Phenol peels application techniques

Stone PA, Lefer LG (2001) Modified phenol chemical face peels recognizing the role of application technique. Clin Facial Plast Surg 9 351-376... 

Brown and Kaplan presented a more complex solution of phenol (at varying concentrations between 60% and 95%) mixed with saponified cresol in oil at concentrations of up to 10%. The application technique included a patch test behind the ear. This test made it possible to assess the necrotic effect of the solution on the patient. If the necrosis was too severe, the test was repeated with increasing concentrations of oil until the right solution for the patient was found. They recommended applying the solution area by area, leaving 2 hours between applications. The peel took 2 days to complete. 

Moderate (tame) its systemic toxicity. Different substances have been combined with phenol to reduce its adverse effects. It should be noted that the only demonstrated way to avoid cardiac toxicity lies in the application technique for a full-face phenol peel. 

Stone PA 1998 the use of modified phenol for chemical face peeling. Clinics in Plastic Surgery 25 21—44 Stone PA Lefer LG 2001 Modified phenol chemical face peels recognizing the role of application technique. Clinics in Plastic Surgery 28 13-36. Erratum in Clinics in Plastic Surgery 2001 Jul 28(3] preceding xi... 

With regard to acne, in 80% of cases, the first application of ETCA to active papulopustular facial lesions improves their number and severity by 50%, and the lesions seem to heal without scarring. ETCA is applied on the basis of one peel per week for 4 weeks that clear the lesions almost completely without having to resort to antibiotics. Deep wrinkles and acne scars do not disappear they lie deep under the skin and even phenol or carbon dioxide laser resurfacing cannot always treat them. A combination of several different techniques is clearly needed in these indications. 

---