Only Touch lentigine treatment

This is treated with a combination of Only Touch and ETCA (see Chapter 22). Regular maintenance treatment as well as sun protection are essential to avoid recurrence or the appearance of new lentigines. 

Treatment of lentigines on the hands and decolletage with Only Touch plus ETCA. 

Keratoses and lentigines need relatively deep treatment, but it is not essential to give the whole face a deep treatment when there are only a limited number of lesions a local application of Only Touch is enough in this case. 

Normal erythema after Only Touch and Easy TCA for lentigines (a) before (b) 2 weeks after treatment. 

Use of a cold pack during treatment of lentigines on the hands with Only Touch . 

It is common to combine different concentrations of TCA during the same peel session a TCA peel to the papillary dermis (Unideep ) can be applied locally for dermal melasma on the forehead, for example, while a TCA to the Grenz zone (Easy TCA ) is applied to the rest of the face (to even out the results) after focal treatment of keratoses or lentigines with a TCA to the reticular dermis (Only Touch ). 

Using peels to different depths on the same patient is indicated when disorders of different depths coexist. Consider a patient who presents with early elastosis, a few lentigines and deep wrinkles on the upper lip only phenol can get rid of the wrinkles on the upper lip, but it would be unnecessarily deep to treat the early elastosis on the rest of the face. The phenol would of course get rid of the few senile lentigines, but a deep and very localized treatment with Only Touch can also get rid of them and with less risk. This patient would therefore benefit from the following combination (Figure 38.2) ... 

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