Phenol Peels are Not Your Automatic Choice in Chemical Peels
A phenol peel is taken to be the standard depth peel procedure nowadays even though it is the strongest of all peels. Phenol peels can be performed with different combinations, like pure phenol, which is about 88% pure, or phenol which has been mixed with soap, water, croton oil, and even olive oil at times. These combinations have names such as Baker-Gordon, Venner-Kellson, Maschek-Truppman, and Grade. laser resurfacing over the use of phenol. Distinct hypo pigmentation may result following the use of phenol. Hypo pigmentation can occur in any skin types, usually lightening the skin of patients with dark skin and making light skinned patients appear very pale. A clear demarcation line is often present between treated and untreated skin, and smoothening out those lines can be a big problem.
Phenol results in keratolysis and keratocoagulation in the skin. In stark contrast to other chemical peeling agents, increasing the concentration of phenol actually decreases the penetration up to a point. This is because the resulting destruction forms a barrier to further penetration of the chemical into your skin layers. The pure phenol solution does not penetrate as much as the other various formulations. Occlusion with a mask which is waterproof supposedly deepens the level of the peel, which thereby increases the time which is required to fully re-epithelialize and this increases the post treatment erythema. Following the chemical peel, many physicians now apply a thick layer of petroleum jelly. You get predictable results, and penetration is a lot less. Similar to trichloroacetic acid (TCA) application, the time spent during applying the agent and the number of strokes used will be proportional to how deep it goes. Croton oil is also added to the agent to help in penetration.
Even though phenol produces the most significant change of various problems of the skin and wrinkling among the other agents, it also has some of the more significant issues. A lot of people actually prefer other agents or
Phenol burns quite intensely after application which may persist for up to 6 hours, which is a very long time to suffer for, especially compared to other peeling agents. Doctors usually administer an appropriate analgesic before the treatment and also consider regional nerve blockade with other medicines. Patients need to be provided with sufficient oral analgesics and anxiolytics for use later on at home, after they are done with the peel.
The toxicity of phenol may be quite high. Phenol is absorbed through the skin, then metabolized by the liver, and finally excreted by the kidneys. Some practitioners put up the patients with a lot of fluids to facilitate renal clearance. Overdoses of phenol might injure the liver and kidney and might even lead to myocardial irritability. This is the reason why patients are monitored with telemetry during the procedure and during the recovery period. The face is again divided into a few regions, but some must be allowed between treating different regions. This helps prevent any unnecessary toxic dosages from suddenly entering your system.