Canadian Institute of Cosmetic Plastic Surgery, Montreal

The Preparation-Peel
Skin Treatment The preparation-peel program is a non-surgical skin treatment that helps your skin appear healthier, cleaner, firmer and younger. It is used to improve: wrinkles, scars, acne in young people, large pores and spots (dark or light).

This skin treatment may eliminate your need for certain surgical procedures, such as facelifts or sanding. It is achieved by stimulating the deep layers of your skin while shedding damaged, superficial cells.

 This program can be used for:

• Most age groups -Most skin colors (white, oriental, black, etc.)

• Most skin types (thick or thin, oily or dry)

• Not just the face, but also for other areas of the body, such as the hands, neck, chest, etc.

This treatment usually :

• Causes no pain, only some discomfort

• Produces natural-looking skin (and not a waxy or artificial look)

• Results in a normal skin (and not a whitish face that contrasts with the rest of the body)

• Does not use phenol (a toxic substance to the heart and kidneys)

This skin treatment consists of two phases :

• Phase 1: The skin preparation pre-peel program, lasting for 4 to 8 weeks.

• Phase 2 : The "light", "medium" or "concentrated" peel program.

Fees for the peel treatment are paid in 2 installments: first a deposit, followed by payment of the balance at a later date. The peel fees cover all consultations with the office assistants and all phone inquiries.

 The initial set of skin products, necessary for the average pre-peel preparation, is supplied to you at no cost. Additionally, a few medications prescribed for you during the course of treatment can be purchased from any pharmacy.

The Preparation Program (Pre-Peel)
A combination of skin products is carefully selected for you by Dr. Fanous, to be used morning and night. They include: Cleansers, astringents, exfoliatives, stimulators, color blenders, sunscreens, moisturizers and anti-irritants. This program is usually followed for 4 to 8 weeks. Initially, you may look worse. Your skin will flake and appear red and feel dry and sensitive. Spots may appear darker than before. However, within two to three weeks, you will gradually feel and look better.

The Peel Program (Light, Medium or Concentrated)
The peel program is an absolutely essential step after the preparation stage in order to fix the improvement of your skin permanently.

This program consist of painting the skin with an exfoliating irritant solution (e.g: trichloracetic a., glycolic a.). Dr. Fanous performs 3 types of peels :

•  "Light" is low in concentration and yields a mild degree (10 to 15%) of improvement.

• "Medium" is moderate in concentration and results in moderate (15 to 25%) improvement.

• "Concentrated" is high in concentration and produces a considerable (40 to 50%) improvement.