Los Angeles Phenol Peel doctors

	Brent Moelleken, MD Beverly Hills Plastic Surgeon 120 S Spalding Dr Suite 110, Beverly Hills		2 answers
	Donn Hickman, MD Los Angeles Plastic Surgeon 920 East Wardlow Road, Long Beach		2 answers
	David A. Bray, Sr., MD Los Angeles Facial Plastic Surgeon 23560 Madison St Ste 102, Torrance
	Daniel J. Casper, MD Los Angeles Plastic Surgeon Suite 407 10 Congress Street, Pasadena
	Richard W. Fleming, MD Beverly Hills Facial Plastic Surgeon 416 N Bedford Dr Suite 200, Beverly Hills

Recent Answers

Where to Get a Phenol Peel? Where can I get Phenol peel? I have sun damage on my arms and tried many treatments but no good results.

A: Polite dissent on Phenol Peel

I have done thousands of phenol and TCA peels. They are safe, effective, and are mixed and combined in various ways. With the costs of current technology, some Practices are adding peels back to their regimens. The dilutions of croton oil with phenol newly identified in the past decade,allows one to perform phenol peels of face with shorter healing times. We modified our regimen for 5-9 day recovery 15 years ago and continued to apply it in the best patient candidates who have the time to recover.The classic two to three week recovery from phenol is the historic relegation, not the current convention.

The popularity of the newer lasers including the Mixto fractionated and its regular laser features may be as good as phenol. I do agree phenol is not recommended for the extremities, but TCA can be used, and other laser and fractionated modalities. When you were trained solely in the acetone skin prep, the full phenol formula with 2-3% croton oil, and had the skin taped, the recovery from this peel was rather intense and frightening to many patients. The patients with the dry rough creases and pure wrinkling at rest, from sunworshiping, may still need such measures in rare instances. The laser specialists have been able to refine their talents to offer safer and more effective treatment for wrinkles and thus have abandoned the use of phenol.

Donn Hickman, MD

Los Angeles Plastic Surgeon

Will TCA Peel Minimize Demarcation Lines from Phenol Peel? I am getting an upper lid Blepharoplasty and at the same time a Phenol Peel under my eyes. I am getting a TCA peel on the rest of the face. Will getting the TCA peel on the rest of the face minimize the chances of having lines of demarcation under my eyes where the Phenol Peel will be applied? I am Caucasian, light-to-medium skin and 41. Thanks!

A: Demarcation from laser or phenol peels

Deep laser or phenol depigments, reduces pigment permanently. Patchy application of deep peeling agents will result in a patchy appearance, either through removal of sun damage or through direct depigmentation (including apoptosis).

The best way to camouflage a problem with demarcation is to resurface all around the area, usually with the Co2 laser set to a very conservative setting.

There is unfortunately no accepted way to bring the pigment cells back to life.

We have long given up phenol peels for this reason, and only perform CO2 laser conservatively.

We never do deeper peels just around the mouth or the eyes either to avoid a patchy "raccoon" look..

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

How Much Does a Phenol Peel Cost? my facial lines are severe and the doctor sees signs of precancer. She recommends a phenol peel. I am worried about the pain, but also about the cost of the peel (was chicken to ask her how much a phenol chemical peel costs). Can you give me an average price for the phenol peel please?

A: Cost of a Phenol Peel

The phenol peel is an excellent skin resurfacing agent and when deployed by an experienced Plastic Surgeon trained in burn care concepts, it can be highly effective. If you have 10 to 40 years of sun damage with deep wrinkles, this is a good peel to have. The more pronounced the effect to treat severe aging, the more the downtime and financial obligation. If one is concerned over the discomfort, peeling process, and redness that can persist for a while, then try the peel in selected units such as the lips and around the eyes. It can be diluted and done in a way to heal in 3-4 days with no prolonged redness, for a few hundred dollars in small areas, or be applied after careful discusson in a single session for a compelling effect, at a greater cost. It is most effective for removing pigmented superficial birthmarks, skin stains, and wrinkles of any depth.

The patient must decide what is most important: (1) tolerating the procedure, (2) getting the best results, (3) low cost,, or (4) whether having the procedure must be totally kept from view by others. This Practice has performed under 5700 peels over 26 years. The phenol and croton oil system when concientiously prepared and applied to the properly informed patient, will yield superior results for the majority of patients. Patients of color may also receive benefit when the skin is conditioned, and maintenance measures are instituted when having phenol or other peels.

Fee range is $650 to $4500.

Donn Hickman, MD

Los Angeles Plastic Surgeon