Springfield TCA Peel doctors

Michael Howard Swann, MD Michael Howard Swann, MD
Springfield Dermatologic Surgeon
3850 S. National Suite 705, Springfield
3 answers
William H. Huffaker, MD William H. Huffaker, MD
Saint Louis Plastic Surgeon
17300 N Outer Forty Road Suite 300, Chesterfield
Keith A. LaFerriere, MD Keith A. LaFerriere, MD
Springfield Facial Plastic Surgeon
1965 S. Fremont, Ste. 120, Springfield
Herluf G. Lund, Jr, MD Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
17300 N. Outer 40 Road Suite 300, Chesterfield
Christian Prada, MD Christian Prada, MD
Saint Louis Plastic Surgeon
17300 North Outer 40 Road Suite 300, Chesterfield

Recent Answers

Correcting Scars from a TCA Peel

I feel so stupid I peeled my skin way before I should have. I had a 50% tca peel, and I peeled my skin not thinking because it came up so easily. I have round, raised skin, and I have a few scar marks; it is extremely noticable to me but not to others. This did not show until 2 months later. My skin also looks rough. I could cry... I have ruined my skin! I could tell the tca would have worked if I had not touched it. If I get another tca peel and not touch my face and let it peel naturally would that correct it?

A: Improving scarring after a TCA peel

TCA peeling offers amazing results, but should be performed by an experienced physician to limit adverse effects such as scarring and dyspigmentation.  I have had good luck using the fractionated CO2 laser on the face and neck for the scarring and dyspigmentation associated with TCA peeling.  I like the SmartXide DOT laser, but have had good luck with the Active FX and Candela Quadralase laser as well.  A dermatologist with training in laser or cosmetic procedures would be a good ally. 

Michael Howard Swann, MD
Springfield Dermatologic Surgeon
How to Reduce or Improve the Downtime for a TCA 30% Peel?

I only left the TCA 30 on my skin for about 2 minutes. My skin was not as red as I thought, but then again, I only left it on for 2 minutes instead of the recommended 4-5. My skin did peel a lot, after it got crinkly, and the entire skin peeled. I'm afraid that I would look not representable to the public for way too long if I leave it on longer. I did moisturize like crazy. The peeling itself is not that bad, but it's the very brownish looking skin, that will then turn VERY red.

A: Prepping for a 30% TCA Peel

Using 30% Trichloroacetic Acid on the skin is not a home procedure.  It sounds like you are having some features of a typical reaction to TCA placed on skin that is not primed for a peel.  I would never recommend using something like 30% TCA at home, even by someone with experience.  30% TCA peeling if not done properly can result in uneven pigmentation at best and scarring in bad circumstances.  There is a reason this is largely left to physicians, even in places with less stringent guidelines than in the US.

That being said, there are definitely ways to prime your skin for a peel beforehand to reduce or improve the downtime associated with your peel.  The list includes Vitamin A &C, Retin-A, Glycolic acid washes, Clarisonic and Omnilux LED treatments.  There are benefits of different regimens and a specific regimen should be calculated with your skin risks and cosmetic complaints.  Good luck!

Michael Howard Swann, MD
Springfield Dermatologic Surgeon
Risk of Hypopigmentation in TCA Cross

I was planning to get TCA Cross on my scars, but one doctor told that I risk hypopigmentation. Is this true?

A: TCA CROSS Technique

The CROSS technique is effective for acne scars with high potency TCA. It does make an initial wound and the epidermolysis (shedding of the top layer of skin) does appear "frosted" immediately after treatment. Pigment changes (both lightening and darkening) do occur and high potency TCA is not for all skin types. In experienced hands repeated treatments with TCA Cross offers good results.

Michael Howard Swann, MD
Springfield Dermatologic Surgeon
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