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Deep phenol peels are not recommended for dark skin types IV to VI due to the high risk of prolonged or permanent pigmentary changes. Best of luck!Dr. G
Phenol peels can be very effective in treating Hispanic patients seeking to lighten darker areas and even skin tones. Post treatment bleaching creams, IPL and lighter Phenol/TCA treatments are often required to correct post procedure hyperpigmentation.Final results produce in lighter, smoother, tighter skin with more even skin tones.Phenol peels are some of the strongest skin resurfacing and tightening treatments available. They are long lasting and extremely good collagen builders.Patients with moderate to sever wrinkles, sun damage and light skin fare best with Phenol or modified Phenol peels. Modified peels are excellent for lightening dark areas of the face and hands.At a younger age less aggressive treatments such as PRP and fat injections as well as Sculptra are good collagen stimulators helping to reduce fine lines.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.
first of all, hispanics and latinos come in all skin colors. But I understand the real question is an one so this peel on skin of color type 4? Yes you can. I did a study on it and published it almost 10 years ago. You can also do it in Asian skin and even skin type VI Please refer to my web site "Dr Rullan.com" to access that publication. The skin goes from pink to even and then to a mild case of PIH, an de the night back to normal. Taking low dose accutane helps prevent PIH in oily acne patients with scars. The final skin color after 2 years of the peel is a worst a lighter shade of normal but just like the color of the patient's sun-protected skin. That is called "pseudo-hypo-pigmentation " and so far everyone has liked that skin tone. You might need to use more sunscreen along your neck and chest to reduced the darkening of those areas. Hope this helps. Dr Rullan
Dear yreutishi223,Thank you for your question as it is an important one and also a source of some confusion. You mention a phenol peel, but most likely you mean a phenol/croton oil peel. These peels began being used by doctors in the early 60's and the formula used consistently left the skin hypopigmented, that is an unnatural white. For this reason, it was taught and practiced that you could not peel darker skin.In early 2000, thanks to the work of Gregory Hetter, it became understood that the whitening of the skin was caused by a too high concentration of croton oil. By altering the formulas, skin could be peeled to excellent clinical results while avoiding the troublesome lightening of the skin.The other, very important result was that by individualizing the formulas, darker skin could be peeled.An important aspect is to adequately prepare the skin with medicated products to stabilize the pigment cells.My name became associated with these peels, therefore, 8 years ago , Iwas contacted by a Mexican surgeon inquiring about peeling Hispanic skin as they were very dissatisfied with laser resurfacing. We organized a special seminar in Mexico and in two days peeled 19 patients! As was the case in most Hispanic groups, there was a range of skin color. The formulas were prepared for specific needs,and the results were quite good. One constant was thay daeker patients tended to have less wrinkles and more blotching and pigment issues. Because of this, the formulas and technique can be altered to target this. This also applies to Asian skin.What we found was that darker skin could certainly be peeled and that patients needed to be careful about the sun early on so as not to darken the skin.I recommend that you ask your surgeon about their training and experience and look at photos of results. The thought that you cannot peel darker skin is an outdated idea.Good luck!