Saint Louis TCA Peel doctors
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Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
607 S. Lindbregh, Saint Louis |
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4 answers |
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William H. Huffaker, MD
Saint Louis Plastic Surgeon
17300 N Outer Forty Road Suite 300, Chesterfield |
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Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
17300 N. Outer 40 Road Suite 300, Chesterfield |
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Christian Prada, MD
Saint Louis Plastic Surgeon
17300 North Outer 40 Road Suite 300, Chesterfield |
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Craig B. Boswell, MD
Saint Louis Plastic Surgeon
969 North Mason Rd. Suite 170, Creve Coeur |
Recent Answers
Should I have a TCA Peel a month after having tear trough rejuvenation with Juvederm Ultra?
Hello,
In experienced hands, you can absolutely have a lower eyelid TCA peel 1 month (or even 1 minute) after Juvederm injection of the tear trough.
I want to have a TCA peel treatment for my hyperpigmentation and enlarged pores. However, I have heard conflicting information concerning its effect on the pores. I know pore size cannot literally be shrunken, but many people say that TCA has reduced their appearance. Others say it made their pores seem huge. The risk is terrifying, but I'm desperate. Is there a way I can test it? Should I apply it to a small area of my face first and would that be an accurate representation of how my entire face will turn out?
As a general rule, you are absolutely correct to say there is no way to predictably reduce pores. Even judging whether or not pores seem larger or smaller is very fickle and subjective. As a rule, anything that bulids collagen or swells the skin will "crowd" pores to appear smaller. This is the case from swelling after any medium depth peel, and probably accounts for the reports you've heard about the TCA peel making pores seem smaller. I doubt this would be a lasting effect.
Pigmentation, though, is a different story - most people feel like pigmentation predictably improves after TCA peels, presuming appropriate before and after care is followed, and sun and heat are avoided for a few months after the peel.. Winter is the best time for TCA peels for that reason.
As for peeling one area of the face to judge the rest, there are dramatic variations in skin thickness, oil gland density, and dermal/epidermal thickness around the face, so one area's results don't accurately predict the entire face's results.
As a final note, it almost sounds as though you intend to do the peel yourself; I hope this is not the case. Peeling is truly an art, and aftercare is a science. You might well be afraid if a physician told you he was going to peel your face, but you were his first patient ever, he'd never seen one being done, and he'd never cared for any patients afterwards. This is exactly what you'd be doing as a self-peeler, and it's just as dangerous for a lay person to do a first peel with no guidance as it would be for a surgeon.
Good luck!
A family member did a 50% TCA Peel spot treatment on me (I have Indian skin), and after 7 weeks, and my face looks like the picture. My skin broke out in spots or blisters, swelled, went brown, peeled, then pus came out. I have I was on antibiotics for a week. Now, it just looks like this and I am waiting for a dermatologist appointment. Some areas are above my skin and one by my chin is indented. I dare not put makeup on as it shows up and doesn't' cover. What do I do? Am I healing or not? I'm scared that it's going to be permanent.
Hello,
I'm sorry to hear about your troubles. 50% TCA is a very strong, and somewhat unpredicable, peeling agent. Even I, as a facial plastic surgeon with considerable skin resurfacing experience, consider it too unpredictable in my hands.
It is imperative you see a surgeon or dermatologist ASAP. You will likely benefit from prescription-strength topical or injectable corticosteriods, and possibly yellow-wavelength lasers such as the Pulsed Dye Laser to maximize your chances of recovery.
I wish you luck!