Procedure

Glycolic Acid Peel

A chemical peel that uses glycolic acid, the smallest of the fruit acids. It brightens dull skin, softens rough texture and fades flat brown marks. It works on the surface only, and it has to be neutralized on time.
A gloved hand brushing a clear chemical peel onto the face of a woman lying back with her eyes closed

Start here

Glycolic is the peel I reach for when the complaint is dullness, rough texture and old brown marks rather than active breakouts. For someone actively breaking out I pick salicylic, which is oil-soluble and gets inside the pore.

What I repeat most: the number on the label tells you less than people think, because a 30% peel at a low pH can outwork a partly neutralized 50% one, and how long it sits on your skin matters as much as either.

One peel buys about a week of glow; six of them a few weeks apart, with a retinoid and sunscreen at home, is what changes how your skin looks in photographs.

— Dr. Schwarz, Board Certified Dermatologist

Key Facts

Also calledAHA peel, alpha hydroxy acid peel, glycolic peel
DepthSuperficial. Office strengths usually run from about 20% to 70%, left on for a timed few minutes
DowntimeNone to about 3 days of light flaking
Sessions4 to 6, spaced 2 to 4 weeks apart, then maintenance
Typical costAbout $100 to $250 a session in the US. Varies widely by city and provider
Results timelineBrighter within a week; texture and brown marks need a course
PainStinging and heat for 2 to 5 minutes
NeutralizationGlycolic keeps working until it is neutralized, so timing is part of the treatment
Skin tone safetyUsed safely on all skin tones at superficial strengths, starting low and building up

What It Is

A glycolic acid peel is one kind of chemical peel. The general chemical peel page covers how peels work as a group; this page is what is different about glycolic. The acid is brushed on, left for a timed few minutes, then stopped with a neutralizing solution or plenty of water. Glycolic is an alpha hydroxy acid from sugar cane. It is water-soluble, so it works on the skin surface rather than inside the oil-filled pore. Office peels with it are superficial, reaching the outer layer and not the deeper dermis. Strengths run from about 20% to 70%, starting low and building over a course.

How It Works

Glycolic acid has the smallest molecule of the fruit acid family, so it gets into the top layer of skin fast. It loosens the glue holding dead surface cells together, so they shed instead of piling up. Skin looks brighter and feels smoother, and since those cells carry extra brown pigment, post-inflammatory hyperpigmentation, the flat brown marks left after a spot, fades faster. Repeated superficial peels also nudge the skin into making a little more collagen, slowly and mildly.

Two things decide the strength: the percentage of acid, and the pH, which sets how much of it is in active free form. A partly neutralized 50% solution can be gentler than a 30% one at a low pH. Contact time is the third lever, and the one the provider controls in the room.

Glycolic does not stop on its own, so it is neutralized with a basic solution or flushed with water at a set time. Left on too long it works into deeper layers than intended, and that is how burns happen.

What it does not do: it does not reach the deeper layer, so it will not fill indented scars, and it does little for pigment sitting deep in the skin.

Skin is about two millimetres thick on the face. How deep a treatment reaches decides what it can change, and whether it treats all of the skin or scattered columns of it decides how long you take to heal.

How it works
Compare
Skin basics
EPIDERMISDERMISFAT0.05 mm — pigment0.5 mm — texture + pores1.0 mm — collagen1.5 mm — deep dermisNEEDLINGNON-ABLATIVE LASERABLATIVE LASERSTAYS IN THE TOP LAYER

This works in the epidermis, the top layer, only about a tenth of a millimetre thick. That is the right depth for surface pigment, flaking and rough texture, and it is why nothing at this depth can change a scar or a wrinkle that is set in the layer below. A peel or a scrub takes the skin off evenly from the surface down. Everything above the line goes and nothing below it is touched, which is why peels suit surface pigment and rough texture, and why the whole face flakes for a few days after.

Needles make hundreds of separate channels and leave the skin between them untouched. That untouched skin is what heals the rest, so recovery is quick — but a needle only injures the skin to start repair. It removes nothing.

The light passes through the surface and heats a column underneath it. The surface stays whole, so you leave red rather than raw — and it takes a course of sessions rather than one.

The laser removes columns of skin outright: the white gaps here are tissue that is gone, and new skin grows in from the sides. The strongest of the four, and the longest to heal.

The outer layer, and the only one anything in a jar reaches. It renews itself constantly: a cell made at the bottom takes about a month to reach the surface and flake off. Most of what a skincare product does, it does here.

The living layer underneath, holding the blood vessels, the nerves and the collagen. It is where lasting change happens and it is hard to reach: most of what is sold for the skin never gets this far.

What It Treats

No strong evidence for any condition.

Pros and Cons

Pros
  • Brightness fast Skin looks clearer and more even within days of the first peel.
  • Good on marks and texture Flat brown marks, dullness, rough patches.
  • Little downtime Mild flaking for a day or two.
  • Adjustable The same acid can be dialed up across a course.
Cons
  • It is a course One peel gives about a week of glow and not much else.
  • Timing matters Glycolic must be neutralized on time. Left too long, it burns.
  • Not the first pick for active acne Salicylic gets into the pore; glycolic does not.
  • It does not fix indented scars Those need needling, lasers, subcision or filler.
  • It fades Without maintenance and a home routine, dullness and marks come back.

How to Prepare

2 to 4 weeks before2 weeks before1 week before
Pigment cream
2 to 4 weeks before
On deeper skin tones, and in anyone who marks easily, many providers pre-treat for 2 to 4 weeks with a pigment-blocking cream to lower the chance of dark patches.
Sun and tanning
2 weeks before
No tanning or sunburn for 2 weeks beforehand, and sunscreen daily.
Actives and hair removal
1 week before
Stop waxing, threading and hair removal creams on the area for a week. Stop retinoids (tretinoin, adapalene, retinol), benzoyl peroxide and exfoliating acids 3 to 5 days before.
Before you book
Do not book a first peel in the days before an event. The flaking is mild but not always well timed.

What Happens

ArrivingThe treatmentLeaving
Arriving
Skin is checked and usually photographed, and you confirm what you stopped using. The provider picks the strength from your skin and whether you have peeled before. Nothing is numbed; a handheld fan makes the stinging easier. Your provider will ask about these things.
The treatment
Skin is cleaned and degreased, eyes and lips protected, and the acid brushed on in a set order. The provider watches for even pinkness, then neutralizes or floods the skin with water. It takes about 20 to 30 minutes. The sting is hot and prickly, climbs over 2 to 5 minutes, then stops seconds after neutralizing. Say so if it turns to burning, which is the signal to stop early.
Leaving
Pink, tight skin, a bit like mild windburn. Some people show small white or gray spots where the acid went deeper; those flake off over a few days. Makeup usually stays off for the rest of the day.

Recovery

Day 1 to 3Day 3 to 5Week 1 to 2
Day 1 to 3
Skin feels dry and rough and can look slightly darker before it sheds. Fine flaking starts around day 2. Sheets of peeling are not expected from a light glycolic peel.
Day 3 to 5
Flaking finishes and skin looks brighter underneath. Do not pick or scrub off loose skin.
Week 1 to 2
A few spots in the first week or two as clogged pores clear are common, and settle on their own.

Aftercare

24 hours5 to 7 days2 weeks
Makeup and exercise
24 hours
Makeup the next day, once skin is no longer raw. No exercise for 24 hours; heat and sweat sting freshly peeled skin.
Actives
5 to 7 days
Restart retinoids and other acids once flaking has finished, usually 5 to 7 days.
Sun
2 weeks
SPF 30 or higher daily and stay out of direct sun. Sun on peeling skin is the main cause of dark patches.
Washing
Lukewarm water and a bland cleanser for 3 days. No scrubs, brushes or washcloths.

Risks

Most side effects of a superficial glycolic peel are mild and expected: stinging, pinkness, dryness and a few days of flaking. Serious problems almost always trace back to acid left on too long, a strength too high for that skin, or sun straight afterward.

Dark patches
New brown or gray patches 2 to 4 weeks after, most common on deeper skin tones and after sun exposure. Treat early, because the longer they sit the longer they take to clear.
Prolonged redness
Redness getting worse rather than settling after a week.
A cold sore outbreak
Peels can trigger one. Antiviral medicine works best started early.
Persistent itching or rash
Some people react to the peel solution or to what goes on afterward.

In Deeper Skin Tones

Superficial glycolic peels are used on all skin tones, with reasonable evidence behind them for post-acne marks and for melasma in deeper skin tones. The risk is not the acid but the reaction to it. Skin with more pigment answers injury and inflammation by making more pigment, so a peel that goes too deep, or a burn left to heal badly, can leave a brown patch that outlasts the mark it was meant to treat.

What lowers that risk is dull and effective. Start at a low strength and a short contact time and build across the course. Many providers pre-treat for 2 to 4 weeks with a pigment-blocking cream. Daily sunscreen is not optional. Pause the course if a peel leaves skin red or sore for more than a few days, because that inflammation is what becomes a dark patch.

Worth asking before booking: how often do you peel skin like mine, and what is your plan if I get a dark patch afterward. Providers who do this often have an answer to both.

If You Stop

Stop the course if skin stays red or sore. Redness lasting more than a few days means the strength or the contact time was too much, and carrying on invites a dark patch.

Stop if a dark patch appears. Pause peels, treat the patch, and restart lower and slower once it has cleared.

Stop if nothing has changed after four peels. Properly spaced and paired with a home routine, glycolic should be doing something by then; if it is not, the problem is probably not one peels solve.

Stop before other treatments on the same area. Leave about 2 weeks between a peel and laser, microneedling, waxing or threading.

Pause while skin is broken. Cold sores, an eczema flare, sunburn or a fresh tan all mean waiting.

Stopping is fine at any point. Nothing rebounds and nothing needs tapering, and the result fades over a few months without maintenance.

Combining Treatments

Same day
Skincare routine
Azelaic acid, niacinamide, benzoyl peroxide and pigment creams all carry on.
Same day
Pigment cream
For post-acne marks, a cream between peels does most of the work.
Same day
Acid blends
Providers sometimes mix glycolic with salicylic or mandelic acid.
Pause a few days
Retinoids and home acids
Retinoid users peel more evenly, but pause both a few days either side.
Wait 2 weeks
Laser, waxing, threading
Wait about 2 weeks either side on the same area, hair removal cream included.
Wait 2–4 weeks
Another peel
Space peels themselves 2 to 4 weeks apart.
Wait several months
Isotretinoin
Most providers wait several months, though light peels are increasingly done sooner.

Insurance Coverage

Insurance does not cover peels done for brightness, texture or post-acne marks. They are cosmetic.

Ask Your Doctor

If you are pregnant or breastfeeding
Ask the doctor managing your pregnancy or breastfeeding first.
If you get cold sores
Say so. A peel can trigger an outbreak, and antiviral medicine started beforehand helps prevent it.
If you have broken or inflamed skin there
Impetigo, an eczema flare, sunburn or open skin has to clear first.
If you finished isotretinoin recently
Ask how long your provider wants to wait before peeling.
If you have melasma
Glycolic can help melasma or set it off, so see someone who treats it often.
If you have a deeper skin tone
Ask about starting low, pre-treating with a pigment cream, and the plan if a dark patch appears.
If you take a sun-sensitizing medicine
Doxycycline and some diuretics make skin more reactive. Say what you take.
If you are tanned or have had recent sun
Peeling tanned skin raises the risk of blotchy pigment. Wait.
If you have had keloid scars
Superficial peels are usually fine, but say so before anything deeper is suggested.
If your goal is smoothing indented scars
This is the wrong procedure, and something else will serve you better.

At-Home Versions

Leave-on glycolic products, 5 to 10%
Good alternative
A lower strength used a few nights a week does much of the same surface work, slowly and cheaply. This is the sensible default.
Glycolic pads and weekly 10 to 15% masks
Okay alternative
Stronger than a daily lotion and closer to a very light office peel. Overuse causes irritation and dark marks. Once a week at most.
At-home peel kits of 30% and above
Okay alternative
Close to office strength without the training, the timer or a neutralizer to hand. Burns and lasting marks come from this group.
Topical retinoid
Good alternative
Not an acid, but the most reliable home treatment for texture and post-acne marks. Often more useful than adding a stronger acid.
Daily sunscreen
Good alternative
The step people skip. Without it, peeling for pigment is close to pointless.

How It Compares

Salicylic acid peel
Different job
Oil-soluble, so it works inside the pore and is the usual first choice when acne is active. Glycolic is the better pick for dullness, texture and surface pigment.
Mandelic acid peel
The same
A larger molecule that enters more slowly, so it is gentler and often chosen for sensitive skin or deeper skin tones. Slower results in exchange for a lower chance of irritation.
TCA peelDiagram: how TCA Peel works in the skin
TCA peel
Better
Moderate to strong evidence. Goes deeper and does more for texture and stubborn pigment, with real downtime and a higher risk of dark or light patches. A different level of commitment.
Topical retinoid at home
Different job
Does much of the same work daily over months instead of in a course, and costs less. Skin using one peels more evenly, so the two work together rather than competing.
MicroneedlingDiagram: how Microneedling works in the skin
Microneedling
Different job
Aimed at indented scars and texture in the deeper layer, which a glycolic peel does not reach. More downtime per session.
Fractional laser resurfacing
Better
Much stronger on texture, lines and scarring, with more downtime, more cost and more care needed on deeper skin tones.

Finding a Provider

+

Superficial glycolic peels are performed by licensed estheticians in most US states, while higher strengths and anything approaching medium depth generally need a physician, physician assistant or nurse practitioner. Rules vary by state.

Ask three things: what percentage and pH, how long it will be left on, and how they would handle a dark patch afterward. Someone who peels a lot answers all three without hesitating.

Red flags: an unnamed proprietary solution with no percentage given, no timer in use, a promise to clear indented acne scars, pressure to buy a large package on the first visit, and no mention of sun protection.

Myths

+
  • "A higher percentage means a better peel." Percentage is half of it. The pH decides how much of the acid is in its active form, and contact time decides how far it gets. A well-timed 30% peel can outwork a badly used 70% one.
  • "If you do not peel visibly, it did not work." Most superficial glycolic peels cause fine flaking at most, and some cause none. Visible sheeting is not the measure of the result.
  • "Peels thin the skin." Superficial peels remove dead cells from the outer layer, which the skin replaces. Over a course they slightly increase collagen in the layer below.
  • "Glycolic peels are not safe on deeper skin tones." Superficial glycolic peels are used routinely on all skin tones. The risk comes from depth, aggressive strengths and sun exposure, not the acid.
  • "A peel will get rid of acne scars." It fades the flat brown or red marks people call scars. Indented scars are a different problem and need a different treatment.

Questions Patients Ask

+

How is a glycolic peel different from a salicylic peel?

Glycolic is water-soluble and works on the surface, so it suits dullness, rough texture and brown marks. Salicylic is oil-soluble and gets inside the pore, so it suits blackheads and whiteheads. Some providers blend the two.

What does neutralizing mean, and why does it matter?

Glycolic keeps working until it is stopped, either with a basic solution or by flooding the skin with water. The provider watches a timer and the skin at the same time. Peels left on too long are how burns happen.

Is a higher percentage better?

Not on its own. The pH and the contact time matter as much as the number. A well-judged 30% peel can do more than a careless 70% one.

Will I actually peel?

Often only lightly, and sometimes not at all. Fine flaking for a day or two is usual, and no flaking does not mean it failed.

How many will I need?

4 to 6 peels, 2 to 4 weeks apart, then maintenance every couple of months. One peel gives roughly a week of brightness.

Can I have one if I use tretinoin?

Yes, and skin on a retinoid usually peels more evenly. Stop it about 3 to 5 days before and restart once flaking has finished.

References

+