New Orleans TCA Peel doctors

	Mary Lupo, MD New Orleans Dermatologist 145 Robert E. Lee Blvd Suite 302, New Orleans		43 answers
	William Coleman III, MD Metairie Dermatologic Surgeon 4425 Conlin St, Metairie		7 answers
	Jeffrey C. Poole, MD Metairie Dermatologic Surgeon 111 Veterans Memorial Blvd Ste 406, Metairie		1 answer
	Gregory Pippin, MD New Orleans Facial Plastic Surgeon 1111 Medical Center Blvd. Suite N 406, Marrero
	Deirdre O'Boyle Hooper, MD New Orleans Dermatologist 3525 Prytania St. Suite 501, New Orleans

Recent Answers

Hypopigmentation Spots After Tca Peel? Any Options? Hello. I'm a 26 yr old male. Two years ago I tried a tca peel (under 15%). Was done AT HOME, NOT by a doctor, very dumb choice by me. I reposted to make it clear it wasn't done by a doctor. Anyways, I noticed some very white areas on my face and also accompanied with it hair was removed on parts of my face. Post-Inflammatory Hypopigmentation? Have you ever seen this get better and what can I do?(the marks are lighter than sun damaged/undamaged skin.)Thank you, this has been hard.

A: Home peels are dangerous

Home peels are dangerous. It is hard enough for dermatologists to be control the depth of a peel. For the inexperienced home user it is impossible. Loss of pigmentation from a peel is a sign of deep penetration of the TCA. It is irreversible after two years. There are methods for improving hypopigmentation but a dermatologist would have to see the skin face to face to make an accurate recommendation.

William Coleman III, MD

Metairie Dermatologic Surgeon

Can TCA be Used on a Fair Complexion which Tans Easily? My complexion is fair & tans easily w/ little burning if protected. I heal very well, get little to no scaring. I've been avoiding the sun since late summer 2010 after a Dr visit where I was told I was too olive for TCA. I'm not olive, I was just end of FL summer tanned. So now I'm faded again & trying to re-visit TCA. A lifelong sun worshiper, I now have brown/sun spots on my face. Not too bad but they're on my face. Is TCA really not for Miami's freckled &fair who tans easily?

A: TCA good option for "Freckled and Fair" skin

From what you describe, a TCA should be a good treatment option for your skin. While their is a risk of hypopigmentation after chemical peels in any skin type, it is highly unlikely in yours. I would recommend a foundation of retinoids, glycolic and hydroquinones to control and reduce hyperpigmentation, and as a pre-peel regimen starting about 1 month prior. This helps to ensure a more even response to the peeling agent.

Jeffrey C. Poole, MD

Metairie Dermatologic Surgeon

Best Treatment for Facial Vascular Scar After TCA Peel? Following a 35% TCA peel done at home with no aftercare, redness developed around my cheek bones and temporal regions and it still remains. This is now 3 years later. The redness BLANCHES when you press on it. Upon blanching, the skin is a normal pigmentation. Is this a vascular scar? If so, 1) what is the best laser to treat this and 2) how do I go about finding the best person for this? I have no tan and use sunblock daily, spf 70. 33 male. Skin type 2.

A: Lesson learned?

At home medical procedures are NEVER a good idea. You would get improvement with a pulsed dye laser, or an IPL, and maybe a Fraxel Restore. The earlier you get these types of complications recognized and treated the better. After so long, it might be permanent. One of the main reasons to get it done by a qualified physician is she/he will recognize a complication early and mitigate it.

Mary Lupo, MD

New Orleans Dermatologist