Chemical Rejuvenation of the Face

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Product Details

  • ISBN-13: 9780801626159
  • Publisher: Mosby, Incorporated
  • Publication date: 12/1/1991
  • Edition number: 1
  • Pages: 230

Table of Contents

Introduction: Bits of History, Bits of Mystery - A Historical Review of Chemical Rejuvenation of the Face 1
1 An Overview of Chemical Skin Peeling 41
2 Histology of Chemical Peels 52
Historical Investigations 53
Clinical Correlations 54
3 Peeling Agents 60
Phenol 60
Trichloroacetic Acid (TCA) 62
Jessner's Solution 64
TCA/Jessner's Combination 65
TCA/CO[subscript 2] 66
Resorcin 67
Alpha-Hydroxy Acids 67
4 Indications and Patient Selection 71
Patch Testing 77
Pretreatment Use of Retinoic Acid 81
Consultation and Informed Consent 81
5 Anesthesia 96
6 The Procedure 100
Preoperative Preparation 100
Chemical Application 101
Occlusive Dressing Application 114
7 Dressing Removal and Aftercare 120
First 48 Hours 120
Neck Swelling 125
Aftercare for the Next 4 Days 126
"1 Week Visit" 128
Skin Care After Rejuvenation; Long-Term Management 130
8 Complications 132
Combining Peeling with Surgery 132
Cardiac Arrhythmias 134
Atrophy 135
Scarring 135
Texture Change 151
Pigmentation Change/Demarcation Line 154
Persistent Redness/Telangiectasia 165
Infection 169
Toxic Shock Syndrome 170
Acneiform Dermatitis 171
Emergencies of Dark Nevi 172
Itching and Burning 172
Milia 174
Hirsutism 175
9 Repeeling 176
10 Neck and Chest Peels 182
11 Facial Peeling in Men 190
12 Technique: Step-by-Step 198
Preparation Before Procedure 199
Application of Peeling Agent and Occlusive Dressings 200
Mask Removal 201
Retaping Deeply Wrinkled Areas 202
Postpeel Follow-Up 203
Results at 5 Months 204
Long-Term Results 204
A Discussion with Thomas J. Baker, M.D. 206
References 218
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