Lip Eyelid® formula

Lip Eyelid formula was originally developed to treat only the lips and eyelids before its indications were extended to the full face. It can be applied locally without nerve blocks or any kind of anesthetic (see Chapter 36). A TCA Unideep peel (to the papillary dermis) is applied to the rest of the face immediately after the phenol peel has been applied locally (Figure 5.11). The Unideep must not come into contact with the skin that has been treated with phenol. 

See Chapter 34 for application of the Lip Eyelid formula. Although it must be taken into account that four peels to the Grenz zone are not necessarily as efficient as one peel to the papillary dermis. The latter can destroy a large number of lesions that peels to the Grenz zone do not always reach. Some studies suggest that DMAE can eliminate the lipo-fuchsin in lentigines. 

Photoaging, actinic keratoses and lentigines. (a) Before and (b) after a peel to the papillary dermis with TCA (Unideep ) and phenol (Lip Eyelid formula) around the mouth and on the large lentigo on the left temple only, (c) Before and (d) on the 6th day after the peel. For more details, see Chapter 23. 

Lip Eyelid formula is a phenol peel that I first developed to increase dermatological safety and to achieve results without any occlusion on the sensitive skin of the eyelids. The same solution was then applied to the wrinkles around the mouth and then to the whole face, but with 24 hours occlusion in these two indications. It is an oil solution of phenol at over 60%. Four different oils are used in the various stages of the product s preparation. The aim of the oily formulation is to slow down the penetration of the phenol through the skin and to improve dermal and epidermal maceration. It limits the toxicity of phenol by saturating the biochemical hepatic detoxification pathways more slowly. 

Split face treatment, comparing exoderm and lip eyelid formula showed a higher efficacy of the last formula. 

When the damage is localized, the doctor alone can advise his or her patient on which treatment or combination of techniques to use. A face-lift cannot treat wrinkles on the upper lip, but laser treatment, dermabrasion or Lip Eyelid formula can get rid of them. These treatments should be carried out on the same day as the sur-... 

Treatment will consist of a spot application of Lip Eyelid formula on the upper lip (using an occlusive technique), combined with one Easy TCA peel per week for 4 weeks to even out the skin tone. Daily care comprises Blending Bleaching cream and Melablock HSP 50H-. ... 

If surgical blepharoplasty is not combined with a facelift, Lip Eyelid formula can be applied on the eyelids at the same time as the face-lift. 

Full-face phenol (Lip Eyelid formula) (a) before and (b) 30 days after the peel. The combination of botulinum toxin and phenol work together on the forehead, crow s feet, frown lines and sometimes wrinkles on the upper lip. 

Rejuvenation of the eyes (a) before (b) 30 days after a full-face phenol peel (Lip Eyelid formula). 

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). 

Before (a) and after (b) a full-face phenol peel (Lip Eyelid formula) a combination of yellow skin, wrinkles, fine lines and lentigines in a patient who smokes. Thirty days after the peel the erythema is normal. The patient is not wearing any make-up. Botulinum toxin was injected 8 days before the peel (forehead, frown lines and crow s feet). 

Many phenol peel techniques require skin preparation before the peel to ensure that penetration is even and to reduce complications (see Chapter 2). No specific preparation is necessary before Lip Eyelid formula. 

The eyelids and upper lip can be treated with Lip Eyelid formula, without any analgesic other than a paracetamol plus codeine tablet to be taken 1 hour before treatment. Patients should also be given a clear description of the pain they will feel. By the time they have counted to 15, the pain will have gone. 

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. 

No skin preparation is necessary during the weeks preceding the use of Lip Eyelid formula. For other formulas, refer to the recommendations that come with the product. Muscle mobility will have been blocked by an injection of botulinum toxin 8 days before the peel. Small benign tumors, in low numbers, can be treated by shave excision immediately before the peel and will therefore benefit from the local anesthesia induced by the nerve blocks. If there are a large number of tumors, they can be excised after... 

Applying lip Eyelid formula to the skin triggers frosting (Figures 34.4—34.6) that is more or less intense and occurs more or less rapidly depending on the skin type. A thinner... 

Pure white frosting after an application of Lip Eyelid formula to the right midface region. The frosting on the forehead has already faded during the rest period. 

The second zone being treated with Lip Eyelid formula. 

The same patient as in Figure 35.3 appearance of the face after 24 hours of occlusion (Lip Eyelid formula). 

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. 

Chemical blepharoplasty of the upper and/or lower eyelids with Lip Eyelid formula is a relatively simple technique... 

Erythema totally disappeared 5 weeks after Lip Eyelid formula of upper eyelid and unideep (TCA peel to papillary dermis) in the rest of the face. 

Normal erythema 15 days after localized phenol (Lip Eyelid formula). Rest of the face treated with Unideep ... 

Protective mask of bismuth subgallate powder after treatment of wrinkles on the upper lip with Lip Eyelid formula. 

Frosting of the skin after application of Lip Eyelid formula note that the skin of the upper eyelid tarsus has not been treated, to limit the post-peel edema. 

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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