Resumo

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.