At a glance
Best for each concern
Strength of evidence for each concern, from each procedure's guide.
How each works
The acid works as is.
Step by step
- Acid goes on. An acid is brushed onto clean skin.
- It loosens layers. It breaks bonds between skin cells and loosens damaged layers.
- Deeper peels reach the dermis. Medium and deep peels reach the dermis and trigger collagen.
- Fresh skin. The old layers peel off, revealing smoother, more even skin.
It works by controlled injury.
Step by step
- Scarred skin. Collagen is lost or uneven.
- Needles create channels. Fine needles make tiny wounds.
- Healing signals fire. The skin releases growth signals.
- Collagen rebuilds. New collagen fills in over months.
Types and brands
Peels are grouped by how deep the acid reaches into the skin.
- Light peelRemoves only the outermost layer for brighter, smoother skin.
- Medium peelReaches the upper dermis to treat deeper damage.
- Deep peelReaches the mid dermis; done rarely, under sedation.
Microneedling ranges from shallow at-home rollers to in-office devices that reach deeper.
- At-home rollerVery short needles for product absorption.
- In-office penDeeper needling by a trained provider.
- With PRPAdds platelet-rich plasma from your blood.
The appointment
- Pigment cream
- Sun and tanning
- Actives and hair removal
- Pigment cream
- Actives and hair removal
- Clean skin
- Makeup and exercise
- Actives
- Sun
- Makeup and exercise
- Actives
- Sun and hands off
Using them together
Recovery and results
- Days 1 to 3Skin darkens slightly, dry and rough
Flaking starts day 2 or 3; it does not mean the peel was too strong.
- Days 4 to 7Light peels finish flaking
Medium peels are still peeling and pink.
- Weeks 1 to 2Some people break out for a week or two as clogged pores clear
It settles on its own.
- Days 1 to 5Redness turns pink and swelling settles, most noticeably around the eyes the first morning
Skin feels dry and rough, then flakes lightly as the surface turns over.
- Weeks 1 to 4Skin looks normal and nothing appears to be happening
This is when the collagen work is going on underneath.
- Months 2 to 6Texture keeps improving after the visible healing finishes, which is why the photograph that matters is taken months later, not the week after
Approximate timing. It varies from person to person.
Risks
- Dark patches
- Prolonged redness
- A cold sore outbreak
- Dark patches
- Tracking lines
- Prolonged redness
- Bumps that will not go
- A cold sore outbreak
Cost and coverage
Questions
Which is better for indented acne scars?
The existing guides point to microneedling for indented scars, especially rolling and shallow boxcar scars. Improvement is partial. Superficial peels work on surface marks and cannot lift an indented scar floor.
Are flat acne marks the same as scars?
No. The chemical peel FAQ distinguishes flat brown or red marks from depressed scars. Peels can fade the flat marks; indented scars need a different approach.
How many sessions do the guides describe?
The chemical peel guide describes four to six sessions, two to four weeks apart, followed by maintenance. The microneedling guide describes three to six sessions for scarring, four to six weeks apart, with texture continuing to improve for three to six months after the last session.
Will visible peeling tell me whether a peel worked?
No. The chemical peel FAQ says heavy peeling does not establish that it worked, and mild flaking does not mean it failed.
Can medical-depth microneedling be done at home?
The existing microneedling guide says needles at 0.5 mm or deeper are a medical depth and should not be used at home. It also notes that home rollers cannot be properly sterilized.





















