Punctuated 88% Phenol Peeling for the Treatment of Facial Photoaging: A Clinical and Histopathological Study

BACKGROUND Phenol peeling is considered an important agent in the treatment of facial rejuvenation; however, its use has limitations due to its high potential for side effects. OBJECTIVE This article proposes a new peeling application technique for the treatment of photoaging, aiming to evaluate, clinically and histopathologically, the efficacy of a new way of applying 88% phenol, using a punctuated pattern. METHODS The procedure was performed in an outpatient setting, with female patients, on static wrinkles and high flaccidity areas of the face. Accompanying photographs and skin samples were taken for histopathological analysis before and after treatment. RESULTS It was shown that 88% phenol applied topically using a punctuated technique is effective in skin rejuvenation. CONCLUSION The authors thus suggest, based on this new proposal, that further studies be conducted with a larger group of patients to better elucidate the action mechanisms of 88% phenol. This new form of application considerably reduced patients' withdrawal from their regular activities, besides reducing the cost, compared with the conventional procedure. Address correspondence and reprint requests to: Maria Cristina C. de Mendonça, MD, MSc, Laboratory of Immunopathology and Experimental Pathology/CBR, Federal University of Juiz de Fora, Rua Delorme de Carvalho, 130/301, Juiz de Fora, Minas Gerais, 36021-000 Brazil, or e-mail: mcrismendonca@terra.com.br The authors have indicated no significant interest with commercial supporters. © 2018 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.

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