Jessner's chemical peel solution is comprised of salicylic acid, lactic acid, and resorcinol to treat fine lines and wrinkles, pigmentation irregularities, and acne scarring. The modified Jessner's peel replaces resorcinol with TCA, glycolic acid, and other AHAs for an effective, medium depth exfoliation.
- avg. recovery
About the Procedure
The Jessner solution has been used for over 100 years as a chemically exfoliating treatment to improve acne as well as pigmentation irregularities such as hyperpigmentation, photodamage, and melasma. Jessner's solution is unique in that it combines multiple chemical exfoliators in one peel. The traditional Jessner peel combines salicylic acid, lactic acid, and resorcinol. The salicylic acid is a BHA used for its exfoliating properties, lactic acid for its moisturizing effect, and resorcinol as an antiseptic. Resorcinol has since been replaced by other AHAs such as glycolic, mandelic, azelaic, and phytic acid due to health concerns related to its toxicity and effect on the nervous system. When resorcinol is not used in the the Jessner solution, it is considered a modified Jessner peel. First, the skin will be evaluated. Once it is determined the patient is a good candidate for the peel and all pretreatment skincare has been completed, the peel can be performed. The skin will be cleansed to remove any dirt or oils. Next, the Jessner solution will be brushed onto the skin. Typically, 2 coats will be applied for a superficial peel however, additional layers may be applied for a deeper peel. No neutralizing agent needs to be applied after a Jessner peel. After application, a moisturizing cream or lotion will be applied to the skin. Patients are able to resume normal activity after the peel is applied and should wash the treatment area 4-5 hours post-procedure. Depending on the AHAs used in the peel and the concentration, some patients may be asked to leave the solution on for up to 2 days. Be sure to follow the specific aftercare instructions given by your provider.
The goal of a Jessner peel is to improve the appearance and texture of the skin by chemically exfoliating away wrinkles, sun-damage, skin discolorations, blotchiness, brown spots, and scars.
What to Expect
Jessner's chemical peel solution is comprised of salicylic acid, lactic acid, and resorcinol to treat fine lines and wrinkles, pigmentation irregularities, and acne scarring. When resorcinol is replaced with alternative AHAs, it is considered a modified Jessner peel. Here is a quick guide for what to expect before, during, and after a Jessner peel.
- Minimize sun exposure
- An antiviral medication may be prescribed
- A preparatory retinoid or tretinoin cream may be prescribed to prime the skin
- A bleaching agent may be recommended to prevent changes in skin pigmentation
- Do not exfoliate or use aggressive products for 1 week
- Skin will be cleansed
- Jessner solution applied to the skin
- Multiple layers applied to increase depth
- No neutralizing agent needed
Patients should expect some redness and swelling for 1-2 weeks post procedure while skin peeling typically resolves within 2-7 days. Use a moisturizing cream as needed as well as a daily gentle cleanser. A topical steroid cream may be used to reduce skin irritations.
The ideal candidate for a Jessner's peel has acne, melasma, or various pigmentation concerns such as hyperpigmentation, freckles, and photodamage. Patients desire a minimally invasive treatment and are okay with multiple treatments to achieve results.
Not Recommended For
A Jessner's chemical peel is not recommended for patients who are pregnant, have active skin infections, or have used isotretinoin products within 6 months of treatment.
Side effects from a Jessner peel or modified Jessner peel may include redness, itching, irritation, swelling, infection, and prolonged healing.