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Frequently Asked Questions

Skin Related

Can a deep chemical peel be done on the skin more than once? 
This depends on the patient's skin type and the depth of peel needed. Most patients can undergo multiple peels several years apart. 

How much improvement of my acne scars can I expect from skin resurfacing? 
Acne scars are very difficult to remove. Most patients can expect up to 50% improvement in their acne scarring. The skin will always have scars; the goal is to make them less noticeable. 

How painful is a deep chemical peel? 
During the first 12-24 hours after the peel, patients usually feel a moderate burning sensation, similar to a sunburn. This sensation is usually well-tolerated with the post-operative pain medications provided. 

What are the risks of chemical peels? 
The risks of chemical peels have dramatically decreased with the use of the Hetter Peel formulation. Some risks include prolonged redness or erythema, risk of hyperpigmentation (increased pigment in the skin), hypopigmentation (loss of pigment in the skin), and scarring. 

What is the recovery time for a deep chemical peel? 
The recovery time varies based on the depth of the peel. The recovery time usually ranges from 7-10 days. 

When can patients with acne scars undergo laser resurfacing? 
Patients who are still suffering from severe cystic acne are not candidates for laser resurfacing. Once a patient's acne is under control, resurfacing can be performed. Individuals who have taken Accutane in the past 12-18 months or are prone to abnormal scarring may not be the appropriate candidate for this type of procedure. 

When does my skin fall off? 
The epidermis is removed when the surgeon applies the chemical to the face. For laser surgery, the laser vaporizes the top layer of skin instantly. 

Who is a good candidate for laser resurfacing?
Patients with lighter skin types and depressed acne scars are excellent candidates for laser skin resurfacing. 

Will my face be one big sore after a chemical peel? 
Immediately following a chemical peel, the face will swell and "crust." Ointments are applied to keep the skin supple for 7 to 10 days following the procedure.

Will my resulting facial skin color after the peel be white? 
This varies from patient to patient. Skin type and color, ethnic background, and age are important factors and should be discussed prior to surgery.



Dr. Holzapfel has been selected for Top Doctors in Cincinnati, the prestigious list of peer-voted distinction, each year since 2013.



In her practice of plastic surgery, Dr. Lied is particularly interested in body contouring, facial rejuvenation and breast reconstruction.

Top-rated, board-certified facial plastic surgeons and board-certified plastic surgeons in Cincinnati and Northern Kentucky, offering eyelifts, browlifts, facelifts, breast implants and breast reductions, rhinoplasty, reconstruction after cancer or trauma, liposuction, CoolScultping, Fraxel, Botox, Dysport, peels and fillers such as Restylane, Radiesse and Juvederm, and other procedures to refresh and renew your appearance.   Voted Best Doctors 2015-2016