Objectives: To present a clinical case of improvement in a patient's overall skin quality using only botulinum toxin, 0. 4% croton phenol peeling on the lower eyelid and 20% TCA on the entire face.
Introduction: The use of phenol croton peel, once popular with the Baker formula, faced limitations due to extended recovery periods and a heightened risk of hypochromia. However, modern advancements, particularly the Hetter formula using 0.2% to 1.6% croton oil, have replaced the need for 2% croton oil. Furthermore, incorporating 20% Trichloroacetic Acid (TCA) in a single session enhances overall facial skin quality, diminishing blemishes and fine lines
Materials / method: A 53-year-old patient presented concerns regarding forehead and eye area wrinkles, blemishes, and dull skin. To address these issues, the initial step included the application of botulinum toxin across the face. A comprehensive facial peel was performed one week later, combining a 20% Trichloroacetic Acid (TCA) session with a 0.4% Croton phenol peel following Hetter's formula. Significant improvements were observed after these two procedures, demonstrating an excellent cost-benefit ratio.
Results: The combination of botulinum toxin on the entire face, croton phenol peeling on the lower eyelid, and 20% TCA peeling on the rest of the face generated a complete rejuvenation in just two visits.
Conclusion: This clinical case demonstrates that low-cost, old-fashioned methods, combined with the proper technique, can produce significant results.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability