THE USE OF MODIFIED PHENOL FOR CHEMICAL FACE PEELING

This article reviews the results of 59 consecutive, modified phenol fa cial peels on 627 anatomic areas for the purpose of reducing fine to c oarse rhytids, hyperpigmentation, and actinic keratoses. This work dis cusses the Venner-Kellson concentrated Lysol saponated formula contain ing 62.5% phenol; the Maschek-Truppman 53% phenol nonsaponated glyceri n formula; and the previously unpublished Grade formulae I, II, and II I with 49.5%, 60%, and 70% phenol, respectively. The new Stone formula e I, II, and III are introduced here. These new formulae are mixed fro m available reagents, thus obviating the need to melt potentially toxi c phenol crystals, and are designed to achieve a range of clinical pee l results on a wide variety of skin types. The ingredients, methods of preparation and application, as well as three postpeel occlusion tech niques are presented. Clinical data including pH measurements, croton oil ratios, phenol concentrations, and preliminary biopsy data also ar e presented.