Skin Rejuvenation - Micro Needling and Peels

Skin rejuvenation can be done in numerous ways. The JCCP currently regulates according to the agreed standards and qualifications for skin peels (medical grade chemical peels), mesotherapy and microneedling.

On this page

Treatments covered

Skin peels (medical grade chemical peels), mesotherapy and microneedling

Specific restrictions

None specific to peels, mesotherapy or microneedling

Often needs

A course of therapy

How skin rejuvenation works

These treatments can result in improved skin condition largely as a result of the regeneration and repair mechanisms that occur after the initial inflammation of the epidermis and dermis.

The treatments

Skin peels involve the use of a serum, often made up of several medical compounds, applied to the surface of the skin to intensively exfoliate it by removing the outer dead skin to unveil a fresh layer of new skin. They predominantly target the facial area but can be used on the body.

Chemical peeling is a procedure wherein a chemical agent of a defined strength is applied to the skin, which causes a controlled destruction of the layers of the skin, and is followed by regeneration and remodelling, with improvement of texture and surface abnormality. The most common and most superficial peels are widely known as ‘fruit acid’ peels, because they are derived from various fruits; you may see other types with TCA and phenol targeting deeper skin problems.

The peel procedure

Effects

All skin rejuvenation treatments are designed to improve the quality of the skin. You may perceive your skin has improved texture and more even tone. Chemical peels can be effective for cosmetic acne but should complement, not interfere with, treatment prescribed by your GP. Fine lines may or may not improve, depending on the nature of the treatment. Your practitioner may be able to target specific concerns such as stretch marks, scarring and specific blemishes.

Adverse effects

  • Burning / stinging sensation / itchiness
  • Mild pain
  • Bruising
  • Redness after treatment - can last a few months in deeper peels
  • Skin flaking / texture change
  • Lines of demarcation where skin rejuvenation has been applied
  • Reoccurrence of herpes (cold sores)
  • Sun avoidance post procedure
  • Allergy
  • Scarring
  • Changes in skin colour - can be lighter or darker
  • Skin infection
  • Worsening of pre-existing conditions such as asthma / eczema / psoriasis / acne

Rare: toxicity from deeper peels

Rarely, treatment can cause toxicity: deeper chemical peels use carbolic acid (phenol), which can damage the heart muscle and cause the heart to beat irregularly, and can also harm the kidneys and liver. There are various methods to limit exposure to phenol, such as performing the treatment in portions at 10- to 20-minute intervals.

Tips and questions to ask your practitioner

Diagnosing skin lesionsIf targeting a specific skin lesion, especially if it may be caused by sun or UV light, ensure your practitioner is qualified to diagnose the lesion, or that they refer you to your GP or dermatologist.
Sun protectionThis is an ideal opportunity to discuss your use of sun protection cream, and methods of sun avoidance (including sun-beds), with your practitioner.
Recovery and aftercareAsk for the recovery time after the procedure - how long it will take for your appearance to get back to normal - and make sure you know what chemicals are being used and what aftercare is required.
Who should take extra careIf you are over 65, of darker skin type or have very fragile skin, beware of treatments as the risks may outweigh the benefits.
Your skin productsIn addition to your medical history, ensure your practitioner knows the skin products you are currently using, as this may affect response to treatment.

Restrictions, offers and supervision

There is no specific restriction to peels, mesotherapy or microneedling. They are often treatments that require a course of therapy. The JCCP would warn patients to consider offers and incentives for treatment, either singular or a course, against its regulations, as these can entice into multiple treatments that might not be necessary.

All skin rejuvenation treatments pose various degrees of risk, depending on the nature and extent of the product used. All JCCP registered practitioners are qualified to the required level for the treatment offered and, where risks are higher, it will be clearly stated where your practitioner must work under supervision.

Information sheet and standards

What training does a practitioner need?

LEVEL7

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

CPSRDeliver mesotherapy using topical agents as per BNF guidance *
CPSRDeliver medium depth chemical peels and localised or diluted phenol peels *

Restriction

Subject to oversight of independent prescriber
LEVEL6

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

CPSRDeliver mesotherapy with/without licensed topical treatment
CPSRDeliver superficial chemical peels to the Grenz zone in all skin types
CPSRDeliver up to 1.5mm micro-needling to the face and up to 2.0mm to the body

Restriction

Subject to oversight of clinical professional
LEVEL5

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

CPSRDeliver superficial chemical peels to the mid-epidermis in skin types 1 and 2
CPSRDeliver up to 1.0mm micro-needling to face and up to 1.5mm to body

Restriction

Subject to CPSA supervision standards
LEVEL4

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

CPSRDeliver 0.5mm micro-needling to face and up to 1.0mm to body
CPSRDeliver very superficial peels to stratum corneum

Restriction

Subject to CPSA supervision standards

* Competencies to be agreed. Restrictions: see also CPSA standards.

Choose a registered practitioner

Check the JCCP Register to find a practitioner who meets the standards for skin rejuvenation - micro needling and peels.

Check the Register
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