Monheit combination peel

As in the superficial peel, medium-depth peel solution is compounded using a weight/volume method. A concentration of 35% should be prepared as described above (see Making up the solution). Combination peels are those using solid CO2 ice plus 35% TCA (Brody combination), Jessner s solution plus 35% TCA (Monheit combination), or 70% glycolic acid and 35% TCA (Coleman combination). These peels will be discussed in greater detail later. 

Monheit GD (1996) Combination medium-depth peeling the Jessner s+TCA peel. Facial Plast Surg 12(2) 117-124... 

We understand well the interest in using peeling mixtures of different substances so as to combine caustic, toxic, and metabolic effects. This explains the interest in Jessner s solution (a mixture of resorcinol, lactic acid, and sahcyhc acid) Monheit s formula (a version of a modified Jessner s solution with the resorcinol replaced with citric acid) other secret modified phenol formulas and others (Fintsi,Kakowicz,De Rossi Fattaccioli, etc.). 

Just as lasers offer the physician a certain level of control and safety, TCA peels have evolved in this direction as well. There have been a number of modified TCA peel combinations that were developed in an attempt to obtain more consistent results while giving the physician more control over the peel. The most common variations are Monheit s Jessner-TCA peel, Coleman s glycolic acid-TCA peel, Obagi s blue peel. 

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