Deep Phenol Chemical Peels

Abstract

In the early 1960s, Baker and Gordon [1, 2] reported their experience with phenol chemical face peeling. Their initial technique involved “taping,” or occluding the skin after phenol application, to prevent evaporation and increase the penetration of phenol. In 1985 Beeson and McCollough [3] reported their technique without taping, which eliminated the inability to monitor the wound after the procedure, but still achieved excellent results. Regardless of the technique used [4], phenol chemical peeling continues to offer a method of achieving spectacular results for skin rejuvenation [5]. When performed properly and with appropriate patient selection, the complication rate remains low. As with any method of skin resurfacing, the goal involves the production of a controlled and predictable, partial thickness chemical injury. In the case of phenol, penetration is to the superficial dermis, without ablation of the pilo-sebaceous unit.