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Abstract Dr.Daniel De Rossi Fattaccioli

“  Histological Comparaison between Deep –Depth  Chemical peelings  Phenol Croton ( using HEAT like a new penetration factor ) and laser CO2 –Erbium-Nd Yag  “

DE ROSSI FATTACCIOLI MD . AADa int,fellow. Md  

 

Abstract

Statement of the Problem: Chemical peelings it’s the most ancient procedure to remove and repair the photodamage effects  ( Ebers papyrus ) .

 The newest with Erbium ,Neodimiun YAG Carbon Dioxide (CO2) Laser ( ultrapulsed, fraccional & others) are be using for the same : remove sun damage elastotic collagen on reticular dermis , atrophic basal-malphigi stratum and hyperkeratosis cornium stratum and , the paramount , production of the best neoCollagen.

Olders  Phenol Deep Chemical peelings (Backer-Gordon ,Litton ,Fintzi and Hetter formulas) have been used and still using extensively for facial skin rejuvenation.

Treatments with Carbon Dioxide (CO2) Laser and Phenol Deep Chemical peelings (Backer-Gordon ,Litton ,Fintzi and Hetter formulas) have been used and still using extensively for facial skin rejuvenation

I introduce a new Phenol-Croton Deep Peel  Personal Formule which use the HEAT like a penetration factor ( A.Tenenbaum) and on the same time in its preparation.

These studies have been done to compare the effects of the treatments using histologics views in different periods of time. Biopsies of facial skin treated on pre and retroauricular zone were maked: immediately after  application of CO2 laser ablations and 24 hours after the application of a new adaptation of the Baker´s formula : DeRossi Fattaccioli`s formule for deep chemical peeling.

Areas nearly the first biopsies were biopsied after 12 hours, 24 hours, 1 week, 2 weeks, 2 and 3 months after CO2 ultrapulsed laser ; and 24 hours, 48 hours, 72 hours, 1 week, 1 year and 10 years after application of Phenol.

Initial biopsies showed that being CO2 laser ablations deeper than deep chemical peeling Phenol-Croton oil DeRossi Fattacioli`s Formule, both treatments have produced a zone of new collagen formation, but at 3 months comparatively deep chemical peeling with DeRossiFattaccioli´s formula show a thicker and wide new collagen zone than CO2 laser ultrapulse ablation.

Proving that this new Formule is more effective than the others . I introduce it for your knowledge . and for use it on your practice.

Also I will show  biopsies  of Laser CO2 fraccional and continue pulse , Erbium Yag and Neodimio Yag that are used for rejuvenation of the skin and will compare the neocollagen production  .

 

 References

 

  1.  Stegman SJ. Estudio histológico comparativo de los efectos de 3 agentes peeling y dermoablasión en piel normal y fotodañada. Aesthetic Plastic Surgery 1982; 6: 123-35.
  2. Brody H, Peeling químico St. Louis, Mosby Year Book, xxxx 12 1997, 2º edición.
  1. Matarasso S., Glogau R. Peelings químicos. Dermat. Clinics. Cosmetics and cosmetics surgery in dermatology. 1991 – Vol 9 Nro. 1: 131-49.
  1. Alt TH. Peeling químico profundo. Backer-Gordon Ocluido, Revisión y Actualización, J. Dermatol. Surg. Oncol. 15;980-993-1989
  1. Litton C, Trinidad G. Quimiocirugía de los párpados en . Astens y col.. III Simposio Internacional de Cirugía Plástica Reconstructiva. Baltimore Williams R Wilkins 1982 pp 341-45.
  1. Brody HJ. Chemical Peeling, Complicaciones. Journal Dermatologic Surgery Oncol. 1989; 15: 1010-19
  2. Fitzpatrick RE, Tope WD, Goldman MP, Satur NM. Láser CO2 ultrapulsada, ATC, Fenol Backer-Gordon y Dermarasión, Estudio Comparativo Clínico Histológico en Resuracing Cutánea en modelo porcino. Arch. Dermatol. 1996; 132:469-71.
  3. Glogau RG; Matarasso S. Dermatolo. Clinics. Cosmetics dermatology. WB Sanders 1995 Vol 13; 2: 263-76.
  4. Alster SA, Nanori Ch.A. Profilaxis de reactivación de herpes simple con Famciclovir post Láser Resurfacing. Dermatologic. Surgery 1999; 25: 242-3.
  5. Traucessec JM. Revista Cirugía Cosmética Francesa, 1996, 40:23-28

 

 Recent Publications 

 

 “DERMATOLOGIA PERUANA “ journal of the Peruvian Society of Dermatology   :                                 
1.- Volumen 11- supplement I . December 2001
2.- Volumen 15 number1 . January-April 2005

 

VI ANNUAL MEETING of AESTHETIC PROCEDURES”  BOOK BY Dr CHARLES YAMAGUCHI. livraria Santos Editora Comp,Imp.Ltda 2010.BRAZIL .Reimprint by AMOLCA EDITORES 2012 . PERU

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