Dr. Ben Talei discusses the use of trichloroacetic acid (TCA) for lower eyelid chemical peels to improve skin quality. He explains the differences between excess skin and crepey skin, with excess skin treated via lower blepharoplasty and skin quality issues treated with TCA. TCA comes in various concentrations (20%, 35%, 50%) and is applied to achieve medium-depth peels, which can be adjusted by the number of passes or application time. The procedure requires careful preparation, including using astringents, saline, and gauze, and should be performed with an assistant. Post-treatment care includes using Aquaphor or Stratogel and avoiding early peeling to prevent irritation.
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