Multiple TCA peels work wonders !

For the average 37 yr old caucasian with medium complexion and  with sun spots and sun damage, I recommend 1 or 2 chemical peels of the combination Jessner's solution plus 35% TCA given at 2-4 week intervals.   The cost is roughly $1000-1,500 each and does wonders for the skin although you do look bad for about a week or so.  Some patients prefer no down time and therefore will do 5-6 lighter Jessner's solution plus 10% TCA peels at 2 week intervals at a cost of roughly $350 each.  Good after-care is very important with use of a steroid lotion such as desowen lotion twice a day for 2 weeks and a combination bleaching cream with retin A after 1-2 weeks at night and SPF sunscreen in the morning.

Once you get your skin looking great then don't forget to do a light one every 6 months as a refresher to keep your skin looking refreshed.

Sincerely,

David Hansen,MD

Assessment of patients preoperatively is crucial to the success of a chemical peel.  Although a clinical examination is necessary for individualized recommendations, Caucasian patients with melasma and sun damage are candidates for a medium depth TCA peel.

I routinely perform chemical peels in my office and have found them to be effective with a high safety profile.  Preoperatively, I instruct patients to utilize a specific and accelerated skin protocol to ensure that the risks of the chemical peels are minimiized.

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