It will resolve but you need to see your doc and get some meds to clear it up faster

David Hansen, MD answers: Was the 50% TCA Chemical Peel too strong?

I am about to turn 40, and a friend insisted that she could take nearly 10 years off of my face through a 50% TCA Chemical Peel. Everything seemed okay, but after 5 days I noticed that my cheek area (both sides) had developed a bright red rash which is a bit swollen, feverish, and somewhat uncomfortable. Was it too strong for me? When will this subside and what can I do to make it better? I feel stupid and had never done anything like this before and never will again.


David Hansen, MD
11 months ago

After a 50% TCA I would expect your whole face to be red, swollen and tender (not just your cheeks). If there is pus or oozing then you need a topical prescription antibiotic such as Bactroban 3 times a day. Most redness and swelling at 5 days is to be expected and can easily be treated with prednisone 20 mg twice a day and a topical steroid cream such as triamcinolone cream 0.1% twice a day.

Blisters and sores around the mouth would indicate a reactivation of your cold sores or fever blisters which would require anti-viral pills but it doesn't sound like you have that. See your doctor and have him evaluate you to see if you need something special. Most people will panic after a stronger peel and really only need reassurance that everything is going according to plan.

After you finish healing, then I would be surprised if you didn't notice a significant difference in your skin. Be patient. Hopefully you will be pleasantly surprised in the end and won't give up on chemical peels since they are so important in keeping your skin healthy and young looking.

Sincerely,

David Hansen, MD

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