San Diego Jessner Peel doctors

	Bryan K. Chen, MD San Diego Dermatologist 10672 Wexford Street Suite 205, San Diego		1 answer
	Paul E. Chasan, MD San Diego Plastic Surgeon 1431 Camino Del Mar , Del Mar
	Roy A. David, MD San Diego Facial Plastic Surgeon 3252 Holiday Court Suite 206, La Jolla
	John M. Hilinski, MD San Diego Facial Plastic Surgeon 3720 Fourth Avenue, San Diego
	Amir M. Karam, MD San Diego Facial Plastic Surgeon 4765 Carmel Mountain Road 201, San Diego

Recent Answers

Jessner and TCA Peel for Asian Skin? Has anyone with Asian skin tried Jessner's and 20% TCA peel on the same setting? What would I expect from then on and how long is the downtime? I am preparing to do this next Thursday evening and I am already feeling nervous about the aftermath. Do the benefits for acne scar outweigh the risks, if any, of hyper- and hypo-pigmentation? Also, I don't know how long my skin would look red or pink!? I would appreciate any advice. Many thanks in advance. Tt

A: Jessner and TCA peel for Asian skin

Jessner, followed by TCA of various concentrations can be a very nice approach for acne scarring (superficial, atrophic scars). The Jessner solution increases the penetration of TCA and can promote a more even peel. Most Asian skin can tolerate this peeling regimen with minimal risk of post-treatment pigment problems. If pigmentation issues do occur, it is usually hypERpigmentation and is temporary. If you have individual ice-pick or depressed scars, you ought to consider other approaches including saline subcision and spot treatment of your scars with a strong peeling agent (80-100% TCA or phenol).

Good luck.

Bryan K. Chen, MD

San Diego Dermatologist