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At your first consultation with a practitioner, you should explain what you expect from the treatment and how you would like to look afterwards. He or she should tell you exactly what the treatment will involve and how long it will take for you to recover from it. A medical history should be taken by the practitioner, to ensure that there are no reasons why you shouldn’t have the treatment. Once this is established, you would normally be asked to read some detailed information and sign a consent form indicating that you have understood the potential benefits and risks associated with the peel procedure recommended.
Photographs may also be taken by the practitioner, for use as a “before and after” comparison at a later date.
Depending on the depth of peel and combination of peels used, different treatment procedures are recommended.
You would normally be asked to avoid any changes in your normal skincare routine 1 - 2 weeks prior to peel treatment. Things to avoid include electrolysis (facial hair removal), an exfoliating facial, sunbathing, tanning beds, or the use of any new creams as these could alter your response to the peeling agent. What happens next depends on the type of peel used.
SUPERFICIAL PEELS 
For one of the commonest peeling agents used, glycolic acid, the procedure is generally quick and easy to perform. The face is cleansed to strip the skin temporarily of its natural oils and allow the glycolic acid to be absorbed into the skin. The peel is then quickly painted onto the area to be treated and is left for between 2 - 10 minutes, depending upon the strength and type of glycolic peel used, before it is washed off and neutralised. 
Repeat procedure 
This mild peel generally needs to be repeated weekly for 4-6 weeks to obtain a good result, which can then be maintained with monthly peels.
MEDIUM DEPTH PEELS 
The skin is again thoroughly cleansed before application of the peel. An even layer of the peeling agent is applied to the area to be treated, which makes the skin slowly becomes whitish – grey, or “frosted”. A fan is sometimes used to help cool the face. Once frosting has occurred, which may take several minutes, cool saline compresses (pads soaked in a salt water solution) may be applied to the face to neutralise the peel.
Repeat procedure 
This type of peel may be repeated monthly until the desired effect is achieved. Thereafter, maintenance peels every 6 – 12 months should keep your skin looking good.
DEEP PEELS USING PHENOL 
Phenol is a strong chemical which is why it produces such dramatic results. A local anaesthetic block may be used prior to a phenol peel, this “freezes” your face and ensures that you do not experience any pain during the treatment. The “freezing” is very similar to that used by the dentist when you go for a filling. You may also be given a sedative whilst undergoing a phenol peel.
Continuous heart monitoring is also required as phenol has the potential to cause irregular heartbeats in some patients.
The skin is thoroughly cleansed and phenol is applied to the area to be treated whereupon the skin immediately turns white or "frosted" in appearance. For full face phenol peels, half of the face is treated first (this usually takes around 30 minutes), with half the peel being removed before the other half is treated. For some areas of the face, the practitioner many apply two or three layers of waterproof tape after phenol has been applied. The tape helps to the peel to work more effectively, and is removed 48 hours later. In some cases petroleum jelly (Vaseline) is used instead of tape.
Repeat procedure 
Just one phenol peel treatment can produce dramatic improvement in patients with sun damaged skin. These effects can last for 10 years or more.

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