Chemical cheiloplasty

Chemical cheiloplasty can only be considered under three conditions ... 

Immediately after application of phenol to the upper lip, the anesthetic effect is enough to be able to pinch the skin and draw blood without any feeling of pain (note the red spots in the photograph, taken during a chemical cheiloplasty). 

Ventilation during a local application of phenol (chemical cheiloplasty see Chapter 36). 

A chemical cheiloplasty or labioplasty treats wrinkles around the lips. The principle of the treatment is identical to that of a chemical blepharoplasty, but it is easier to treat wrinkles on the upper lip than on the eyelids. It is also less stressful for an inexperienced doctor. 

Chemical cheiloplasty of the upper lip in combination with Easy TCA as an evening out peel. (a,b) Before treatment, (c) Application at the base of the wrinkles, (d) Fading frosting, (e) Even application to the whole treatment area appearance of gray-white frosting (Easy TCA is applied after the lip has frosted and before occlusion), (f) Occlusion, beginning of occlusion. 

A full face deep peel should not be done at the same time as a face-lift however, it is possible to do a chemical cheiloplasty or a chemical blepharoplasty at the same time as a surgical face-lift, for example. 

Very fine lines around the mouth can be improved by a combination of filling techniques (e.g. hyaluronic acid) and one or more TCA peels to the papillary dermis, but the results achieved with TCA never equal or even come anywhere near those achieved with phenol, which is preferred in chemical labioplasty or cheiloplasty (see Chapter 36) in combination with botulimun toxin, if possible. 

Chemical blepharoplasty and cheiloplasty are ideally carried out with Lip Eyelid formula its action is more gradual than that of Baker-Gordon or Litton phenol, and it can be applied locally without any anesthetic since the pain only lasts 12-15 seconds. 

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