Adverse effects associated with the irresponsible use of phenol peeling - literature review

Nathaly de Oliveira Ciaramicolo DDS MS, Gabriela Barbosa Bisson DDS MS, Osny Ferreira Jr. DDS MSc
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Abstract

Carbolic acid or phenol is considered a chemical agent that produces intense facial rejuvenation when used correctly, however, solutions containing this substance are dangerous and their action must be controlled. The aim of this study was to collect information on the adverse effects of the use of phenolic compounds for facial esthetic purposes. Phenol promotes the denaturation and coagulation of epidermal keratin proteins, deep chemical peels carried out with phenol, when well indicated and properly conducted, produce incomparable results, however, the ignorant use of these solutions can produce ectropion, keloids, and unsightly scars on the face and neck, in addition, systemic absorption is related to hepatorenal and cardiac toxicity. Although the cardiotoxicity of phenol is well described in the literature, its carcinogenic potential is still unknown and further studies are needed. It is known that the substance induces unscheduled DNA synthesis, inducing genetic mutation. Successful results depend on a balance among art and technique and safety standards. Future research investigating the carcinogenic potential of phenol peels is desirable to ensure patient safety and adequate information for professionals. We believe that the indiscriminate use of phenol peels can cause serious problems for patients and their general health. (Oral Surg Oral Med Oral Pathol Oral Radiol YEAR;VOL:page range)
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与不负责任地使用苯酚去皮法有关的不良影响--文献综述
石碳酸或苯酚被认为是一种化学制剂,如果使用得当,可以产生强烈的面部年轻化效果,然而,含有这种物质的溶液是危险的,其作用必须受到控制。本研究旨在收集有关将酚类化合物用于面部美容的不良影响的信息。酚会促进表皮角蛋白的变性和凝固,使用酚进行深层化学换肤,如果适应症明确且操作得当,会产生无与伦比的效果,但如果不加注意地使用这些溶液,则会在面部和颈部产生外翻、瘢痕疙瘩和难看的疤痕,此外,全身吸收还与肝肾和心脏毒性有关。虽然文献中对苯酚的心脏毒性有详细描述,但其致癌潜力尚不清楚,需要进一步研究。众所周知,该物质会诱导计划外的 DNA 合成,从而诱发基因突变。成功的结果取决于艺术和技术与安全标准之间的平衡。为了确保患者的安全和为专业人员提供足够的信息,今后最好对苯酚去皮的致癌潜力进行调查研究。我们认为,滥用苯酚换肤可对患者及其总体健康造成严重问题。(Oral Surg Oral Med Oral Pathol Oral Radiol YEAR;VOL:page range)
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