Abstract
A wide variety of chemical peels can be used in the eye region to provide periorbital rejuvenation (POR) and treat post inflammatory hyperpigmentation (POH). Less invasive treatment options include superficial to medium peels using trichloroacetic acid, glycolic acid, and other agents. Segmental phenol peels offer a more aggressive option. Skin types and facial structure should be considered in determining the best treatment plan for each case. To optimize results, chemical peel treatments may be combined with a blepharoplasty or other surgical or injectable options. Periorbital chemical peels can be highly rewarding to both patient and physician as the eye region tends to have the earliest and most noticeable signs of facial aging.
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References
Roh MR, Chung KY. Infraorbital dark circles: definition, causes and treatment options. Dermatol Surg. 2009;35:1163–71.
Vrcek IM, Ozgur OK, Nakra T. Infraorbital dark circles: a review of the pathogenesis, evaluation and treatment. J Cutan Aesthet Surg. 2016;9:65–72.
Sarkar R, Ranjan R, Garg S, Garg VK, Sonthalia S, Bansal S. Periorbital hyperpigmentation: a comprehensive review. J Clin Aesthet Dermatol. 2016;9(1):49–55.
Reserva J, Champlain A, Soon S, Tung R. Chemical peels: indications and special considerations for the male patient. Dermatol Surg. 2017;43:163–73.
Lee KC, Wambier C, Soon SL, Sterling JB, Landau M, Rullan P, Brody HJ. Basic chemical peeling: superficial and medium-depth peels. J Am Acad Dermatol. 2019;81:313–24.
Wambier C, Lee KC, Soon SL, Sterling JB, Rullan PP, Landau M, Brody HJ. Advanced chemical peels: phenol-croton oil peel. J Am Acad Dermatol. 2019;81:327–36.
Hetter GP. An examination of the phenol-croton oil peel: part I. Dissecting the formula. Plast Reconstr Surg. 2000;105:227–39.
Hetter GP. An examination of the phenol-croton oil peel: part II. The lay peelers and their croton oil formulas. Plast Reconstr Surg. 2000;105:240–8.
Hetter GP. An examination of the phenol-croton oil peel: part III. The plastic surgeons’ role. Plast Reconstr Surg. 2000;105:752–63.
Hetter GP. An examination of the phenol-croton oil peel: part IV. Face peel results with different concentrations of phenol and croton oil. Plast Reconst Surg. 2000;105:1061–83.
Rullan P, Karam AM. Chemical peels for darker skin types. Facial Plast Surg Clin North Am. 2010;18:111–31.
Lee KC, Sterling JB, Wambier CG, Soon SL, Landau M, Rullan P, et al. Segmental phenol-croton oil chemical peels for treatment of periorbital or perioral rhytides. J Am Acad Dermatol. 2019;81(6):e165–6.
Bensimon RH. Croton oil peels. Aesthet Surg J. 2008;28:33–45.
Khunger N. Standard guidelines of care for chemical peels. Indian J Dermatol Venereol Leprol. 2008;74(Suppl):S5–12.
Sterling JB. Micropunch blepharopeeling of the upper eyelids: a combination approach for periorbital rejuvenation—a pilot study. Dermatol Surg. 2014;40:436–40. https://doi.org/10.1111/dsu.12449.
Parada MB, Yarak S, Gouvea LG, Hassun KM, Talarico S, Bagatin E. “Blepharopeeling” in the upper eyelids: a nonincisional procedure in periorbital rejuvenation—a pilot study. Dermatol Surg. 2008;34:1435–8. https://doi.org/10.1111/j.1524-4725.2008.34304.x.
Ahmed NA, Mohammed SS, Fatani MI. Treatment of periorbital dark circles: comparative study of carboxy therapy vs chemical peeling vs mesotherapy. J Cosmet Dermatol. 2019;18:169–75. https://doi.org/10.1111/jocd.12536.
Vavouli C, Katsambas A, Gregoriou S, Teodor A, Salavastru C, Alexandru A, et al. Chemical peeling with trichloroacetic acid and lactic acid for infraorbital dark circles. J Cosmet Dermatol. 2013;12:204–9.
Dayal S, Sahu P, Jain VK, Khetri S. Clinical efficacy and safety of 20% glycolic peel, 15% lactic peel, and topical 20% vitamin C in constitutional type of periorbital melanosis: a comparative study. J Cosmet Dermatol. 2016;15:367–73.
Kontochristopoulos G, Kouris A, Platsidaki E, Markantoni V, Gerodimou M, Antoniou C. Combination of microneedling and 10% trichloroacetic acid peels in the management of infraorbital dark circles. J Cosmet Laser Ther. 2016;18:289–92.
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Rullan, P.P. (2020). Chemical Peelings in the Periorbital Region. In: Badawi, A. (eds) Periorbital Rejuvenation. Springer, Cham. https://doi.org/10.1007/978-3-030-46866-8_6
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DOI: https://doi.org/10.1007/978-3-030-46866-8_6
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