Phenol pre-peel 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. 

Any pre-existing abnormalities will be recorded to avoid any potential medical and legal problems later. In this way, a round eye appearance after surgery, lagophthahnia or ectropion should be photographed and this noted in the file. Nevi and other lesions should be photographed in particular. The whole peel procedure could also be filmed. The patient, preferably accompanied by a member of his or her family, will have seen sequenced photos showing the aftereffects of a phenol peel, day by day. 

Many phenol peel techniques require skin preparation before the peel to ensure that penetration is even and to reduce complications (see Chapter 2). No specific preparation is necessary before Lip Eyelid formula. 

Botulinum toxin should be injected 1 week before the peel into forehead or glabellar wrinkles, crow s feet, lip wrinkles or radial wrinkles around the outer canthus of the upper eyelid. Blocking the muscles allows the skin to regenerate more evenly. The results will be of better quality and longer lasting. This is also the ideal moment to shave off any 

The patient should be given the following documents to read and sign informed consent (Box 32.1), authorization to take and use photographs (Box 32.2) and a general questionnaire on health and coagulation (Box 32.3). 

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