail Specialist, and the Director of Living Well Healing Arts Center & Spa, Reisa combines her love of spa services and healing arts to achieve optimum skin and nail health, create greater overall wellness and bring forth our optimal, individual beauty.

"I believe that the day spa should be an instant getaway; a place that is quiet without being stuffy, relaxed, elegant and yet entirely comfy. You should feel warm and welcome, surrounded by people who care about you and what they are doing. This is the environment we strive to create at Living Well Healing Arts Center & Spa. Here, you are never just the "next" number; we allow ample time for your services, offer a flexible schedule and can be reached after hours. After all, to me, spa craft is not really a business, it's a lifestyle." Read more...

About Dr. Sarah Lobisco

Dr. LoBisco has been in holistic healthcare for over 10 years. She became interested in holistic medicine when she was able to heal two herniated discs through nutrition, yoga, supplementation, and chiropractic. She has mentored with holistic practices throughout New York, Vermont, and Connecticut. In addition to her Naturopathic and Functional Medical training, Dr. LoBisco has extensive training in a variety of healing modalities, including therapeutic essential oils, nutraceuticals, herbs, whole food supplements, nutritional medicine, and mind-body therapies. She is a graduate of the accredited, four year post-graduate program in Naturopathic Medicine at the University of Bridgeport in Connecticut. This program includes clinical rotations and a demanding scientific curriculum in integrating conventional and natural medicine. Dr. LoBisco holds her license from the state of Vermont.

Dr. LoBisco has completed her postdoctoral training as a certified functional medicine practitioner. She is also certified in Applied Kinesiology and holds a BA in psychology from SUNY Geneseo. She has contributed as an item writer for the North American Board of Naturopathic Examiners (NABNE)and has several articles that have been published in the Naturopathic Doctor News and Review Digest (NDNR) and the Townsend Letter, both physician- based journals. Dr. LoBisco is also a hired speaker on integrative medical topics for medical professionals.

Dr. LoBisco currently incorporates her training in holistic medical practices and conventional medicine through writing, researching, private practice, and through her independent contracting work for companies regarding supplements, nutraceuticals, essential oils, and medical foods. She has a small, private wellness consultation practice through telephone and Skype. Dr. LoBisco also enjoys continuing to educate and empower her readers through her blogs and social media. Her new book, BreakFree Medicine, is now available on Amazon and through Barnes & Noble. Please inquire here for more specific information.

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