Perioral Rejuvenation: The Role of Chemical Peeling and Dermabrasion

ABSTRACT

Chemical peeling and dermabrasion are recognized adjunctive procedures in perioral rejuvenation. Gross and histological characteristics seen in the photoaged skin are discussed. The clinical indications for a variety of chemical peels are given with particular emphasis on the utilization of medium-depth and deep peels. Where skin roughening, dyschromias, and superficial rhytids are the principal problems, a 35% trichloroacetic acid (TCA) peel is recommended. When rhytids are deep, we use either 50% phenol peel or dermabrasion to improve the skin appearance. Technical details for both 35% TCA and 50% phenol peels and dermabrasion including exact composition, timing, and method of application as well as postoperative care are given. The limitations and complications of both chemical peeling and dermabrasion are discussed.

KEYWORDS

Perioral rejuvenation - face peeling - 35% trichloroacetic acid - 50% phenol - dermabrasion

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