title: Combination of chemical peelings with botulinum toxin injections and dermal fillers.
abstract: BACKGROUND
  Chemical peelings are one of the most powerful and diverse tools for skin rejuvenation. Depending on the chemical used, peelings are classified as superficial, medium, and deep. The depth of the peeling must be adjusted to the depth of the pathological process to be corrected. Deeper peels can eliminate pigmentary spots and wrinkles but are associated with longer recovery time. Chemical peels can be used in conjunction with other nonsurgical methods for skin rejuvenation such as botulinum toxin A (BTX-A) and dermal fillers. Surprisingly, descriptions of such combinations are rare in the current medical literature.
  
  
  OBJECTIVE
  To review and describe our experience with a combination of chemical peels with other nonsurgical procedures for facial skin rejuvenation, such as BTX-A injections and dermal fillers.
  
  
  METHODS
  Patients who came to the clinic for cosmetic treatments were assessed clinically and photographically to follow up the facial skin improvement following combination treatments.
  
  
  CONCLUSIONS
  By combining chemical peels with dermal fillers and BTX-A injections synergistic beneficial effect is achieved. These rejuvenating procedures significantly increase the satisfaction rate of our patients and are relatively easy to adopt by any practicing dermatologist.
authors.affiliation: Dermatology Unit, Wolfson Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. mlandau@zahav.net.il
authors.forename: Marina
authors.initials: M
authors.lastname: Landau
mesh_terms: D019274:Botulinum Toxins, Type A / Q000008:administration & dosage; D002615:Chemexfoliation / Q000379:methods*; D003131:Combined Modality Therapy; D005145:Face; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage / Q000031:analogs & derivatives*; D008875:Middle Aged; D009465:Neuromuscular Agents / Q000008:administration & dosage; D015595:Skin Aging
chemical_list: D009465:Neuromuscular Agents; D006820:Hyaluronic Acid; D019274:Botulinum Toxins, Type A; C445361:Restylane