Phenol peels applicator preparation

The preparation procedure for a local phenol peel has some aspects in common with those for a full-face phenol peel -however, a local application of phenol is far easier. 

A porcine animal model of 40 different phenol-croton oil, hexachlorophene foam, and ethyl alcohol preparations noted that when any amount of croton oil was added, there was a more brisk inflanunatory response than when croton oil was not added [312]. Phenol peels were found to be deeper with increasing concentrations and with inCTeasing concentrations of croton oil, and multiple applications of phe-nol/croton oil increased the depth of the peel in this animal model [312]. 

Wexler MR, Halon DA, Teitelbaum A, et al (1984) The prevention of cardiac arrhythmias produced in an animal model by topical application of a phenol preparation in common use for face peeling. Plast Recontsr Surg 73 595-598... 

In cases of patients with olive skin (Fitzpatrick Results of phenol-based peels for various inskin type 3 or 4), the application of Kligman dications are shown in Figs. 8.11,8.12,8.13, 8.14 preparation is recommended to prevent reac- and 8.15. tive hyperpigmentation. 

Glogau RG, Matarasso SL. Chemical peels trichloracetic acid and phenol. Dermatol Clin 1995 13 263-76. Ruedemann R, Deichmann WR. Blood phenol level after topical application of phenol-containing preparations. JAMA 1953 152 506-9. 

After the eyebrows, the doctor treats the upper eyelids. Any excess of phenol is avoided by using an applicator that has already been used to treat an adjacent area and that has not just been soaked in phenol. The upper eyelid tarsus does not have to be treated this would cause severe palpebral edema. When the eyelids are being treated, the assistant should be ready to rinse the eyes out with a syringe of sterile physiological saline (prepared before the peel) and sponge away any reflex tears. 

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