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  • Presentation

Deep Peel Pearls with Prof. Carlos Wambier

Description

In this lecture, Professor Carlos Wambier shares his expertise on deep chemical peels, emphasizing the importance of technique and patient safety. He highlights the effectiveness of segmental peels, which allow for targeted treatment with minimal complications, such as no arrhythmias noted in over 600 cases. Wambier discusses techniques for rejuvenation, such as augmenting and averting lips without fillers, and improving the appearance of dark circles and eyelids through precise chemical peel applications. He introduces the concept of a "spicy" phenol chemical peel that offers numbing effects, thus eliminating the need for anesthesia. Additionally, he covers Botox applications, including variations like Microtox, Macrotox, and Hypertox, each designed to minimize risks and enhance outcomes. He concludes with pearls for the use of Sculptra, detailing a method for rapid reconstitution and innovative techniques for administering treatment, including using a tattoo method for superficial lines. Overall, Wambier emphasizes practical tips and real-world applications, encouraging practitioners to embrace newer techniques for improved aesthetic results.

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Conclusions

  • Deep chemical peels can effectively rejuvenate the skin and address various aesthetic concerns.
  • Segmental peels demonstrate safety and efficacy with minimal side effects, as evidenced by clinical studies.
  • Chemical peels can enhance lip shape and provide non-surgical augmentation, creating a youthful appearance.
  • Use of milder chemical formulas can prevent demarcation lines and promote smooth transitions in treated areas.
  • Monitoring patients during chemical peels ensures safety and better outcomes, despite some practitioners opting for less monitoring.
  • Innovative techniques such as drug tattooing and Sculptra reconstitution improve treatment delivery and effectiveness.
  • Using phenol for certain conditions can lead to effective outcomes with less patient discomfort compared to traditional methods.
  • Journal of the American Academy of Dermatology, Volume 81, Issue 2, P327-336, August 01, 2019
  • Landau, M., Brody, H.J., for the International Peeling Society. Advanced chemical peels: Phenol-croton oil peel.
  • Kachiu C. Lee, MD, MPH. J. Barton Sterling, MD. Carlos G. Wambier, MD, PhD. Peter Rullan, MD. Harold J. Brody, MD. Segmental phenol-Croton oil chemical peels for treatment of periorbital or perioral rhytides. Journal of the American Academy of Dermatology, Volume 81, Issue 6, E165-E166, December 2019.
  • Soon, Seaver L. MD, Wambier, Carlos G. MD, PhD, Rullan, Peter R. MD, Sterling, J. Bart MD, Brody, Harold J. MD. Phenol-Croton Oil Chemical Peeling Induces Durable Improvement of Constitutional Periorbital Dark Circles. Dermatologic Surgery, 49(4):368-373, April 2023. DOI: 10.1097/DSS.0000000000003708.
  • Soha Ghanian, MD, Sarah P.F. Wambier, MD, PhD, Carlos G. Wambier, MD, PhD. Mitigation of risk of botulinum toxin A-induced blepharoptosis with hyperconcentrated glabellar injections. Journal of the American Academy of Dermatology. Published: December 25, 2023. DOI: https://doi.org/10.1016/j.jaad.2023.12.025.