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Chemical Peels

We offer chemical peels in Gig Harbor, WA, including the Blue Peel (aka Controlled Depth Peel) & the 3 Step Peel (Epidermal Exfoliating).

Our Physicians have spent decades studying the Art and Science of skin health

We are all interested in looking our best, being healthy, and having healthy skin. To that end, Dr. Judith Rubin M.D. and Dr. Kathleen Polo M.D. have tried dozens of different skin care systems designed to help keep our patient’s skin healthy. By far the best system is the ZO Obagi line. We are focused on and experienced in overall health and the health of your skin. We have found that best tool to improve skin health in both epidermis and dermis, is to prepare the skin with the correct washes, scrubs, toners, and corrective agents, followed by a chemical peel. The peel that we choose is dependent on the goal we are trying to achieve.

The Blue Peel also known as the Controlled Depth Peel

The Blue Peel’s main objective is to tighten the skin.

The Blue peel is a controlled depth peel that is only performed only by experienced physicians. We use 30 % trichloroacetic acid (TCA) and a mixture of blue base that helps to ensure even penetration of the TCA. By combining the correct amount of blue base and TCA the clinician can prepare a peel that is either 20 % TCA, 26 % TCA or 28 % TCA. We use various strengths and number of applications to reach the papillary dermis and or the Immediate reticular dermis with TCA that is neutralized by the proteins in the dermis. It is ultimately important to understand the clinical signs accompanied by reaching the papillary and reticular dermis at its various levels, which is achieved through observation of the changes in the skin as it absorbs the product.

The Controlled Depth Peel (Blue peel) increases collagen, elastin, and glycosaminoglycans (GAG) in the dermis while sloughing the outer layer of the epidermis. Collagen is the building block of the dermis giving the skin its structurally integrity and thickness, elastin gives the skin its tightness, and glycosaminoglycans maintain skin hydration and hold water. The most widely known GAG is hyaluronic acid which cannot penetrate the epidermis into the dermis when placed on the outer skin.

The Blue Peel steps

Clinical conditions treatable with the Blue Peel

  • Deep dermal hyperpigmentation
  • Loose skin
  • Moderate to severe wrinkles
  • Dermal melasma (irregular, deep pigment, usually hormonal)
  • Uneven texture, tone, and color of the skin
  • Large pores
  • Dry skin
  • Superficial actinic and solar keratosis
  • Thin skin, skin laxity
  • Stretchable scars

What to expect after your Blue Peel:

Day 1-4

  • Generalized swelling and darker appearance of the skin at the treatment site
  • Cleanse face 2 times a day with gentle cleanser
  • 10% vinegar compresses every 2-4 hours while awake
  • Thin layer or Aquaphor after each compress
  • Peeling may begin on Day 4 and continue up to day 7-12 usually stops after day 7-8

Day 5 & Going Forward

  • Continue washing with gentle cleanser twice a day and 10 % vinegar every 2-4 hours (as needed)
  • Stop Aquaphor and start ZO hydration cream
  • Peeling will usually continue until day 7-8 but may continue for up to 12 days
  • Skin my remain red and blotchy for up to 3-6 weeks
  • Acne and rosacea may flair
  • Restart preconditioning treatment when the skin becomes tolerant

The Blue Peel is a very important tool in making your skin healthier. Healthy skin appears more like the skin of a child. Our goal is to make your skin healthy so that you radiate health, youth, and beauty.

Before and after photos

Epidermal Exfoliating Chemical Peel Also Known as the 3 Step Peel

At Nouveau Medspas we offer a more superficial peel performed by our RN, BSN for skin conditions that emanate from the more superficial epidermis. The ZO 3 step peel is a combination of 10 % TCA, Salicylic Acid, and Lactic acid which can safely be performed in the office at monthly intervals. The patient’s aftercare includes 1 additional application of 6% retinol to be used at home the next morning. Some conditions may require a series of 2-3 peels for optimal results and these peels can be done monthly.

Indications for the ZO 3 Step Peel

  • Epidermal melasma
  • Post inflammatory hyperpigmentation
  • Enlarged Pores
  • Uneven texture and tone
  • Superficial acne scars
  • Pigmentation from sun damage
  • Aging skin with mild wrinkles and laxity
  • Post procedural hypopigmentation

What to expect after a 3 step peel:

  • 1-2 days of mild redness and tightness
  • 3-4 days of peeling

Before and after photos

*Individual results may vary and are not guaranteed


Chemical Peels is Used to Treat:


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Text us at (858) 333-1624 to set up an appointment or to ask us a question. We look forward to hearing from you

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We're happy to answer any questions you may have, feel free to call us at
(253) 358-3667