In cosmetology, chemical peels are actively used to rejuvenate the skin. Compositions of various directions smooth wrinkles, improve complexion. A multifaceted effect, selected in accordance with the needs of the skin, gives a second youth, erasing age-related changes.
To obtain a result close to plastic surgery, phenol peeling with carbolic acid is used as a transdermal substance. The concentration of phenol in the preparation regulates the degree of exposure to the skin layers. Briefly, the essence of the procedure is expressed in the burn of the epidermis, performed with control of the penetration depth.
Developing towards safety, aesthetic medicine has made a noticeable breakthrough, reducing the toxicity of the cleaning procedure at times. The composition, reacting with the skin of the face, causes a chemical burn. The degree of renewal of the integument depends on the depth of the lesion. The process launches defense mechanisms that force the body to urgently regenerate, simultaneously turning on the production of collagen and hyaluronic acid to the maximum.
Types of phenol peeling
This cleaning option is addressed in the case when there are contraindications to laser resurfacing, it is not suitable or. According to the degree of exposure, phenol treatment can be divided into:
- Medium superficial peeling. The components of the formula with 3% carbolic acid react with the stratum corneum of the skin, slightly affecting the granular one.
- Medium peeling. The composition contains about 25% phenol, the layers of the epidermis are affected up to the papillary layer.
- Deep peeling. The maximum percentage of acid in the composition (over 35%) destroys the skin completely, including the papillary. The impact reaches the middle regions of the mesh layer.
Methods for applying the composition during phenol peeling vary in time and area of impact. The formula of the drug is selected individually, based on the thickness of the skin, the phototype of the patient, the area of application. Phenol at a low concentration of 1.4% is present in the TCA peeling formula (with trichloroacetic acid), as an antiseptic with an analgesic effect.
Indications for the procedure
This cosmetic procedure is performed as prescribed by a doctor; performing phenol peeling at home is fraught.
Deep cleaning is performed if AHA or TCA peels are recognized as ineffective, otherwise phenol is preferred last.
Typical indications:
- 3-4 type of aging (according to Glogau);
- Mimic wrinkles. It is important to note here that without prior botulinum therapy, the effect will be short-lived.
- With deep age wrinkles with the addition of a biodegradable filler procedure.
- Peeling of the area around the eyes is indicated for sagging skin of the lower eyelid or its excess volume on the upper eyelid, in combination with a decrease in tissue plasticity.
- An alternative to blepharoplasty for thin skin, if there are contraindications to surgery.
- Hyperpigmentation problems, mid-surface phenol peeling in case of epidermal, deep in dermal hyperpigmentation.
- Post-acne scars of different depths.
- Scars, operating or after an injury.
This is a list of the main indications, a consultation with a cosmetologist will provide more information. So in the case of funnel-shaped scars of great depth from acne, additional procedures will be required, for example, microdermabrasion.
Contraindications
The cosmetologist decides on the inadmissibility of the phenol cleansing procedure based on the collected data on the work of the cardiovascular system, kidneys and liver, which take on the burden of removing toxins from the body. Definitely, chemical peeling is contraindicated:
- during pregnancy and lactation;
- oncology of any etiology;
- less than 6 months have passed since the median peel;
- with skin diseases, chronic and in the period of exacerbation;
- revealed a tendency to scarring;
- herpes manifestations in any form.
The procedure will be refused in the presence of sunburn or fresh wounds, burns. It is not recommended to clean during menstruation, which changes skin reactions and increases sensitivity to the components of the drug.
Phenol peeling: preparation and features
The degree of toxic effects is controlled not only by the concentration of the carbolic component, but also by additions to the drug formula. The percentage of oil in the composition regulates absorption, allowing chemical components to penetrate into the integument gradually. The load on the internal organs is reduced due to the frequency of microdosed release of toxins into the circulatory system.
Preparation for the procedure follows the examination stage. Depending on the chosen formula, the pre-peel period lasts from 30 days to 7 weeks. The skin is prepared with care formulations with a small proportion of acids, which reduce the risk of uneven damage to the layers and increased postoperative pigmentation.
The complex intake of antioxidants with anti-herpes drugs is important for the result, as well as the exclusion of mechanical effects on the area of application of the composition for 10 days. Phenol peeling refers to seasonal (spring-autumn) procedures, sunburn is contraindicated 3 months before surgery.
Execution technology
Manipulations with the composition based on phenol are carried out in clean medical rooms with mandatory forced ventilation. The procedure takes from 30 minutes to two hours, depending on the scope of work:
- The zones of influence of the composition of deep and median penetration are marked: around the eyes, perioral region, accumulations of scars, wrinkles.
- The anesthetist performs a complex of analgesic procedures, intravenous anesthesia for painful deep interventions, local anesthesia for median and median-surface phenol peeling.
- This is followed by pre-treatment with an antiseptic, followed by drying.
- Application of the composition, evenly and in compliance with the time intervals between the processing areas.
- Application of a gel layer based on lactic acid with phenol in a small dose.
- After the second layer dries, a barrier mask made of gel, based on silicone, is placed on top. Its purpose is to protect the composition from oxidative processes in the air, to support the uniform absorption of phenolic components for the next 48 hours.
On the first day of the postoperative period, it is important to prevent moisture from entering the treated areas of the face, water acts as a powerful catalyst and can provoke an increase in a chemical reaction with negative consequences. For the sake of beauty, you will have to refrain from brushing your teeth, and drink only through a straw.
Recovery period and possible complications
The pain of the procedure is felt immediately after the end of the anesthesia. The doctor for the first couple of days prescribes drugs that relieve pain. After the barrier mask with particles of destroyed skin is removed, the face needs protective care, which is selected for a particular patient.
For the formation of a living crust from dying tissues and subsequent recovery, about two weeks are allotted for mid-surface cleaning. With a deep level of penetration, the terms increase to 7-12 months. To reduce the risk of scar tissue, the resulting scabs should not be disturbed. Apply special cosmetics very carefully, avoiding scratching. Completely eliminate the effects of ultraviolet radiation by combining a tanning ban with the use of products with SPF 50+.
Serious complications are observed when refusing to follow a comprehensive rehabilitation program. Basically, this is the appearance of scars against the background of a decrease in the rate of skin regeneration. High risks of infection of an open wound, plus, a violation of pigmentation with a clearly distinguishable border between skin areas.
Despite the length of rehabilitation periods and expensive complex means, deep peeling with phenol transforms the face. The skin looks much fresher, becomes firmer and smoother. The duration of the rejuvenating effect is guaranteed up to 10 years, subject to medical recommendations.
Phenol facial peeling: real reviews
I want to share my experience on phenol peeling. I do it not for the first time, I like it, because when treated with phenol, the skin improves significantly: it becomes smooth, fresh, elastic, supple and tender. I am far from 18 years old in appearance, but I am fighting for my beauty and have tried a lot of things, and so phenol peeling gives a good result.
To evaluate the effectiveness of the procedure, I will attach my real photos before and after phenol peeling:
As you can see in the photo, my wrinkles have noticeably disappeared. Didn't find any side effects. I appeal to all girls, women, mothers and grandmothers - never abandon yourself, because as soon as you stop taking care of yourself, old age begins to do its own thing.
A procedure that allows you to cleanse the skin, rejuvenating it. At the same time, surgical methods are not used during the procedure.
The procedure is carried out using carbolic acid. However, other substances are also present in the composition of the solution, such as:
- glycerol;
- soothing oil;
- propylene glycol;
- distilled water.
This type of peeling is complex and quite painful, but the effect that is achieved through the procedure is worth it. It has durability and is amazing in itself, which will not leave indifferent even experts in the field of female beauty.
What is the procedure?
Peeling, which uses phenol, is considered one of the most effective chemical procedures that cleanse the skin. The effect that the procedure gives is able to stay on the skin for 5 to 10 years. In addition, the skin gets rid of deep wrinkles, scars, acquires the ability to resist age-related changes.
Before peeling a client, he will be prescribed a whole course of taking special anti-herpetic drugs. Thanks to this approach and preparation, the possibility of awakening the virus is excluded. The procedure itself is carried out directly in a hospital. The duration is from 30 minutes. up to 2 hours.
The procedure consists in the fact that areas of the skin where there are imperfections are cauterized with phenol, after which, dead cells are removed. Accordingly, the skin relief becomes smoother and the process of skin renewal takes place.
The procedure in question is dangerous and painful, but at the same time, with its help, it is possible to achieve the desired effect and fix it for a long time. However, the opinions of experts in the beauty industry differ significantly regarding the permission of this procedure. Some insist on the use of phenol, while others are categorically against it. In fact, the adherents of both points of view are right. On the one hand, when the dose of phenol in the blood is exceeded, it will cause death, in a smaller amount it can provoke arrhythmia. On the other hand, during the procedure, only those products are used that contain a minimum of phenol and, of course, cannot cause death. It can also be said that the phenol is applied slowly enough so that the poisonous cells do not concentrate in one place.
Carrying out the procedure
- The patient is initially given local/general anesthesia.
- Then the skin is rubbed with a special sponge with a degreasing agent.
- After the skin dries, it is treated with ordinary alcohol.
- The beautician applies the basic solution in stages. The first layer is phenol, the second is a special silicone film, the third layer is applied with an oily gel.
- The final stage is the neutralization of all means applied to the skin - a film mask is applied, and then a sunscreen.
The procedure under consideration has disadvantages and contraindications, the list of which is quite extensive and will be discussed below.
Types of peeling
There are currently 3 types:
- Mid-surface. During the procedure, phenol is used in the most minimal concentration - three percent.
- Median. The concentration of phenol is already 25 percent.
- Deep phenol peeling, in which the phenol concentration is 35 percent. It is carried out very rarely. Before carrying out this procedure, the patient's health condition is carefully studied.
The procedure, as already noted, is quite painful, so it is carried out under the influence of anesthesia. In case of an allergy to drugs related to the category of anesthesia, it is necessary to warn the cosmetologist about this.
Indications for carrying out
Professional cosmetologists include the following indications for the use of phenol-based peeling:
- Age / deep wrinkles and skin folds that are static in nature.
- Photoaging of the skin, which manifested itself in defects: pigment spots, wrinkles, etc.
- Skin that is loose.
- Hyperpigmentation, which is an age-related phenomenon.
- Scars as a result of surgical interventions.
- Scarring.
- Sunburn marks.
- Loss of skin tone and turgor.
- Skin aging, which belongs to the fine wrinkled type.
- Severe skin damage due to demodicosis or acne.
What effect can be expected?
Peeling based on phenol guarantees a high quality result, which is achieved as quickly as possible. This procedure has an excellent effect on the stimulation of internal processes, the work of skin cells, and also favorably affects the production of collagen.
The result after the procedure, which is guaranteed by cosmetologists, is very promising:
- The relief of the face is smoothed out, wrinkles and shallow scars of medium size, post-acne disappear.
- The process of cell renewal is greatly accelerated.
- Age / age spots disappear.
- lifting effect.
- Tightness / clarity of contours.
- The firmness and elasticity of the skin is restored.
- Active work of cells.
- The skin looks much fresher and younger, the skin tone becomes even.
After reading the above, it seems that this is unrealistic, in fact, the result of the procedure is really high.
Contraindications
Since the phenol peeling procedure can be dangerous for the patient's health, the cosmetologist carefully studies the characteristics of the patient's body before performing it.
Contraindications for such a procedure are:
- pregnancy at all its stages;
- neoplasms on the skin;
- thyroid disease;
- kidney and liver diseases;
- diseases of the cardiovascular system;
- lactation;
- psoriasis;
- menstruation;
- oncological diseases;
- herpes and any colds;
- intolerance to the components that make up the peeling;
- damage to those areas of the skin where exposure will be made;
- fresh tan;
- impaired skin sensitivity;
- diabetes;
- mental illness;
- any colds;
- eczema;
- if there is a high probability of formation of keloid scars;
- in the case of the use of drugs such as aspirin, etc., which threatens to severely burden the liver and poison the body.
- age-related restrictions - under 18 and over 60. However, cosmetologists can change the age limits if there are significant problems.
Price
The cost of the procedure depends on which type you choose. Naturally, superficial peeling will be less expensive and such a procedure will cost (on average) 3,000 rubles, the middle one will be more expensive and the cost will increase 4 times. The most expensive is deep phenol peeling, the cost of which reaches 25,000 rubles. Prices are average and vary by regions and beauty centers.
Please note that these procedures can only be carried out on the territory of specialized cosmetology centers and must be carried out by a cosmetologist.
Preparation for peeling
You should start preparing 5-7 weeks in advance for medium and deep peeling. At the same time, examinations in medical organizations are not included at this time. The preparation consists in the fact that the skin is treated with weak acid solutions so that the skin color becomes even. This is done in order to avoid hyperpigmentation, which is possible when applying phenol to unprepared skin. During preparation for the procedure, you should stop taking antioxidants and drugs that reduce the permeability of the walls of blood vessels.
Also, 6 months before the procedure, it is necessary to stop taking retinoids in order to avoid provoking peeling or loosening (reinforced) of the skin, which in its end can lead to hyperpigmentation or burns. You need to cancel the reception, both internal and external.
Before the procedure, you must refuse mechanical cleaning, as well as epilation and shaving. Such procedures are not desirable to be carried out approximately 10 days before peeling. With regards to tanning, it should be said that at least 3 months must pass from the moment it is received, and from the moment of medium cleansing and laser procedures, you need to wait six months.
Immediately at the end of the procedure, patients experience pain, sometimes they even have to resort to taking painkillers. During the first and second days, in no case should the skin be exposed to water, otherwise a burn may occur. It is best to drink at this time through a straw, and brushing your teeth for a while will have to be abandoned. On the second day, after removing the film from the skin, skin care is carried out using panthenol-based products.
After the procedure, tissue crusts will form, they cannot be removed forcibly, they must fall off on their own, otherwise this is fraught with the appearance of scars and burns.
The process of skin restoration depends on the type of peeling performed, if after a superficial regeneration of cells occurs after a couple of weeks, then after a deep one it is necessary to wait from 7 to 12 months. During the restoration of the skin, it is forbidden to sunbathe. In addition to taking various drugs for recovery, one must not forget about vitamins.
- chemical peeling of deep action, using carbolic acid (phenol) as the main chemical agent. The impact of phenol peeling causes burns and death of the deep layers of the skin, up to the papillary and reticular layers of the dermis, along with existing defects, and then regeneration of a new, uniform skin structure. Finol face peeling is used for age-related skin changes, cicatricial deformities, hyperkeratosis. When carrying out the procedure, one should be aware of the toxic properties of phenol. Complications may occur in the elderly and patients with chronic liver and kidney disease.
- chemical peeling of deep action, using carbolic acid (phenol) as the main chemical agent. The impact of phenol peeling causes burns and death of the deep layers of the skin, up to the papillary and reticular layers of the dermis, along with existing defects, and then regeneration of a new, uniform skin structure.
Phenol (Phenolum purum) was discovered in 1863, and since 1869 began to be used in medicine as a disinfectant, later as a treatment for acne. In the 1990s, aesthetic cosmetology created a new peeling method based on phenol. The formula of phenol peeling includes chemical and natural ingredients: carbolic acid, oils that prevent unlimited absorption of phenol by the skin, liquid glycerin, distilled water, propylene glycol, sometimes salicylic acid. The main requirement for the composition for phenol peeling is low toxicity and optimal concentration of the compound.
The action of phenol is based on the destruction of skin proteins, the mobilization of metabolic processes and barrier functions of the skin. In the process of phenol peeling, the skin layer dies off to a depth of 0.6 mm. After regeneration, the renewed cells make the skin more even, eliminate or significantly reduce the severity of scars, wrinkles and age spots.
Indications and contraindications
Phenol peeling is indicated for age-related signs of skin aging (wrinkles, folds, photoaging, reduced eyelid turgor, senile pigmentation); cicatricial deformities of the skin (post-acne scars, after injuries and burns of the face); hyperkeratosis. The duration of delayed anti-aging results of phenol peeling is up to 10 years.
The toxic effect of phenol makes its use in cosmetology unsafe. Phenol causes damage to blood vessels and reacts with plasma proteins. Absorption of the drug can cause severe arrhythmia, so phenol peeling is carried out only in a hospital. The concentration of phenol in the blood is affected by the area of the treated area, the acid content in the solution, the speed of applying the mask. Neutralization of phenol in the body occurs in the liver, and removal from the body is carried out through the kidneys. Therefore, the main condition for phenol peeling is a healthy state of the liver, kidneys and heart.
The risk of toxic complications during phenol peeling is higher in older people with a slow age-related metabolism and requires increased precautions.
Phenol peeling is contraindicated for any oncopathology, pregnancy and lactation period, skin diseases (eczema, psoriasis, vitiligo), herpes, intolerance to carbolic acid or other peeling components.
Carrying out the procedure
Before phenol peeling, a course of antiherpetic therapy is carried out, and after - antibacterial therapy. Since the phenol peeling procedure is extremely painful, it is performed under general anesthesia or conduction anesthesia with 2% lidocaine solution. When calculating the dose of lidocaine, it should be remembered that the anesthetic increases the toxic effect of phenol and is neutralized by the liver using the same enzymes.
Pre-peel preparation of the skin consists in treatment with a degreasing soap and a hard sponge to thoroughly remove dead skin cells. Then the skin is completely dried and additionally degreased with acetone and alcohol.
The composition of phenol peeling is applied to the face in zones, taking into account the structure of different parts of the skin. Then the treated areas are covered with a special film, and after it dries, a waxy consistency preparation is applied on top - jelly, containing "bound" phenol. As a result of the interaction of the film and geloleo, phenol releases and acts locally on the skin where the first layer is not sufficiently active. In this way, self-regulation of the depth of phenol peeling is achieved. The applied mask remains on the face for 48 hours.
Post-peel period
After the application of a phenol mask, there is a pronounced soreness, sensations of severe burning, pulsations, tingling, requiring the introduction of painkillers. Mimicry is limited to the maximum or absent altogether. For the first three days, washing and any contact of the face with water is prohibited: teeth cleaning is carried out without the use of water, drinking is allowed only through a straw.
After two days, the phenol mask is carefully removed with a plastic spatula along with the softened layer of the epithelium. In its place, a bright red wound surface with bleeding wounds is exposed. A day later, the wound surface is covered with fibrin and acquires a greenish tint. From this moment on, it is allowed to wash your face with water.
Fibrin films gradually depart up to the 10th day, revealing young skin that has a bright red tint. After 3 weeks, the renewed skin is allowed to be powdered, although its redness lasts up to 2 months, and maturation takes six months.
Peeling Risks
The risks of the phenol peeling procedure are associated with the development of life-threatening complications - arrhythmias, heart attacks, kidney failure, allergic manifestations. Among other complications of phenol peeling are the appearance of herpes, whiteheads, atypical spots, infection or scar healing of the wound surface.
In swarthy patients, a rough border between treated and untreated areas of the skin (demarcation line) may appear. Patients with adrenal insufficiency are prone to the appearance of hyperpigmentation on the renewed skin.
Since after phenol peeling, the formation of pigment in the skin ceases forever, it will constantly need protection from ultraviolet radiation. Neglect of post-peel care can lead to the development of skin cancer.
Phenol peeling is very often called the "gold standard" of all chemical peels, and this is no accident, because its effectiveness is confirmed by a large number of successful works and publications. As experience shows, the result obtained lasts for many years.
This is a rather interesting substance, which has a large number of both supporters and opponents. It is toxic on its own, but it also has a number of unique properties that help to successfully fight deep wrinkles.
The composition of the solution, which is used for phenol peeling, also includes other substances:
- glycerol;
- propylene glycol;
- soothing oil;
- distilled water.
The essence of the procedure
Before starting peeling, the patient is prescribed a course of antiherpetic drugs. This is necessary in order to exclude the possibility of awakening the virus and exacerbating the disease. The procedure itself is carried out in a hospital and lasts from thirty minutes to two hours. 
For carrying out, local or general anesthesia is used, since the procedure seems to be quite painful.
To obtain the desired result, the following algorithm is used:
- Local or general anesthesia is given.
- The specialist rubs the skin of the face with a special sponge and degreaser.
- Next, the skin is dried and treated with alcohol.
- The main solution is applied in layers: first a phenol solution, then a silicone film, and then an oily gel. All these components react with each other, causing the skin to receive a carefully planned chemical burn.
- Neutralization with a film mask.
- Applying sunscreen.
Phenol deposition rate
Important questions are the following: what happens to this substance when it enters the body and how is it excreted from it? As mentioned above, phenol is toxic, moreover, it breaks down into components, so it is important to remember that it must be neutralized and removed from the patient's body.
Initially, it enters the intestines and breaks down into two components, and then it is absorbed into the liver, where our body systems modify it, turning it into a harmless and water-soluble compound.
Then it is excreted from the body with the help of the kidneys. Thanks to such “utilization”, it cannot stay in the body for a long time and affect the functioning of internal organs. Accordingly, the less phenol is used in the procedure, the less it will enter the body. 
Area of treated skin
Since it is absorbed into the patient's body through the skin, its concentration is determined by how much the solution was applied. The area of the treated area is also important.
Today, experts recommend superficial phenol peeling and resorting to deep peeling in exceptional cases, and for good reason. So, for example, a quick treatment with 2% phenol can be fatal, since too much of this substance enters the body and the internal organs simply cannot cope with its processing.
Studies have shown that it should be applied extremely slowly, moreover, it is highly desirable that not the entire face be treated, but separate (most problematic) areas of the skin. With this use, it ceases to be toxic and does not have a detrimental effect on the body.
Video: Chemical peeling
Individual characteristics of the body and the presence of internal diseases
Another important point that must be taken into account before peeling is the individual characteristics of the body and the work of internal organs, especially the liver, kidneys and heart. It is the enzyme systems that ensure the removal of phenol from the body, and if they do not do their job well in the “normal mode”, then they may not be able to withstand such a load at all.
Before carrying out, it is worth going through all the doctors, doing the necessary tests and making sure that there is a low risk to health.
Types of peeling
Depending on the concentration of phenol in the preparation, the following types of peeling are distinguished:
- medium-surface (using 3% carbolic acid);
- median phenol peeling (using 25% carbolic acid);
- deep (using 35% carbolic acid).
Since phenol is a toxic substance, deep phenolic exfoliation is recognized as a surgical procedure that requires careful and careful approach, both from the doctor and the patient.
Deep phenolic peel performed only after a thorough medical examination: kidneys, cardiovascular system, liver and other internal organs. It affects all layers of the epidermis, so it is most often used in small areas of the skin.
Video: Types of facial peels
Indications
Indications are the following factors:
- the presence of age-related changes: deep folds and wrinkles;
- pronounced hyperpigmentation;
- scarring;
- photoaging;
- the need for recovery after surgery;
- skin laxity;
- loss of elasticity;
- fine wrinkled type of skin aging;
- defeat by demodicosis;
- severe acne.
Golden threads are a new miracle of cosmetology. In one session, you can regain clear, youthful facial contours. You can learn more about this method at this link -.
Did you know that a Hollywood peel is a facial cleansing with regular calcium chloride. Read more about it.
Contraindications
Contraindications include the following factors:
- age less than 18 years;
- pregnancy and lactation;
- the presence of burns;
- exacerbation of herpes;
- the presence of severe diseases of internal organs;
- diabetes;
- individual intolerance to the components included in the solution;
- the presence of skin diseases;
- period of menstruation;
- the presence of mental illness;
- pathology of the thyroid gland;
- infectious diseases;
- SARS, colds, fever;
- strong sunburn;
- fungal diseases;
- injuries in the treatment area;
- hypertrichosis;
- tendency to scarring;
- age over 60 years.
Advantages and disadvantages
Among the undeniable advantages are the following:
- composition control;
- the presence of a pronounced effect;
- result that lasts for ten years;
- single procedure.
The disadvantages include the following:
- the presence of a large number of contraindications;
- long rehabilitation period;
- the need for serious preparation;
- soreness of the procedure;
- exerting a heavy load on the cardiovascular and excretory systems of the body;
- the use of anesthesia or general anesthesia;
- the risk of complications.
Preparation process
The pre-peel preparation process is as follows: 
- Medical examination of the heart, kidneys and liver.
- Treatment of the skin with a number of bleaching agents for five to seven weeks.
- Taking antioxidants for two to three weeks.
- Stop taking retinoids six months before peeling.
- Termination of procedures such as epilation, shaving, mechanical cleaning ten to fourteen days before the procedure.
- Cessation of laser procedures six months before peeling.
- Notifying the doctor about all the allergic reactions and medications taken.
- Exclusion of sunburn for three months to three months.
Video: About chemical peels
Recovery period
After the end of the peeling, the patient experiences a palpable burning sensation and pain, so painkillers are often prescribed. On the first day, it is necessary to exclude the possibility of water getting on the skin, as it enhances the effect of phenol and contributes to the occurrence of an uncontrolled burn. It is for this reason that it is recommended to drink water exclusively through a straw, and also refuse to brush your teeth.
On the second day, the mask-film is removed, and with it, dead skin particles also go away. At the same time, a bright purple surface is exposed, contact with water for which is not permissible. In addition, a tightening crust begins to form on the skin, which is why the doctor prescribes the external use of the drug against burns - panthenol.
It is impossible to remove the crust, as this can lead to the formation of scars, scars or hyperpigmentation.
Full recovery after superficial peeling occurs within two weeks. Starting from this time, the patient can begin to be in society again, however, the complete process of "ripening" of the skin will occur no earlier than in a year. The redness goes away after about two months.
In the rehabilitation period, the following recommendations are given:
- refusal of real tanning and visits to the solarium;
- taking bleaching agents;
- the use of moisturizers and sunscreens;
- intake of antioxidants;
- taking vitamins A and C.
Side effects
Among the possible complications after phenol peeling are the following:
- the occurrence of cardiac arrhythmia;
- the occurrence of renal failure;
- third degree burn;
- decreased function of the immune system;
- the appearance of viral, infectious and fungal diseases;
- allergic reactions;
- exacerbation of herpes;
- getting hyperpigmentation;
- scar formation;
- the appearance of visual boundaries between treated and untreated skin areas;
- loss of ability to produce pigment;
- increased sensitivity of the skin;
- swelling of soft tissues;
- exacerbation of skin diseases;
- the appearance of erythema of the face;
- the appearance of hyperkeratosis;
- pore expansion.
results
The results of phenol peeling are as follows:
- normalization of skin functioning;
- facial rejuvenation;
- improving the structure of the skin;
- elimination of age spots;
- elimination of deep wrinkles, elimination of scars;
- increase in overall skin tone.
Carbon peeling is an innovative technique that combines laser technology and the benefits of QS Carbon Peel carbon nanogel. All details on this link -.
Are there any contraindications to the use of gas-liquid peeling? Go and find out.
Prices for phenol peeling
The average cost of the procedure is as follows:
FAQ
Can it be done at home?
No way. Phenol peeling can only be performed by a qualified professional in a hospital setting. All precautions must be observed and all risks of severe complications excluded.
What is the main advantage, and when should you choose it?
The main advantage of this procedure is the durability of the result. Unlike other peelings and cosmetic procedures, phenol peeling gives effect for ten years. Doing it before the age of forty does not make much sense, as it eliminates deep facial wrinkles and strong signs of aging.
Photos shown after peeling scare many. Is this procedure worth it?
In fact, the photographs show the formation of a crust mixed with the previously applied mask. All this mixture disappears within a week or two and only redness remains, which also disappears within two months, so the pictures seem frightening only from the outside.
What about pain?
Yes, they can indeed be present, but they are quite easy to eliminate with the help of painkillers.
How is it different from surgery? During traditional surgical intervention, facial tissues are moved and draped, its configuration changes, but neither the age of the skin nor the actual age of the person changes. When peeling, the layer of dead cells is completely removed and the skin “ripens” almost completely again.
Photos before and after
Facial care
2180
18.09.14 13:59
Procedures for cleansing the epidermis using carbolic acid (phenol) are called phenol peels. Their impact can be deep, median or superficial, this is determined by the concentration of the main component in the base. is a highly effective but toxic skin care option that can only be performed by a trained professional, sometimes under medical supervision.
Indications and contraindications for the procedure
Experts recommend turning to deep phenol peeling only in cases of complex cosmetic defects that impair the patient's quality of life. Such interventions are carried out on small areas of the skin after a preliminary assessment of the general condition of the body and under intravenous anesthesia. The process is accompanied by cardiomonitoring, the anesthesiologist should monitor the patient's condition. For this type of peeling, products are used that are more than 35% carbolic acid. The duration of the rehabilitation period after such a session can be up to 12 months.
Medium impact phenolic peeling is carried out with products containing 25% carbolic acid, while 3% concentration of carbolic acid is sufficient for medium-surface exposure.
The main indications for phenol-based peeling:
- significant age-related changes on the skin in the form of deep wrinkles, the formation of skin folds;
- pronounced photoaging of the epidermis;
- hyperpigmentation of the surface of the face;
- scars and scars, including after deep wounds and surgery;
- flabbiness of the skin, leading to the accumulation of fine wrinkles;
- acne in the most severe manifestation;
- certain skin diseases (for example, demodicosis) as prescribed by a doctor.
Phenol peeling is not performed if at least one of the following factors is present:
- age up to 18 years;
- pregnancy and lactation;
- the presence of non-healed burns and herpes in the acute stage;
- diseases of the liver, kidneys, heart and blood vessels, diabetes mellitus;
- individual intolerance to the components of the composition for peeling;
- 4-6 phototype of the epidermis according to Fitzpatrick;
- oncological and skin diseases;
- period of menstruation;
- infectious processes in the acute stage;
- increased body temperature;
- mental disorders;
- disorders in the thyroid gland;
- fungal formations, open wounds on the surface of the face;
- hypertrichosis, a tendency to scarring.
A conditional contraindication to a cleansing session is considered to be a reduced activity of the liver enzyme systems, which occurs after 60 years.
Advantages and disadvantages of phenol peeling
Like any cosmetic procedure, phenol peeling has a number of positive properties and several negative factors.
Benefits of exposure include:
- Effective result after one procedure.
- The implementation of careful control of the application of the composition.
- The most pronounced anti-aging effect, which lasts from 7 to 10 years.
- Normalization of the functions of the epidermis, improvement of its structure.
- Elimination of age spots, freckles, scars, deep wrinkles.
- Smoothing mimic wrinkles.
- Increase in overall skin tone.
- Activation of body systems at the cellular level.
The negative aspects of phenol peeling include:
- Many contraindications.
- Long period of rehabilitation. Even with superficial peeling, it is at least two weeks.
- Complicated preparation for the intervention, which includes a lengthy medical examination.
- Phenol peeling is a painful procedure and puts a strain on the excretory and cardiovascular systems of the body.
- The need for anesthesia. Local anesthesia for superficial and median procedures, intravenous anesthesia for deep peeling.
- risk of severe complications.
It is important to remember that phenol can react with certain medications, so you must strictly follow the recommendations of the specialist who performed the manipulation and follow the regimen in the postoperative period.
Preparing for a phenol peel
To obtain a positive result from the procedure and prevent the development of complications, the following conditions must be met:
- a thorough medical examination of the heart, blood vessels, kidneys and liver;
- within 5-6 weeks before the procedure, it is necessary to treat the skin with weak solutions of acids, this will prepare the epidermis for aggressive exposure and prevent the formation of zones of uneven pigmentation;
- angioprotectors and antioxidants should be started 2-3 weeks before the session;
- half a year before peeling, the intake of retinoids is stopped, otherwise a chemical burn may develop;
- two weeks before peeling, procedures that injure the epidermis (scrubbing, epilation, shaving) are stopped;
- six months before the procedure, mechanical median and deep effects are stopped;
- three months before the cleansing session, visits to the solarium are stopped, spa holidays are prohibited;
- the doctor performing the phenol peel must be informed about the drugs that the client is taking.
The process of phenol peeling
Due to the toxicity of peeling compounds, sessions can only be carried out in well-ventilated and ventilated rooms. Deep peeling is carried out on areas of accumulation of acne, wrinkles or scars. The remaining areas are treated with a composition for median or surface exposure.
Procedure steps:
- Anesthesia or anesthesia. For local anesthesia, a 2% lidocaine solution is usually used. Increasing the dose of anesthetic increases the toxicity of the drug!
- With the help of a rough sponge, make-up removal of the face is carried out, followed by drying of the epidermis.
- Degreasing and disinfection of the face with an alcohol solution.
- The phenolic composition is applied with smooth even strokes. The interval between the treatment of different zones should be at least five minutes.
- Carbolic acid is neutralized with a special film mask. After it dries, a neutralizing product is applied to the skin.
- Sunscreen is applied to the skin.
Depending on the characteristics of the skin and the area of cleansing, the duration of the session is from 40 to 120 minutes.
Skin care after peeling
Phenol peeling can cause discomfort after the procedure. There is burning, tingling and tingling of the treated areas. If the pain becomes unbearable, pain medications can be used on the advice of a doctor.
The first day after the session is the most difficult. At this time, the ingress of water or any liquid on the cleansed skin is excluded. Water enhances the effect of phenol, which can cause an increase in burns. From brushing your teeth during this period, you must refuse, you can only drink through a straw.
On the second day, the mask-film is removed, which removes all dead cells. This process exposes the red, rejuvenated surface of the face. Water contact with it is also unacceptable.
The second day is marked by the formation of a surface crust. During this tightening period, the use of a special spray is prescribed. Forced removal of crusts is prohibited! This can lead to scarring or pigmented areas.
At the end of the second week, the epidermis is completely restored after a superficial procedure. If deep phenol peeling was performed, then painful redness goes away only after a couple of months, and complete healing occurs in 7-12 months.
Care after peeling involves the use of restorative agents:
- bleaching products;
- sunscreen preparations;
- moisturizing formulations based on hyaluronic acid;
- antioxidants, vitamins A and C.
Complications after peeling with carbolic acid
The risk of complications always remains, but most often they occur if appropriate preparation has not been carried out or phenol peeling has been performed incorrectly.
Main complications:
- burns;
- decrease in cellular immunity;
- allergies;
- the occurrence of arrhythmias, renal or hepatic failure;
- scar formation;
- local hyperpigmentation of the epidermis;
- the occurrence of edema and exacerbation of skin diseases;
- the appearance of enlarged pores and skin areas without pigment.
Phenol peeling is considered one of the most effective non-surgical facial rejuvenation procedures, but given the long list of contraindications and possible complications, experts recommend turning to it only if it is impossible to use milder care options.
