There are no head-to-head studies comparing peeling with lasers,” said Harold Brody, MD, FAAD, who is clinical professor of dermatology at Emory University School of Medicine in Atlanta, Georgia, and past president of the International Peeling Society-USA(IPL), based in Rolling Meadows, Illinois in a presentation at the American Academy of Dermatology 2022 Annual Meeting.1 He also noted that procedures vary among individual dermatologists. “However, trichloroacetic acid (TCA) chemical reconstitution of skin scars(CROSS) is superior to any laser treatment for pitted scars because it penetrates more deeply,” Brody told Dermatology Times®.

“Many dermatologists who practice medical dermatology are unaware of the advances in peeling in the last 15 years, and both some patients and some dermatologists might be ‘brainwashed’ by industry laser advertising,” Brody told Dermatology Times® in a follow up interview. In his presentation, he noted that peeling is more cost-effective than laser treatment and results can be “competitively comparable” if performed by doctors well-versed in the modality being used. He also noted that radio frequency (RF) microneedling was not considered in his talk due to his focus, but that its efficacy is evolving.
Brody supported this overview with a detailed breakdown of lasers and peels for treating four different issues.

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