Objectives: Important factors of pretreatment, the treatment itself and the posttreatment phases are identified and explained in detail. This includes the description of the goal of skin pretreatment before a phenol peel and how this can be achieved, the
premedication and type of anesthesia to perform phenol peels safely and the application of a bismuth-gallate mask after the peeling and furthermore the use of different agents to promote healing and reduce redness.
Introduction: Phenol peels have been proven to be one of the oldest and most effective methods of facial rejuvenation and wrinkle correction. Nevertheless, they are relatively rarely performed. One important reason is certainly the severe trauma immediately triggered by them, especially in the first phase of wound healing. In addition there is no general agreed consent how to pretreat the skin in the weeks before a peeling and under which kind of premedication and anesthesia the peeling should be performed. These open questions leave “beginners” in a lot of uncertainty.
Materials / method: We present our protocol of skin pretreatment which mainly consists of a combination of intense cleansing, antioxidants, bleaching agents and retinoids. In addition we have developed a procedure that greatly simplifies post-treatment, making it more comfortable and suitable for both patients and physicians, and probably also reducing healing time and improving treatment outcomes. It consists of applying a mask mixed with bismuth gallate and blood plasma immediately after the exfoliation or after an initial tape dressing treatment. This procedure clearly represents a relief of the wound care.
Results: We have found that the use of the powder/plasma mixture has significantly improved patient acceptance. In addition we have the impression that the extent and length of skin redness after peelings has significantly decreased and the effectiveness of the treatment in correcting wrinkles has also increased. These effects may be explained as a result of the wound healing-promoting components of blood plasma.
Conclusion: With the application of a blood plasma bismuth gallate mask, we have developed a procedure which considerably simplifies the after-treatment and probably also contributes to an improvement of the treatment results.
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