endopeel

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1-Aim of endopeel technique with carbolic acid  Carbolic acid ( which is an acid) is used to not only dimunish the contractile function of the muscles but to increase the basis level of the tonicity of the muscles . That is why  such acid  can be used to lift any kind of area of the face, neck, body, decolleté.


2- Indications are the followings -

Forehead  Lifting : Frown horizontal lines vs botox. Carbolic acid  paralyses nothing. You keep your expression as the mimiques .- Facial Liftings : Endopeel technique with carbolic acid realizes an immediate lifting of the face where it is applied . The advantages towards the surgery are the followings : no risk of facial paralysis, no necrosis , no scar and especially where the surgeon cannot undermine from the mid part of the face towards the nose because of high risks of lesion of the facial nerve, endopeel can be applied in such areas without any risks .That means too that endopeel can be a complement to facial liftings because it can be done in any area,especially dangerous areas or forbidden areas for the surgery . - Neck liftings- Lifting of the tip of the nose without touching the nose but just by using the endopeel technique with   the muscle called elevator of the tip of the nose .- Narrowing the width of the nose, always interacting on the muscles - Redefinition of the mandibular contour  for the cases where there are no more precise definition or contour between the face and the neck- Lifting of the sagging low jowls   - Platysma bands  - Perioral code bar - Lifting of the naso genian sulcus ( better than any fillers ) - Lower third of the face   - Decolleté lifting- Brachial lifting- Gluteopexy or lifting of the gluteus- Crural lifting- Stretching the skin of the cellulitis - Ombilicopexy- Stretching and lifting of the abdomen for sagging skin if there is not too much excess  



3- Risks

Toxicological risks of carbolic acid are well kwown and we consider that it is not allowed to use more than 25 ml of carbolic acid 5% per day and per patient.  Another complication which is fortunately transitory is the edema , especially in the perioral and periocular areas .


4. When does the clinical effect begin ?

the effect is immediate . like 30 minutes after the first injection . that is why patients are immediately happy because you get immediate result

5. Action mechanisms

Endopeel provokes- a diminution of the contraction function of the muscle- an increasing of the basis tonus of the muscle - a proteic coagulation of hypotonic tissues  


6.Who is able to use endopeel techniques ?  

Any doctor after specific trainings can do it . You do not need to be specialist in plastic surgery , or in dermatology to make such treatments.


7.Retouches or other sessions ?

Retouch is a bad term. Better to speak about 2 nd session or maintenance treatment.First time you are in contact with endopeel, the effect will have only 1 month duration. Second time you are in contact with endopeel , the effect will have a duration of 6 months

And at the difference of botox, with endopeel more you apply it, longer will be the effects with better improvement. But instead of doing one session each 6 months, many doctors and me like the maintenance treatment using 1 or 2 ml of carbolic acid  only each 2 months , which looks like an eternity rejuvenation or a non stop cindirella . We have seen that with maintenance treatments, results are much better than for one session each 6 months .


8. Can be it used whole life ?

That can be applied during whole life and where muscles exist even if thin . Because we get after 6 months of application a complete restitutio ad integrum , we can apply it indefinitily  


9. Precautions -

Avoid any patients with cardiopathies because of toxicity of carbolic acid- Avoid patients who have allergy to peanuts because of peanuts oil acid in the chosen preparation  ( the treatment can be done on such patients but they will get longer and huge edema with some itching reactions. Bestens is to give them some corticoids )- Avoid pusillanime patients ( we can therefore use 2 types of anesthesies for such patients    or the nitrogenotherapy using 70% 02 mixing with 30% N20 during the endopeel application   or special creams using as basis not so much lidocain, but 7% tetracain completed with Lipothène or some Benzocain , which need to be applied 15-20 minutes before the endopeel application- Smokers and alcohol drinkers will get more edema than othersOf course most patients will not have such edemas .- Better is also to avoid sun exposure and hot drinks ( coffee, tea, chocolate) during just the 1 st week after endopeel treatments- Cold creams containing Vit A, VitC, Vit E , anti UVA and anti UVB without pyrogenic and comedogenic components need to be used in the first 48 h following the session. Such creams are called Les Félins, Kosmopeel, Stretchpeel.At least , to avoid any kind of edema , it is recommended to treat the first 3 months, each month the patients with just 2 ml of the chosen preparation , which need to be distributed all over the chosen area which has  to be treated . After these 3 months, a maintenance treatment can be done. Also ice cubes in surgical gloves can be used before any point of injection.


10- Contra indications

Pregnancy- Cardiopathies- Severe Allergy to peanuts- Herpès-Children- Teenagers-


11- Can the patients loose their expressions ?

You never loose your expressions because endopeel never paralyses the muscles . But patient has to follow what the doctor says . otherwise if you want to treat just the neck and not the face, you will look like 30 years on the neck and 60 years on the face as if you meet 2 ages in the same patient ! So instead of anti age, you will get pluri age   


12-Perceptions among the social life

For the men and boys, it is used to say that endopeel transforms a PAY BOY into a PLAY BOY

For the women, it is used to say that endopeel is the clinical application of Cindirella story  


13- Future of endopeel

Prof  Hiro Taro Fukuoka from  Tokyo, Japan recently used endopeel mixed with stem cells proteins for the rejuvenation of the neck. Results are much better than endopeel alone , than stem cells proteins alone.   


14- Falsification, bad copies

Falsifications  as bad copies can lead to necrosis and severe complications.

For your safety and warranty, we kindly ask you not to buy any product sold by other companies than those sold by official retailers

15-About edema
There are 3 kind of edemas
15.1 allergic edema dued to peanuts
It is not a contra indication but patients should be informed.
It begins from day 10 to 14 generally .
It can be treated with some anti histaminic which help .
Such anti histaminic are given by some physicians from the day o of endopeel

15.2 edema of first sessions
Of course any patient should be informed that edemas can happen at the 1 st and 2 nd sessions of endopeel, especially when patients have never been treated by endopeel before. After 3 rd session, the edema may not exist any more or will not any more be so much important as previous sessions.
But edema is always important for perioral, periocular and forehead areas .

15.3 Edema dued to bad material
I explained that about needles and product going through needle .
I will always insist on that
I was upset at you as you wrote last time that it was because of product and not of material, as some dermatologists know.
My long experience demonstrated the needles importance and I made some studies showing the differences.
If I have time, I may find such studies to demonstrate the evidence of this event.

15.4 Selection of patients
is very important.
-No smokers even if it is not an absolute contra indication
- Not drinking hot beverages
- Avoiding sun exposure as heating sources
- Very important is to use the cosmetic creams completely one vial the day 0

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