Eyelids, phenol application

Therefore, full-face phenol-based peel should always be performed under full cardiopulmonary monitoring. The average lag time for the onset of the arrhythmias was 17.5 min from the beginning of the peel, and they are usually not delayed for more than 30 min after the peel. Cardiac arrhythmias are more common while applying the solution on the thin skin of eyelids. In this area skin absorption is maximal therefore, application should be performed extremely cautiously. If arrhythmia occurs, the application of phenol should be stopped until... 

Wrinkles on the lower eyelids, drooping upper eyelids and loss of elasticity are excellent indications for a local application of phenol (Figures 30.4 and 30.5). Wrinkles around the upper and lower Kps respond very well to a local appK-cation of Lip Eyelid formula (Figure 30.6). 

Lip Eyelid formula is an oily solution of phenol, often called phenol oil. The solution is ready for use and there is no preparation involved. The flask contains 3 ml of solution, which is the quantity usually needed to treat the whole face or do around 15 eyelid treatments. It is easy to plunge the applicator straight into the container and to squeeze it out correctly on the neck of the flask. Lip Eyelid formula remains stable for many years. 

The use of cotton balls is not advised, as they are not easy to handle in delicate areas such as the eyelids and also because of the risk of runs. Cotton buds are not suitable for large surface areas, as they do not allow even application. In a very localized phenol peel (i.e. eyelids or upper lip), however, phenol is applied with a single cotton bud, as it is more precise and uses up less of the product. The applicator should only ever be used once. 

After the eyebrows, the doctor treats the upper eyelids. Any excess of phenol is avoided by using an applicator that has already been used to treat an adjacent area and that has not just been soaked in phenol. The upper eyelid tarsus does not have to be treated this would cause severe palpebral edema. When the eyelids are being treated, the assistant should be ready to rinse the eyes out with a syringe of sterile physiological saline (prepared before the peel) and sponge away any reflex tears. 

Chapter 33 is devoted to the details of anesthesia for a phenol peel. Lip Eyelid formula can be applied without any anesthetic on small areas, however. Patients feel an intense burning sensation a few seconds after application. They will have been told that the burning sensation only lasts for 15 seconds and that they can have a nerve block if they want. Vocal anesthesia plays an important part, and the patient can take a paracetamol (acetaminophen) plus codeine tablet 1 hour before the treatment. Nerve blocks are often used to increase patient comfort 2% Hdocaine without adrenaline (epinephrine) is used, and its duration of action is sufficient. The patient should be given paracetamol plus codeine tablets for the post-peel pain, which is inevitable during the first 24 hours because of the severity and rapidity of inflammation caused by the peel. 

A double cotton bud would not be precise enough either and the ideal applicator is a single cotton bud it is light, precise and simple - all of which are good qualities when it comes to using phenol. Using a 1 cm syringe, 0.2 cm is drawn up from the 3 cm bottle of Lip Eyelid and the... 

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. 

First session combined peels application of Lip 8c Eyelid formula (occlusive protocol) on the upper lip, immediately followed by an application of Only Touch peel on the lentigines. Next, Easy TCA is applied to the whole face, except for the area treated with phenol. 

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