Phenol peels Unideep

There are cosmetic products that have been specially created for application very soon after a peel. They can be used the morning after the first AHA peel, Easy Phytic or Easy TCA . With TCA-SAS, Only Touch or phenol peels, cosmetics usually are not applied until the 8th day after the peel. With Unideep , an anti-oxidant cream (Renutriv ACE Lipoic Complex ) can be applied two days after the peel. 

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. 

The skin of a 78-year-old patient 10 years after a full-face phenol peel (Exoderm ) and 1 year after a medium-depth trichloroacetic acid maintenance peel (Unideep ). 

It is nevertheless possible for these patients to have a local phenol peel combined with a full peel to the papillary dermis. Combining Lip Eyelid with Unideep provides a phenol peel and a peel to even out skin with lentigines, keratoses or freckles. The two peels should be done in the same session the phenol first, followed immediately afterwards by Unideep on the rest of the face, around the area treated with phenol. 

Histologically, freckles are characterized by a normal number of melanocytes in the basal layer. The melanocytes are, however, larger and more dendritic , and give up their melanosomes more readily to the keratinocytes. Freckles disappear completely and definitively with phenol. A TCA peel to the papillary dermis will also get rid of freckles. A local phenol peel is contraindicated on light skin phototypes - which in principle are a good indication for phenol - with freckles, as they will disappear where the phenol has been applied and will persist in the surrounding areas. A combination of local Lip Eyelid and Unideep (TCA to the papillary dermis) is suitable to avoid this freckle demarcation Hne. 

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. 

Easy TCA , Unideep (TCA) and Lip Eyelid (phenol) can all be used as treatments for freckles, although phenol will generally not be used as the TCA can get rid of them by itself. Other treatments have been suggested. As freckles grow darker on exposure to UV rays, using a sunscreen helps to lighten them. Tyrosinase inhibitors, antioxidants, and tretinoin and its precursors can be used in conjunction with the peels to improve or prolong results. 

Ten days after a Lip Eyelid peel around the mouth on a tanned patient the phenol has taken away the tan. Easy TCA (four sessions) or Unideep (one session) will even out the skin tone. 

After applying the phenol, the doctor applies an evening-out peel, either Easy TCA or Unideep , to the rest of the face. Both of these peels consist of an acid solution and a post-peel cream that stimulates healing, is antioxidant and tyrosinase-inhibiting. This special postpeel cream should be applied once only by the doctor at the end of the facial peel. When the phenol is used without occlusion and without impermeable dressing, the Easy TCA or Unideep post-peel cream is applied on the area treated with Lip Eyelid at the same time as it is applied to the rest of the face. 

Asian patients might pose a problem of residual depigmentation with deep peels. Dark Asian skins are treated like black skins. Lighter Asian skins can be treated with deeper peels. Fintsi and Professor Damiano Kim (Korea) applied phenol successfully to light Asian skins. AHAs, Easy Phytic and Easy TCA can be used in all cases. TCA in simple aqueous solution (TCA-SAS) often triggers post-inflammatory hyperpigmentation on Asian skin. Unideep should be used with caution on Asian skin phototypes. 

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