Pigment spots
Lentigo, melasma and post-inflammatory pigmentation require distinct strategies. The inflammation created by the peel can also darken the skin.
Information and guidance in surgery and aesthetic medicine in Tunisia
A chemical peel is not chosen by the highest percentage or the amount of skin that peels. Diagnosis, phototype, depth of the target and healing capacity determine the product, preparation and follow-up.
A peel applies a chemical substance to create a controlled lesion of selected layers of skin. The repair that follows renews the epidermis and can remodel part of the dermis depending on the depth. This principle explains both the possible benefits and the risks of burns, infections, scars or pigmentary changes.
The result does not depend on the name of the acid alone. Concentration, pH, vehicle, quantity, number of passes, degreasing, duration, neutralization, preparation and condition of the skin barrier modify penetration. A low pH acid may be more active than a higher percentage formulated otherwise.
RJMed presents the medical peeling in Tunisia as a procedure chosen after diagnosis. Melasma, solar lentigo, acne marks, blackheads, fine lines and scars do not occupy the same depths. An atypical pigmented lesion should be examined before attempting erasure.
The season is not the only criterion. Rigorous photoprotection, the absence of a tan, the ability to follow care and the personal risk of pigmentation or scarring determine the reasonable time.

Lentigo, melasma and post-inflammatory pigmentation require distinct strategies. The inflammation created by the peel can also darken the skin.
Some peels help unclog pores and reduce selected lesions. Severe or scarring acne requires comprehensive treatment.
A flat spot, a wavy scar, and an ice pick are not the same. Depth and stickiness determine useful associations.
A superficial peel can even out the surface. Radiance also depends on hydration, pigmentation and lifestyle.
Increasing depth can produce more remodeling, at the cost of equally increasing consequences and risks.
A changing, irregular, bleeding or new spot should not be "peeled" before a proper dermatological examination.
Superficial peeling mainly acts on the epidermis. It can produce tingling, redness and fine peeling, sometimes barely visible. Several sessions are often considered, but their repetition is only useful if the skin tolerates it and if the objective evolves.
The average peel reaches the papillary dermis. TCA or combinations can be used according to medical protocols. Swelling, crusting, transient browning and social exclusion are more significant. An infection, a pigmentary disorder or a scar become more significant risks.
Deep peeling reaches lower dermal planes and requires strict selection, monitoring and appropriate medical organization. The consequences are long and the risk of permanent color change, scarring, infection or toxicity depends in particular on the formula.
The words “light” and “natural” do not define any depth. The reaction visible during application, the number of layers and the area treated guide the practitioner, but should never lead to continuing to obtain spectacular desquamation.
| Family | General characteristics | Indications discussed | Vigilance |
|---|---|---|---|
| Glycolic acid | Small AHA, activity related to pH and formula | Texture, photoaging, certain pigmentations | Neutralization, irritation and photosensitivity |
| Lactic acid | AHA often incorporated into superficial protocols | Selected texture and dyschromia | A large percentage remains potentially burning |
| Mandelic acid | AHA with generally more gradual penetration | Selected skin types, imperfections and pigmentation | “Gentle” does not mean risk-free |
| Salicylic acid | Lipophilic BHA with affinity for the sebaceous environment | Blackheads, oily skin, certain pigmentations | Allergy, treated surface and formulation |
| Jessner's solution | Association of agents according to a defined formula | Acne, texture or preparation for another peel | Number of layers and exact components |
| TCA | Action modulated by concentration, layers and preparation | From superficial to medium depending on the protocol; focal uses | Scar, dyschromia and unexpected depth |
Dark or dark skin can benefit from selected peels, but inflammation more easily stimulates post-inflammatory pigmentation. The risk depends on the phototype, history of spots after pimples or injuries, tanning, acid and depth.
Melasma is particularly complex: heat, sun, visible light, hormones and inflammation influence recurrences. A peel can be part of a strategy, but an aggressive session can trigger a rebound that is more difficult to treat than the initial stain.
A preparation can include photoprotection, gentle routine and active ingredients prescribed according to the skin. It aims to stabilize the barrier and pigmentation; it should not irritate before peeling. Retinoids, household acids, scrubs and hair removal should be managed according to instructions.
After the session, broad-spectrum sun protection and limiting exposure are essential. Scratching scales, using perfume, an exfoliant or a homemade recipe increases the risk of secondary burns and pigmentation.
The lesion, its depth, phototype, history and current treatments are documented.
The skin barrier, photoprotection and active ingredients are organized; infection and tanning lead to postponement.
Formula, zones, layers, time and reaction are controlled. Eyes, lips and fragile areas are protected.
Care, warning signs and control are planned before the session; the result is judged after healing.
Active herpes, infection, eczema, irritative dermatitis, wound, sunburn or recent tan generally require a postponement. Pregnancy, breastfeeding, medications, tendency to abnormal scarring, immunosuppression and recent dermatological treatments are discussed according to acid and depth.
Expected redness is not the same as a progressing burn. Increasing pain, blisters, oozing, thick crust, fever, pus, spreading redness or eye damage require prompt attention. A dark color may appear during healing; it must not be stripped.
Complications include bacterial, viral or fungal infection, darker or lighter pigmentation, demarcation, prolonged redness and scarring. A deep peel may have systemic risks specific to its composition.
Concentrated products purchased online for domestic use can cause serious burns. Applying TCA or combining several acids without controlling the pH, neutralization and depth is not a trivial cosmetic treatment.
The price of a facial peel in Tunisia depends on the diagnosis, formula, surface, depth, preparation, number of sessions and follow-up. Two services bearing the name “TCA peel” can be incomparable if concentration, layers and care differ.
The quote specifies the product or formula, the targeted depth, the preparation, post-peeling care and controls. A series must be presented as a revisable estimate depending on the response, not as a mandatory package.
RJMed encourages integrating the cost of photoprotection and prescribed care. A less expensive but too aggressive peel can generate pigmentation or a scar whose treatment far exceeds the initial price.
RJMed favors the shallowest peel capable of achieving the reasonable objective. Spectacular healing is neither proof of effectiveness nor a contest of power: pigmentary safety and the quality of the result take precedence.
Describe the stain or texture, your phototype, your treatments and your usual reaction to the sun.
Before comparing procedures, verify the professionals, facility, quotation, package and medical-stay pathway.