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A clinic specializing in nasolabial fold and wrinkle treatments
Osaka Houreisen Skin Clinic /
Tokyo Houreisen Skin Clinic /
Nagoya Houreisen Skin Clinic
Dr. Shinya Sasagawa, Representative, Shingetsukai Medical Corporation
Meet Our Doctors
“I’d like to try a chemical peel, but there are so many types that I don’t know which one is right for me.”
“Which is better for improving my skin: Massage Peel or Milano RePeel?”
As an aesthetic nurse who works with patients’ skin every day at a cosmetic dermatology clinic, these are two of the questions I hear most often during consultations.
In this article, I’ll explain the differences between Massage Peel and Milano RePeel.
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These Two Peels Are Not Competitors: They Serve Different Purposes
To start with the conclusion, neither Massage Peel nor Milano RePeel is automatically better than the other. The right choice depends on your skin goals.
Both treatments use TCA (trichloroacetic acid), but one major difference is whether they are likely to cause visible peeling (downtime).
- Massage Peel
Less likely to cause visible peeling and well suited to people who want firmer, more radiant-looking skin. - Milano RePeel
Works more actively on dead skin cells and is suited to those looking to improve the appearance of pores, rough texture, and acne scars.
The right treatment depends on whether your priority is firmness and radiance or refining surface texture, such as visible pores and roughness.
Massage Peel (PRX-T33)
Massage Peel, also known as a Collagen Peel, is characterized by a formulation containing 33% TCA and hydrogen peroxide (H2O2).
Ordinary TCA peels can cause the skin’s surface to peel. In Massage Peel, the hydrogen peroxide is intended to reduce excessive exfoliation of the epidermis while allowing the treatment to stimulate the dermis with less visible peeling.
In other words, it is designed not primarily to peel away the skin’s surface, but to encourage collagen production within the skin.
Expected Benefits
- Improved skin firmness
- Enhanced radiance and glow
- Improvement in fine lines
- Reduced appearance of dullness
- A brighter-looking skin tone
- More refined skin texture
Some patients notice that their skin feels firmer and plumper or looks more radiant immediately after treatment. One of its attractions is that the changes may be noticeable relatively quickly.
Recommended For
- People with plans for the weekend
- Those who want a skin boost before an important date
- People who have noticed a loss of skin firmness
- Those whose skin looks tired
- People who want a healthy-looking glow
- Those who prefer to avoid downtime
- People preparing for a special occasion
Massage Peel can also be a good option for a last-minute beauty treatment before an important event.
Milano RePeel (BioRePeel)
Milano RePeel is a skin-quality treatment that takes a different approach: it intentionally promotes exfoliation (shedding of dead skin cells) to help renew the skin’s surface.
A peel designed to encourage skin renewal through exfoliation.
In addition to 35% TCA, its formulation contains several other ingredients, including AHA, BHA (salicylic acid), vitamins, and amino acids. It is designed to combine exfoliation with skin remodeling.
Expected Benefits
- Improvement in stubborn clogged pores and blackheads through the pore-clearing action of BHA
- Smoother-looking uneven texture and discoloration associated with acne scars through the removal of old surface skin cells
- Improved skin elasticity through stimulation of type III collagen, sometimes called “baby collagen”
Recommended For
- Blackheads and visibly clogged pores
- Acne scars
- Rough skin texture
- Congested pores
- Overall skin-texture improvement
Pitted acne scars and rough-looking pores can involve changes in the structure of the skin’s surface. Addressing surface texture and encouraging skin renewal can be part of improving their appearance.
After a few days of peeling, the goal is to achieve smoother-looking, refreshed skin, sometimes compared to the smooth surface of a freshly peeled egg.
Recommended Treatment Intervals
At our clinic, we generally recommend the following intervals:
- Massage Peel: Every 2 weeks
- Milano RePeel: Every 3-4 weeks
Massage Peel vs. Milano RePeel: Comparison
| Comparison | Massage Peel (PRX-T33) | Milano RePeel (BioRePeel) |
|---|---|---|
| Primary approach | Dermal stimulation with reduced surface peeling | Multi-acid approach targeting dead skin cells and the superficial skin layers |
| Key ingredients | 33% TCA + hydrogen peroxide + kojic acid | 35% TCA + multiple acids + amino acids and vitamins |
| Expected improvements | Glow, firmness, mild fine lines, and skin texture | Dullness, roughness, visible pores, and acne-related congestion |
| Downtime | Generally minimal (possible mild redness) | May include dryness and mild peeling |
| Before an important event | Good option (same-day makeup is often permitted) | Plan ahead (the skin may be sensitive or flaky for several days) |
| Appearance of nasolabial fold shadows | Improves the appearance of shadows through skin firmness and density | May make shadows less noticeable by refining surface texture |
Loss of Firmness, Fine Lines, and a Deflated Appearance: Choose Massage Peel
Massage Peel acts on the dermis to encourage collagen production, making it suitable for addressing loss of firmness, mild fine lines, and a tired-looking complexion.
It may be a good choice if you want your skin to look plumper, have more glow, or prefer a treatment with minimal downtime.
Its approach focuses on supporting dermal density, so the result may be more about a plump, firm appearance than surface exfoliation alone.
Pores, Roughness, and Acne Scars: Choose Milano RePeel
Milano RePeel works on dead skin cells and clogged pores, making it suitable for improving rough or uneven skin texture, visible pores, and the appearance of acne scars.
It may be a good choice if you want smoother-looking skin, are concerned about blackheads or clogged pores, or want to improve your skin’s surface texture.
By managing dead skin cells with AHA and BHA, the skin’s surface may reflect light more evenly, making improvements in its appearance noticeable relatively quickly.
What If You Want to Treat Nasolabial Folds Themselves?
Both Massage Peel and Milano RePeel may help make shadows less noticeable by improving skin firmness and texture.
However, neither treatment directly fills the grooves of nasolabial folds.
If you want to address the underlying structural depression of nasolabial folds, you may need to consider another treatment in addition to peeling, depending on your individual condition.
At our clinic, we may suggest options such as growth factor treatment based on an assessment of the folds.
For a more direct approach to nasolabial folds, we may recommend growth factor treatment.
From an Aesthetic Nurse’s Perspective
As an aesthetic nurse who performs many skin treatments, two of my personal favorite peels are Milano RePeel and Massage Peel.
When I perform these treatments, it is especially rewarding to hear patients say things like “My skin looks brighter,” “My skin is glowing,” “I’m less concerned about my pores,” or “I really look forward to coming here every month.” These are treatments I enjoy recommending, and I always look forward to helping patients with their regular skincare treatments.
Of course, the most suitable treatment varies depending on your skin condition. During your consultation, we will discuss your concerns, assess your skin type, and recommend the peeling treatment that best suits you. Please feel free to ask us any questions.
Summary
Both Milano RePeel and Massage Peel are popular chemical peeling treatments, but they work on the skin in slightly different ways.
Milano RePeel addresses dead skin cells and clogged pores while supporting collagen remodeling, making it an option for concerns such as visible pores, acne scars, dullness, and uneven skin texture.
Massage Peel works on the dermis without aggressively exfoliating the skin’s surface. It is better suited to those seeking improved firmness, radiance, and the appearance of fine lines.
For pores, roughness, and acne scars: Milano RePeel.
For loss of firmness, dull-looking skin, and fine lines: Massage Peel.
That said, the best choice depends on your skin’s individual condition. At our clinic, we carefully assess your concerns and skin type before recommending an appropriate treatment.
If you are thinking, “I want to know which treatment is right for me” or “I’d like to improve my skin with chemical peeling,” please feel free to book a consultation.
We look forward to welcoming you.
Frequently Asked Questions (FAQ)
Q1. Which is more painful, Milano RePeel or Massage Peel?
A. Neither treatment typically causes severe pain. However, you may feel tingling or mild irritation during the procedure. Some people find Milano RePeel more stimulating than Massage Peel because of its exfoliating action.
Q2. Are Milano RePeel and Massage Peel effective for acne?
A. Milano RePeel may help improve acne and visible pores through exfoliation, sebum control, and support of skin turnover. Massage Peel is more often chosen to improve firmness, radiance, and overall skin quality rather than as a primary acne treatment.
Q3. Which is more popular, Milano RePeel or Massage Peel?
A. Both are popular, but people tend to choose them based on their goals.
Milano RePeel: For concerns about pores, acne, and skin texture.
Massage Peel: For firmness, radiance, and fine lines.
We generally recommend a treatment after assessing your skin condition, so please visit us for a consultation to find out which option may be best for you.
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