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  • Presentation

Microcoring vs Deep Peel in Skin Rejuvenation

Description

The discussion contrasts microcoring and deep peels in skin rejuvenation, with a strong emphasis on the efficacy of deep peels. The presenter shares various before-and-after images, demonstrating significant reductions in wrinkles and overall skin rejuvenation after deep peeling treatments. Multiple patient examples illustrate the lasting results, with some showing improvements consistent even a year later. The deep peel procedure is praised for its effectiveness, despite potential side effects like cardiac complications during full-face treatments. The presenter references a historical context for phenol peels, noting their long-standing application in both medical and cosmetic dermatology. In contrast, microcoring, a newer technique, is still establishing its efficacy and safety profile, based on recent FDA registrations. While microcoring is indicated for moderate to severe wrinkles, it's suggested that it may require multiple sessions for optimal results, with risks such as post-inflammatory hyperpigmentation and scarring. The presenter underscores the learning curve associated with newer procedures, arguing that established techniques like deep peels have a proven track record over 150 years. The concluding remarks highlight the differences between the two approaches and suggest caution in adopting newer methods without a thorough understanding and proven effectiveness.

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Conclusions

  • Deep peels show significant efficacy in skin rejuvenation, reducing wrinkles effectively with just one treatment.
  • Patients experience visible improvement in skin rejuvenation and wrinkle reduction after 12 weeks post-treatment.
  • Deep peels offer natural-looking results and high patient satisfaction compared to less established methods like microcoring.
  • Deep chemical peels have a long-established history and can achieve sustained results even 10 years later.
  • While deep peels carry some risk of cardiac complications, their incidence is lower than previously thought when performed correctly.
  • Phenol, a key ingredient in deep peels, has a long history of use and can produce effective treatment results without significant carcinogenic risks.
  • Microcoring is still an evolving technique with less proven effectiveness compared to deep peels, often needing multiple sessions for adequate results.
  • Safety precautions are necessary for specific patients, particularly those with underlying conditions, but generally, small area procedures are very safe.
  • Deep chemical peels can be modified for use in darker skin types, expanding their applicability and safety in diverse patient groups.
  • Wambier CG et al. JAAD 2018;78:810-812
  • BROWN DERMATOLOGY: STANDARD OPERATING PROCEDURE 2022
  • PRS Global Open . 2022
  • William G. Austen, MD; R. Rox Anderson. Plastic Surgery Laser Dermatology.