Is phenol peel as effective as co2 laser for under eyes and acne scars?

We had the first CO2 laser in Stuart Florida when it first became available. We perfected a technique for full face laser with 3 to 6 passes depending on the different skin thickness on different parts of the face under IV sedation for full control and comfort. We performed 351 cases.In the end, we found laser did not effectively remove deep etched wrinkles, nor last as long as the traditional Baker Gordon Phenol peel mixture. The laser was effective in 40 year olds with fine wrinkles but only lasted 2 to 3 years, while phenol lasted about 5 to 10 years.

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

In addition to the previously mentioned results and longevity the Phenol peel is the most effective treatment for a single treatment long term correction of dark under eye circles. Due to the effectiveness and depth of peel  additional caution should be exercised when peeling eyelids.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.