Simultaneous deep-plane face lift and trichloroacetic acid peel

Many patients seeking facial rejuvenation require a combination of face lift and chemical peel to achieve optimal results. These procedures traditionally have been separated in time because of fear of skin slough after simultaneous peel and face lift. The recent evolution to deep-plane face lift and peeling agents other than phenol led to this reexamination of the subject. Forty-seven porcine flaps were treated with a variety of chemabrasion agents. As a result, 35% trichloroacetic acid was determined to be a safe agent for use on thick flaps. Thirty-five patients underwent simultaneous modified deep-plane face lift and immediate trichloroacetic acid peel, with 35% being the maximum strength used on undermined areas. This combination proved to be successful, with no complications related to the combination treatment.