Chemical Face Peeling Without Taping

Abstract

Chemical face peeling is a simple surgical procedure which usually provides dramatic results. The potential for serious complications does exist and cautious assessment and management is essential. Aesthetically pleasing long-term results can be obtained by using chemexfoliation without taping, when employed with a "moist dressing" technique. This technique eliminates the need for repeated anesthetics and postoperative visits in order to remove facial taping, and provides an atmosphere for accelerated wound healing.

The Jessner's + TCA Peel: A Medium‐Depth Chemical Peel

“…It is especially important for this combination peel, in which milder agents are used together to produce more complete results. Consequences of poor degreasing include an inadequate and spotty peel 4 …”

“…A more complete epidermal peel is accomplished with TCA in varying concentrations from 20% to 35% 3 . The deep chemical peel is a phenol peel, usually the Baker's formula, which produces the greatest depth of dermal damage and thus the best results for rhytides and photoaging of the skin 4 . Higher concentrations of TCA, 50%–70%, have been used to create a similar peel, but potential side effects and complications have included hypopigmentation and persistent erythema, as well as potential scarring 5…”

The Role of Chemical Peeling in the Treatment of Photodamaged Skin

“…The ideal patient is a middle‐aged, light‐complected woman with thin skin 6 . A light complexion is especially important for phenol peels because of its permanent lightening effect (hypopigmentation).…”

Unoccluded Baker‐Gordon Phenol Peels—Review and Update

“…Septisol is used because of its possible keratolytic action, thus promoting the penetration of the phenol solution 21 . There have been questions as to whether the increased penetration of phenol is truly necessary mainly because of its toxicity and potential serious side effects.…”