“Preparation is part of the treatment.”

Most of what makes a treatment go well happens before you arrive — what you stop taking, how far ahead you book, and what you tell us. None of it is complicated, and none of it is a formality.

VI Peel Pre-Care

A peel works on skin that is calm, unirritated, and unburned. Everything below is about getting it there — and about making sure the peeling itself does not catch you by surprise.

Plan for the Peeling

  • This is a medium-depth peel and the peeling is visible.
  • Most of it happens on days three through six — flaking and shedding across the treated area.
  • Makeup can be worn once the skin is no longer crusted or tender, but it does not hide peeling well.
  • Do not book this within ten days of a wedding, a photograph, a presentation, or anything else that matters.

Three Months Before

  • Tell us if you have taken isotretinoin for acne in the past three months. This rules treatment out.

Two Weeks Before

  • Stop retinoids and all exfoliating or acidic products on the area — retinol, glycolic acid, salicylic acid, scrubs.
  • No other peels, laser, or resurfacing treatment in the area.
  • If your skin darkens easily after inflammation, or you have melasma, tell us. We may ask you to use a brightening preparation before and after the peel.

One Week Before

  • No sunburn and no significant sun exposure on the area. No self-tanning products.
  • If you are prone to cold sores and we will be treating near your mouth, tell us. We can prescribe an antiviral to start before your peel.

Three Days Before

  • Stop all hair removal in the area — waxing, threading, depilatory creams, electrolysis.

The Day of Your Peel

  • Arrive with the area clean and completely free of makeup.
  • Do not apply any product to the area that morning.
  • Bring a current list of your medications and supplements.
  • Ask us how long to leave the solution on before you go home, and write it down. It varies, and it matters.

What to Have Ready at Home

  • You will be given an aftercare kit on the day. It contains a gentle cleanser, a post-treatment repair cream, and sunscreen. You do not need to buy these.
  • Add one thing of your own: an ointment such as Aquaphor for overnight use in the first few days.
  • Nothing else is needed. Do not add acids, scrubs, or retinoids to your routine until we tell you.

Tell Us Before We Begin If Any of These Apply

  • You are pregnant, think you may be pregnant, or are breastfeeding.
  • You are prone to cold sores.
  • You have a history of keloid or raised scarring, or a sun allergy.
  • You have ever reacted badly to a peel.
  • You have an allergy to aspirin or salicylates.
  • Your skin darkens easily after a spot, an injury, or inflammation.
  • You have an active cold sore, infection, open area, or a flare of eczema, psoriasis, or rosacea in the area.
  • You are unwell today. If you are ill, call us and we will move your appointment. There is no charge for that.

If You Have a Question

Call the office at (212) 209-5054 before your visit, or email us.

Ask us anything
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Aesthetic medicine has become crowded and confusing. You should be able to understand your options.

Short, honest notes from two physicians: what a treatment actually does, what it does not, and how to think about the choice. No pressure to book anything.