Isn't it dangerous to perform a peel on the lips?

There are several types of lip peeling available:

• The gentle peel or superficial peel.

  This type of peel can be performed at home or in a salon by a professional. It relies on the application of exfoliating treatments, typically fruit acid-based. These promote cellular renewal and the removal of dead cells, but their effect on wrinkles and fine lines is limited. The difference between a superficial peel performed by a professional and a cosmetic peel performed at home lies in the product's concentration. In a dermatologist's office, the glycolic acid concentration in a peel can reach up to 70%, whereas it cannot exceed 10% in a cosmetic treatment.

• The medium peel.

  This type of peel often contains trichloroacetic acid (TCA) and is recommended for visible wrinkles around the lips. It penetrates deeper than a mild peel and can reach the cells of the dermis. The dosage, ranging between 10 and 50%, and the duration of the peel application primarily depend on the depth of the wrinkles and the sensitivity of the patient's skin. The application of a cream prescribed by the dermatologist is necessary for the fifteen days preceding the session. This type of peel is not applied directly to the lips but to its contour.

• The deep peel.

  As its name suggests, deep peeling works at the depth of the dermis. It allows for a corrective action on deep wrinkles and indented scars, which superficial and medium peelings cannot address. Phenol is frequently used to perform this type of peeling. This compound has a very abrasive effect on the epidermis. A local or general anesthesia is necessary, as phenol is toxic to the heart. This procedure is heavy-duty and requires the application of a medicated cream to prepare the skin three to four weeks before the intervention. Post-operative follow-up is also necessary to prevent potential complications of an aesthetic nature such as loss or increase of pigmentation, or infectious, such as the development of herpes.

The risks of a peel depend on its type. For instance, a mild peel is not dangerous and can be performed once a week. It indeed offers numerous benefits, leaving the lips smooth and supple. However, it's important to pay attention to the composition of the superficial peel you use, due to the risk of ingesting a small amount. Some products contain phenoxyethanol or BHT, chemical preservatives suspected of being endocrine disruptors. It's also advised against using a peel that contains fragrances, as these can be irritating to the sensitive skin of the lips.

Medium and deep peelings, on the other hand, carry more risks and several complications are possible: abscesses, inflammatory reactions, fever, pain, swelling, erythema, etc. That's why it's recommended to have a preoperative consultation with a cosmetic doctor or a dermatologist before resorting to these techniques. During this session, the professional will observe the condition of your skin and ask you several questions to determine if you can undergo a medium or deep peeling and guide your choice.

After the procedure, the skin is bare and extremely delicate. It typically takes five days to observe the formation of a thin epidermal layer. Local care, using emollients or dressings, will promote and protect the skin until its complete healing, achieved in 8 to 10 days. Pigmentation begins to reappear after about a month and should not be stimulated by sun exposure, as this could lead to hyperpigmentation. It is indeed necessary to apply a broad-spectrum sun protection daily for 1 to 2 months following the procedure.

The medium or deep peel is contraindicated in several cases, particularly during a pregnancy or breastfeeding. Indeed, during these periods, the skin is more fragile and the pigmentation spots or scars caused by the procedure could become irreversible.

It is also advised against performing a medium or deep peel on the lips if you have a burn, a wound, a pathology of the skin or herpes in this area. It is also recommended to avoid these types of peels in case of contact skin allergy to any of the compounds present in the peel.

Finally, if your skin is of a dark phototype or if you have an intense tan, undergoing a medium or deep peel is not recommended.