Chemical peels: depths, downtime, risks and the sun
How superficial, medium and deep chemical peels differ, what each treats, the downtime, the risks for darker skin and timing a peel on the Costa del Sol.
7 min readEducational content by RejuvelookUpdated in October 2026
In short
A chemical peel applies an acid that removes the outer layers of skin in a controlled way, so new skin can replace them. Superficial peels help dullness, acne and some pigmentation with little downtime. Deeper peels reach further and act on sun damage and wrinkles, but recovery is longer and complications more likely. Sun after a peel raises the risk.
Key points
- The deeper the peel, the stronger the effect and the higher the chance of complications.
- In 12 randomised trials with 387 people, common peels worked similarly for mild to moderate acne.
- In a review of 24 studies with 1,075 patients, peels were safe and effective for melasma, which tends to return.
- Across 38 studies with 1,695 patients, peels and lasers gave comparable overall results.
- Darker skin and sun exposure after treatment make pigment marks more likely.
A chemical peel is one of the oldest treatments in skin medicine, and still one of the most useful when it is well chosen. The key word is depth. A gentle glycolic peel and a deep peel share a name, but very little else. Here is how they differ, what each can and cannot do, and how to time a peel when you live with the Costa del Sol sun.
What a chemical peel is
A peel is an acid solution applied to the skin for a set time. It loosens and removes the outer layers in a controlled way. The skin then repairs itself, and the new surface is smoother and more even.
Peels are grouped by how deep they reach. That depth is directly linked both to how much improvement you can expect and to how many complications can occur [1]. Choosing the depth is the most important decision, and it should be made by looking at your skin.
Superficial, medium and deep peels
Superficial peels act on the outermost layer of the skin. They are the ones most people mean when they ask about a peel:
- Glycolic acid, an alpha hydroxy acid with small molecules. It is the classic choice for dull skin, uneven texture and mild pigmentation. A glycolic peel can be made gentler or stronger by changing the concentration and contact time.
- Salicylic acid, a beta hydroxy acid that dissolves in oil. It reaches inside the pore, which is why it suits oily skin, blackheads and acne.
- Mandelic acid, a larger, slower molecule, often chosen for reactive skin. It is also used together with salicylic acid for acne.
- Lactic acid, a mild acid often used for dry or sensitive skin.
Medium-depth peels, usually based on trichloroacetic acid, reach the upper part of the dermis, the layer beneath the surface. They are used for more marked sun damage, fine wrinkles and some pigmentation.
Deep peels reach further into the dermis. The older formulas left the skin very pale and were largely abandoned. Modern versions use lower concentrations, have a better safety profile and aim for subtler, more natural tightening and wrinkle improvement [2]. Even so, they remain a medical procedure with careful preparation and weeks of recovery.
What each depth can treat
Dullness and texture. Superficial peels give a fresher, brighter surface. This is where most people start.
Acne. A systematic review of 12 randomised trials with 387 participants found that the common peels, including glycolic and salicylic acid, worked similarly for mild to moderate acne and were well tolerated [3]. Glycolic acid did better than placebo. In one trial, a combined salicylic and mandelic peel did better than glycolic acid alone. The authors note that the trials were of very low to moderate quality, so no peel can be called the clear winner.
Pigmentation and melasma. A 2024 systematic review of 24 studies with 1,075 patients found peels safe and effective for melasma, with glycolic acid performing well [4]. Melasma is a chronic condition that tends to come back, so a peel is one part of a longer plan, not a cure. Our guide to melasma explains the wider picture.
Sun spots. For the flat brown spots caused by years of sun, the evidence favours other tools. In a review of 41 trials, peels with trichloroacetic acid cleared lesions in 12% to 46% of cases, while intense pulsed light reached 74.6% to 90% [8]. If sun spots are your main concern, read about IPL for sun spots and pigmentation.
Fine lines and sun damage. A 2026 meta-analysis of 38 studies with 1,695 patients compared peels with laser resurfacing. Overall results were comparable, and pigment marks after treatment were similarly common. Lasers needed, on average, two fewer sessions, but caused more redness and discomfort [6].
Acne scarring. A 2026 meta-analysis of 11 studies with 713 participants found peels and microneedling broadly comparable for depressed acne scars, with no clear advantage for either [5]. Deep scars often need a combination of techniques.
How your skin is assessed
Your doctor looks at your skin type and how easily it tans or marks, your main concern, and any active acne, rosacea or eczema. Any spot that looks unusual is checked before anything is applied over it.
You will be asked about cold sores, allergies, recent sun or sunbeds, and previous peels or laser. Mention any prescription skin creams you use, and any oral acne medication taken in the last months. Both can change how the skin heals and may mean waiting. If you get cold sores, preventive antiviral treatment may be advised before a deeper peel.
Some skins benefit from a few weeks of preparation with a home routine first. It helps the peel work more evenly.
Downtime and number of sessions
Superficial peels have little downtime. Expect some redness and light flaking for a few days. They work best as a course of several sessions, a few weeks apart, followed by occasional maintenance. That fits with the finding that peels need more sessions than lasers [6].
Medium-depth peels cause redness, swelling and visible peeling, and you will probably want to stay at home for several days. They are usually done as a single treatment, sometimes repeated after months.
Deep peels involve weeks of healing, with close medical follow-up. They are normally a one-off.
The Costa del Sol and the sun
Freshly peeled skin is more sensitive to ultraviolet light, and sun exposure after a peel is one of the factors that make complications more likely [7]. On the Costa del Sol, the sun is strong for much of the year, and many of us spend long days outdoors.
That is why autumn and winter are the natural season for peels here, especially medium-depth ones. Superficial peels can be done at other times if you are disciplined: daily broad-spectrum sun protection, a hat, shade, and no beach or pool days for the first weeks. Do not plan a peel just before a summer holiday, a golf week or a sailing trip.
Risks, and who it is not for
Most effects are expected and short-lived: stinging, redness, swelling and flaking. Less often, peels cause an allergic reaction, a flare of acne or cold sores, infection, light or dark patches, visible lines where the peel ended, and scarring [7]. Scarring is a concern mainly with medium and deep peels. Severe, life-threatening complications are extremely uncommon.
The risk that matters most for many people is post-inflammatory hyperpigmentation: dark patches that appear after the skin has been irritated. Complications are more likely with darker skin types, certain peeling agents and sun after treatment [7]. Olive and darker skin can be peeled, but usually with gentler, superficial peels and careful preparation. Good aftercare and an early review if anything looks wrong make a real difference.
A peel is not recommended:
- during pregnancy or breastfeeding;
- with an active cold sore, infection or open wound in the area;
- with flaring rosacea or eczema;
- if your skin is sunburnt or freshly tanned;
- if you form raised or thickened scars easily, for deeper peels;
- after recent oral acne medication, until your doctor confirms it is safe.
How we approach it at Rejuvelook
Peels are part of our facial treatments at our clinic in Fuengirola, always decided after a consultation. We look at your skin first, then decide whether a peel suits it, which acid and how often, or whether another technique would serve you better.
Medium-depth and deep peels are a different matter. They are a medical procedure, assessed case by case, and not the right answer for most skins. We plan sessions around the season and your calendar, and we review your skin as the course goes on. We see patients in English or Spanish.
What the evidence says
Each statement shows its level of evidence and the sources behind it.
With caveats
- Superficial peels such as glycolic and salicylic acid help mild to moderate acne, with no clear winner between them; the trials are small and of limited quality.[3]Moderate evidence
- Peels are safe and effective for melasma within a wider plan, and glycolic acid performed well in the studies reviewed.[4]Moderate evidence
- Overall, peels give results comparable to lasers for skin rejuvenation and to microneedling for acne scars, usually over more sessions.[6][5]Moderate evidence
- Deeper peels give stronger results but carry more complications, and darker skin and sun after treatment raise the risk.[1][7]Moderate evidence
Not enough support
- For sun spots, peels clear fewer lesions than light and laser treatments in the trials available.[8]Low-quality evidence
When to see a doctor
Book a medical consultation, or go to A&E if it is severe or sudden, if you notice:
- Increasing pain, oozing, yellow crusts or a fever in the days after a peel: contact the clinic straight away, as it may be an infection.
- Clusters of small, painful blisters, especially around the mouth: it may be a cold sore flare and needs prompt treatment.
- Redness that is not fading after two weeks, or skin that feels thick, firm or raised: see your doctor early, as these can be the first signs of scarring.
- Swelling of the face, lips or throat, or difficulty breathing: go to A&E (urgencias) or call 112.
- A mole or spot that is changing, bleeding or looks different from the rest: have it checked by a doctor before any peel.
Frequently asked
Does a chemical peel hurt?
A superficial peel usually feels like tingling or warmth for a few minutes, and a cool fan helps. Deeper peels sting more and need specific pain relief, which is part of why they are planned as a medical procedure.
Are home peels the same thing?
No. Home acid products are much milder, which makes them reasonable for routine care but not a substitute for a clinic peel. Stronger acids bought online and used without supervision can cause chemical burns and pigment marks.
Can I have a peel before a holiday or a flight home?
Plan it the other way round. Have a superficial peel when you come back, not just before a beach trip, and leave a few clear weeks before any event where you want your skin at its calmest. Flying itself is not a problem, but cabin air is dry, so keep the skin moisturised.
When can I wear make-up again?
After a superficial peel, usually once the skin has settled, often the next day. After a deeper peel, wait until the skin has fully healed and your doctor confirms it, because make-up over raw skin can irritate it and raise the risk of infection.
Can a peel be combined with other treatments?
Yes, with planning. Peels are often alternated with microneedling, light-based treatments or injectables, but not usually on the same day in the same area. Your doctor sets the order and the gap between them.
I have olive skin and tan easily. Can I still have a peel?
Often yes, with more caution. Gentle, superficial peels are usually chosen, sometimes with a few weeks of skin preparation first. The aim is to improve the skin without triggering new dark patches.
How long do the results last?
It depends on what was treated and how you look after your skin. Sun, age and acne keep acting on the skin, so most people keep their result with daily sun protection, a sensible home routine and occasional maintenance peels.
References
Sources checked against PubMed or Crossref. Cited as plain text, without links.
- 1.Lee KC, Wambier CG, Soon SL, Sterling JB, Landau M, Rullan P, et al. Basic chemical peeling: Superficial and medium-depth peels. J Am Acad Dermatol. 2019;81(2):313-324. doi: 10.1016/j.jaad.2018.10.079. PMID: 30550830.Verified on 19 October 2026
- 2.Wambier CG, Lee KC, Soon SL, Sterling JB, Rullan PP, Landau M, et al. Advanced chemical peels: Phenol-croton oil peel. J Am Acad Dermatol. 2019;81(2):327-336. doi: 10.1016/j.jaad.2018.11.060. PMID: 30550827.Verified on 19 October 2026
- 3.Chen X, Wang S, Yang M, Li L. Chemical peels for acne vulgaris: a systematic review of randomised controlled trials. BMJ Open. 2018;8(4):e019607. doi: 10.1136/bmjopen-2017-019607. PMID: 29705755.Verified on 19 October 2026
- 4.Sarkar R, Lakhani R. Chemical Peels for Melasma: A Systematic Review. Dermatol Surg. 2024;50(7):656-661. doi: 10.1097/DSS.0000000000004167. PMID: 38530985.Verified on 19 October 2026
- 5.Agu-Jefferson I, Gebregiorgis TT, Ozumba L, Atoe-Imagbe OM, Ilesanmi ON. Microneedling Versus Chemical Peels for Atrophic Acne Scars: A Systematic Review and Meta-Analysis. Cureus. 2026;18(5):e108622. doi: 10.7759/cureus.108622. PMID: 42281674.Verified on 19 October 2026
- 6.Karanasios G, Wong ZY, Limbu S, Faderani R, Kanapathy M, Mosahebi A. Comparative Efficacy and Safety of Laser versus Chemical Skin Peeling in Skin Rejuvenation: A Systematic Review and Meta-Analysis. Plast Reconstr Surg. 2026;158(2):263-272. doi: 10.1097/PRS.0000000000012719. PMID: 41400370.Verified on 19 October 2026
- 7.Costa IMC, Damasceno PS, Costa MC, Gomes KGP. Review in peeling complications. J Cosmet Dermatol. 2017;16(3):319-326. doi: 10.1111/jocd.12329. PMID: 28349655.Verified on 19 October 2026
- 8.Mardani G, Nasiri MJ, Namazi N, Farshchian M, Abdollahimajd F. Treatment of Solar Lentigines: A Systematic Review of Clinical Trials. J Cosmet Dermatol. 2025;24(4):e70133. doi: 10.1111/jocd.70133. PMID: 40145274.Verified on 19 October 2026
Educational content. It does not replace a medical consultation or provide a diagnosis. Tests and treatments are indicated only after medical consultation and in line with regulation.