Chemical peels eyelids

Lip Eyelid is one of the safest phenol peels on the market, but incorrect application can lead to the usual local side effects of chemical peels. 

The high risk of focal or widespread facial necrosis contraindicates a phenol peel immediately after a face-lift. If a face-lift and a deep peel have to be combined, the surgical face-lift must be done first and the chemical peel afterwards to avoid the demarcation line being surgically lifted to the cheek. Caution usually dictates a gap of 6 months between a surgical face-lift and a deep peel. It is of course possible to perform a face-lift without blepharoplasty and a phenol peel around the mouth and eyelids at the same time... 

Morrow DM 1992 Chemical peeling of the eyelids and periorbital area. Journal of Dermatologic Surgery and Oncology 18 102-110... 

Occlusion of the upper eyelid, which is only indicated to increase the depth of action of the peel, will always be essentially extratarsal (Figure 36.6). In the large majority of cases, a chemical blepharoplasty is done without occlusion. 

Application of bismuth to all four eyelids chemical blepharoplasty and evening-out peel (Unideep ). The Unideep post-peel cream is applied to the face immediately after the peel, the evening of the peel and the following morning. This photograph was taken on day 1. 

Examples of the results of chemical blepharoplasty. (a,b) Chemical blepharoplasty of the upper eyelids and Easy TCA as an evening-out peel. (c,d) Chemical blepharoplasty of the lower lids and Easy TCA as an evening-out peel. 

Phenol peels are always accompanied by severe erythema (Figures 37.14 and 37.15). The erythema appears immediately around the edges of the frosting caused by the phenol and can then be seen on all of the treated area, as soon as the frosting fades. This immediate erythema results from inflammatory vasodilation that follows chemical injury and is normal. After 24 hours, the patient appears severely burnt, as can be seen in Figure 37.14. The classical phenol formulas often cause erythema that last more than 3 months, or sometimes even several years. It can be permanent (in some rare cases). Lip Eyelid causes erythema that lasts 1-3 months on average. 

Wojno T, Tenzel RR. Lower eyelid ectropion following chemical face peel. Ophthalmic Surg 1984 14 9-12. 

Chemical blepharoplasty is treatment of the eyelids with a localized deep peel. Chemical cheUoplasty is treatment of the lips with a localized deep peel (see Chapter 36). 

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