Baton Rouge TCA Peel doctors
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Chad L. Prather, MD
Baton Rouge Dermatologist
7414 Picardy Ave Suite C, Baton Rouge |
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John Brantley, MD
Baton Rouge Dermatologist
5220 Flanders Drive, Baton Rouge |
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Charles Gruenwald, MD
Baton Rouge Plastic Surgeon
4309 Bluebonnet Blvd., Baton Rouge |
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Connor Patterson, MD
Baton Rouge Dermatologist
5220 Flanders Dr, Baton Rouge |
Recent Answers
TCA 25% 2 weeks ago & skin cracked in 2 spots & now have brown spots on face. Doctor told me it will take 3-4 weeks to heal. This peel was recommended by dr because I did a Jesner's peel 1 week prior and my face did not peel. Will these spots disappear or what should I do?
Dark spots, or hyperpigmentation, can be a side effect of chemical peeling. It is best managed immediately by the following:
1. Sunscreen and sun avoidance - Don't get any sun on the face for the next few weeks
2. Triple combination cream (such as Triluma) - hydroquinone, tretinoin, and low potency steroid cream - this is the mainstay of treatment
If your peeling physician didn't speak with you about this, you should look for another one - preferably a board certified dermatologist or plastic surgeon.
I have been having TCA 20% peels done so far i have had two and have had minor improvements. I was told that a combination peel would give better results. My surgeon recommended a TCA 20% with a Jessner peel to yield better results. I just want a second opinion to be sure.
A TCA and Jessner's combination chemical peel, originally described by Monheit, is definitely stronger than a TCA peel alone. In fact, it's an order of magnitude higher, going down to the dermal layer of the skin rather than just the epidermis. It also requires such things as prophylactic antiviral medications to protect you against herpes simplex (cold sore) outbreaks over the face. This combination is considered a medium depth peel, and has much more downtime than a TCA light chemical peel. Expect peeling for 4-5 days and redness for 2 weeks, but good results with regard to sun damage, texture, and pigmentation. Being a more invasive procedure, it's also more expensive.
How good your results will be depends on what you're using it for... this is the key question. Are you trying to improve photodamage and skin texture? Then it's a great peel. Are you trying to improve fine lines and wrinkles? This peel will get you closer than TCA alone, but other modalities or a stronger strength TCA (but don't go higher than 35%) may be necessary.
I've been using Tazorac for the past two years for very fine lines around my eyes, but I'm looking for slightly more dramatic results. Is a 15% or 20% TCA peel effective for fine lines around the eyes? Does the recovery period for a TCA peel at 15% or 20% differ markedly from a TCA peel at 25% or 30%?
When attempting to improve fine lines of the face, particularly around the eyes or mouth, a medium depth peel is usually necessary. Light peels (such as TCA alone) are great for improving texture and pigment, but usually won't achieve the depth necessary to tighten collagen and decrease those fine wrinkles.
The most popular medium depth peel is a combination Jessner's and 35% TCA peel. This usually results in a 1 week downtime period of skin healing, followed by a few weeks of slight redness. Improvement in sun damage is immediate after healing, and improvement in wrinkles occurs over the next few months. While it would be great to achieve disappearance of wrinkles with less downtime, usually a medium depth peel is necessary rather than a light TCA only peel. In the case of wrinkles, light peels with less downtime just don't achieve the effectiveness most patients desire.
Be sure to see a qualified aesthetic physician (dermatologist or plastic surgeon) when trying to accomplish this much with a peel. Safety is paramount, and this is not the type of peel to have done in a salon, spa, or by a non-aesthetic physician.