SIMULTANEOUS DEEP-PLANE FACE LIFT AND TRICHLOROACETIC-ACID PEEL

Many patients seeking facial rejuvenation require a combination of fac e lift and chemical peel to achieve optimal results. These procedures traditionally have been separated in time because of fear of skin slou gh after simultaneous peel and face lift. The recent evolution to deep -plane face lift and peeling agents other than phenol led to this reex amination of the subject. Forty-seven porcine flaps were treated with a variety of chemabrasion agents. As a result, 35% trichloroacetic aci d was determined to be a safe agent for use on thick flaps. Thirty-fiv e patients underwent simultaneous modified deep-plane face lift and im mediate trichloroacetic acid peel, with 35%:, being the maximum streng th used on undermined areas. This combination proved to be successful, with no complications related to the combination treatment.