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This paper reports the histologic findings in normal and sundamaged skin, created by 60% trichloroacetic acid (TCA), 100% phenol, Baker's phenol mixture, and dermabrasion at 3 days and 60 days after treatment. Half of the peeled areas were unoccluded, and the other half were occluded. It was found that the various escharotic agents seem to wound sundamaged skin with the same type of graduation as non-sundamaged skin. Furthermore, a layer of enlarged papillary dermis consistently developed, the thickness of which seems directly related to the strength of the escharotic agent, or the overall wound depth or the healing time necessary for complete recovery.

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This article deals with the office treatment of several common cosmetic problems. The topic of benign lesions is discussed, which includes the management of lentigines, milia, spider nevi, telangiectasis, xanthelasma, and keloids. The use of several modalities for the treatment of acne scarring is advocated; these include dermabrasion, punch-transplant replacement techniques, and collagen implants. Chemical face peels for actinic damage and premature wrinkling are described, and the use of hair transplants, scalp-reduction techniques, and scale flaps to surgically correct male-pattern alopecia are discussed.