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  • Presentation

Perioral Phenol-Croton Oil Chemical Peeling

Description

The presentation focuses on perioral phenol and croton oil chemical peeling, detailing its effectiveness and safety compared to higher concentration alternatives like TCA. The speaker explains that the traditional Baker Gordon phenol peel, while effective, carries risks of pigmentation issues, making lower concentration peels more favorable for most patients. Techniques discussed include applying the peel around the mouth area carefully to avoid over-treatment, particularly near the Vermilion border where lines are often missed. The speaker emphasizes low pain levels and predictable results with phenol peels, supported by their clinical experience indicating no systemic complications in numerous patients. Important considerations include recognizing systemic toxicity risks, especially with full-face treatments, and managing complications related to aggressive application. Maps for determining peel strength in different facial areas are presented, guiding practitioners on how deeply to peel based on skin type and location. The speaker encourages gradual adaptation to new techniques for best cosmetic outcomes, particularly for younger patients with thinner skin. Effective healing practices post-peel and the importance of hydration are highlighted to ensure patient satisfaction, particularly for those over 50. The overall conclusion advocates for cautious application while prioritizing individual treatment lines for optimal results.

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Conclusions

  • Perioral phenol-croton oil chemical peels are effective for treating wrinkles and skin damage.
  • Lower concentrations of phenol and croton oil are preferred for safety and efficacy.
  • The vermilion border and individual lines should be the focus for optimal results.
  • There is a risk of complications, including systemic toxicity and scarring, particularly with higher concentrations.
  • Patients over 50 years old benefit significantly from these peels due to skin aging.
  • Hetter formulas, Plastic and Reconstructive Surgery, January 2000
  • Journal of American Academy of Dermatology Segmental phenol-Croton oil chemical peels for treatment of periorbital or perioral rhytides Kachiu C. Lee, MD MPHA, J. Barton Sterling, MD, Carlos G. Wambier, MD, PhD, Seaver L. Soon, MD Marina Landau, MD, Peter Rullan, MD, Harold J. Brody, MD on behalf of the International Peeling Society
  • Dermatologic Surgery September 2020 J. Barton Sterling, Kachiu Lee, Carlos Wambier, Seaver Soon, Marina Landau, Peter Rullan, Harold Brody
  • J Am Acad Dermatol June 2018 Augmentation and eversion of lips without injections: The lip peel Carlos G Wambier, Ideli C Neitzke, Kachiu C Lee, Seaver L Soon, Peter P Rullan, Marina Landau, João Carlos L Simão, J Barton Sterling, Harold J Brody, International Peeling Society