Face-lift combined with peel

Along with laser and abrasion treatment, a full-face phenol peel is certainly one of the best options for treating facial scars. It is not completely effective, however, and it is often necessary to use chemabrasion - that is, a combination of a phenol peel followed (immediately or the next day) by abrasion with a diamond fraise or sandpaper. See Chapter 30 for more information on the treatment of acne scars and phenol peel face lifts. 

When the wrinkles are on the eyelids and around the mouth, the problem is therefore easily solved. In the case of sagging and wrinkled skin, it is clear that the best results can be achieved with a combination of treatments that should be carried out at different times (see below). The large majority of patients are in this situation, and the degree of facial ptosis will be the deciding factor in whether to suggest a face-lift or a phenol peel. 

Phenol peel combined with a surgical face-lift... 

Normal face-lift scars are not usually too unsightly, but some patients want a treatment to soften them or get rid of them completely. A full-face phenol peel is the best option (Figure 30.19), but a local application of phenol precisely on the scar is also a possibility, in combination with another more superficial peel (to the papillary dermis, the Grenz zone or the basal layer). Standard scars from an upper blepharoplasty do not seem to respond as well to a... 

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