Fast facts

TCA Chemical Peel


What it is: A chemical peel that utilizes trichloroacetic acid, a common chemical for medium depth peels, with varying concentrations. A TCA peel is intended to improve the skin texture and tone of the skin.  


What it addresses:  Minor skin conditions such as:

- Fine wrinkles
- Surface discoloration
- Uneven skin texture
- Uneven skin tone


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Question

Can a TCA Chemical Peel get rid of under-eye fine lines and blood vessels?

Hi. I would like to get rid of some visible blood vessels and fine lines (pigmentation) that I seem to get even if I mostly keep out of the sun. I am 19 years of age, with very light skin, and I've had laser done to remove these dark lines before. Sadly though, they keep coming back, and I was thinking of getting a TCA Peel. Would it be more effective?

If so, what TCA % would you recommend for fair-skinned individuals. I am confident in your knowledge in this area as well as the suggestions I'd get. Thank u very much.

Graeme


Asked by: Gumbi
Johannesburg

Answers (1)

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1
September 25, 2008

Fine Wrinkles Yes, Blood Vessels No

Kamran Jafri, MD
Kamran Jafri, MD
Board Certified
Facial Plastic Surgeon

Hello in Jo-Burg,

TCA peels are a very effective way to improve skine tone, fine wrinkles and discolorations.  They are not as effective with blood vessels below the skin for the simple fact they do not penetrate deep enough to do so (nor should they!).

TCA 20-30% combined with Jessner's solution is very effective and based on the degree of wrinkling you have very well may eleminate them.  Prepping with Retin-A before and after the peel really enhances the results.  The peel takes a week for all the skin to peel off and you will need to be very careful with sun exposure as you heal (sounds like you are already doing that).

Based on your description of the blood vessels, I would advise exploring lasers further with an expert who does facial lasering as one their primary areas of expertise.

It is possible that with the toning effects of the peel on your skin the blood vessels will become less visible - hard to predict without actually seeing you.

Other potential considerations are intradermal Botox or fillers to enhance the eye area and minimize the appearance of the blood vessels.

Hope this helps, Dr. J

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