Chemical Cheiloplasty

Upper lip wrinkles are more common in smokers and in patients whose mouth is very mobile and who use the orbicularis muscle of the mouth too often or too vigorously.
A chemical cheiloplasty or labioplasty treats deep skin atrophy caused by chrono and photoaging (deep wrinkles around the lips). The principle of the treatment is identical to that of a chemical blepharoplasty, but it is easier to treat wrinkles on the upper lip than on the eyelids. It is also less stressful for an inexperienced doctor. Application of phenol on the lips is a quicker and safer procedure due to the limited area and easy healing.

Pre-treatment

• The patient should apply Skin Tech Blending Bleaching Cream twice a day for 2-3 weeks before peeling.
• Herpes prevention is necessary if the patient has a history (valacyclovir 500 mg twice a day for 4 days before up to 4 days after the peel).

Day of the treatment

• Give the patient an analgesic (paracetamol plus codeine) 30 minutes before the peel.
• The skin should always be disinfected and degreased before application (with a mixture of 50% alcohol and 50% acetone).
• Lip & Eyelid Formula can be applied to the upper lip without nerve block anesthesia. A first quick coat of peel solution induces local anesthesia within 15 seconds. Subsequent applications of phenol will therefore be painless.

Lip & Eyelid treatment

Syringe out 0.3 ml of the Lip & Eyelid solution and drop 0.15 ml directly on to a cotton bud. Carefully apply Lip & Eyelid solution directly to the bottom of deep wrinkles (a white frosting should appear) before applying the peeling solution to the entire upper lip, until an even grey frosting quickly appears. When the cotton bud appears as dry, drop further 3 drops of the Lip & Eyelid solution on it.

A second or third layer can be applied if necessary, after obtaining the anaesthetic effect of phenol, in order to reach the proper frosting: a grey white frosting. At the end of the procedure, apply an occlusive dressing (dressing included in the kit) and then uniformise the results by applying a less deep peeling (e.g., Easy TCA Pain Control or Easy Phen Light) on the rest of the face. The occlusive dressing should stay in place for 24 hours.

Post-treatment

Day 1
After 24 hours, remove the occlusive dressing and apply one coat of “Skin Tech® Post Peel Mask,” then apply a uniform layer of Yellskreen over the mask and leave to dry and form a crust. If retouch is necessary, go ahead before applying the mask.

Day 3
See the patient on the 3rd day following the peeling to monitor progress and ensure that there is no infection. In case of infection or any other problem, the patient should be given antibiotics (usually orally). On the 3rd day, apply sterile white vaseline exactly on and only on the edge of the treated areas.

Day 6
At the 6th day apply sterile white vaseline on the whole area. Vaseline will unstick the Yellskreen powder.

Day 8
Makeup is allowed on the 8th day, if the skin is in a condition to receive it.

Days 8-15
IPLase produces a strong reduction of postpeel redness.

Days 16-90
Sun protection is mandatory until the total end of erythema + 4 weeks.

Repeating the Peel
If needed, the full procedure can be repeated after 4-6 weeks regeneration if the status of the skin allows it.

Conclusion

Chemical cheiloplasty is an effective alternative to other aesthetic procedures focused on deep wrinkles problem. Combination of plastic surgery and chemical cheiloplasty is the most effective rejuvenation method available worldwide.

Chemical cheiloplasty Lip & Eyelid

on the upper lip in combination with Easy TCA / Easy Phen Light