- Acne Scarring
Medium-Depth Chemical Peel
A medical-grade peel for acne scarring.
Sequential Jessner or CO2 followed by TCA to renew the skin and remodel collagen for shallow rolling and boxcar scars, texture, and discoloration.
What is a medium-depth peel?
A medium-depth peel involves complete destruction of the epidermis with penetration into and destruction of the upper layers of the dermis. Medium-depth peels require the sequential use of either Jessner solution or frozen CO2 followed by 20% to 35% trichloroacetic acid (TCA). This type of peel is designed to improve acne scarring, uneven skin texture, and discoloration by stimulating controlled skin renewal and collagen remodeling.
Medium-depth peels for acne scars across metro Detroit
- Bingham Farms
- Birmingham
- Bloomfield Hills
- West Bloomfield
- Royal Oak
- Berkley
- Troy
- Farmington
- Shelby Township
- Novi
- Detroit
- Metro Detroit
Frequently asked questions
What types of acne scars improve?
This peel is most effective for shallow to moderate rolling scars, shallow boxcar scars, and post-acne discoloration. Deep ice-pick scars require alternative treatments such as TCA CROSS or punch excision.
Can a medium-depth peel be combined with TCA CROSS in the same session?
Yes. This is a very effective one-two punch to address all acne scar types in the same session.
How is a medium-depth peel applied to the skin?
Jessner solution or CO2 primes and prepares the skin for the deeper wounding agent. TCA is then applied to create a controlled deeper injury into the upper layers of the dermis.
What preparation is necessary before the peel?
Strict sun avoidance for 1 month before and 1 month after, a proper skin care routine including tretinoin and/or glycolic acid, starting Valtrex 1 day prior and continuing for 1 week afterward, and avoiding smoking.
What should I expect during the treatment?
What is the recovery and downtime?
Expect 7 to 10 days of visible peeling and healing, followed by several weeks of pinkness. Strict sun avoidance and post-care are critical, and most people stay inside for the first week afterward.
What are the risks?
Risks include prolonged redness, pigment changes, infection, delayed healing, and scarring (rare). These risks increase if aftercare instructions are not followed.
Schedule an acne consultation
Summary
This is a deeper, medical-grade peel, not a superficial peel offered by med spas and aestheticians. Advanced training and experience are necessary to perform it safely. Proper patient selection, downtime, and aftercare are essential for safe and effective results.
Patient testimonials
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Recognized dermatologist

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About Craig Singer MD Dermatology
Located in Bingham Farms, Acne Center Of Michigan was founded by Dr. Craig Singer, a board-certified dermatologist.
We specialize in the treatment of acne and acne scarring, offering numerous therapeutic options tailored to each patient’s needs.
Dr. Singer experienced significant acne when he was in college and has personal experience with his teenage children’s acne as well. He has helped thousands of patients look their best.
Acne Center of Michigan offers the most advanced acne treatments, drawing from both traditional and alternative approaches. Dermatologists across the region refer their most complex acne-scar cases to Dr. Singer, and patients travel from across Michigan, neighboring states, and Canada for his care.

Board-Certified
Dermatologist
Thousands of patients
Helped look their best








