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Mary Lupo, 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.


Mary Lupo, MD
11 months ago

I hate to second guess qualified physicians, so my first question would be if your friend is a board certified dermatologist or plastic surgeon familiar with aggressive peels and how to manage the wound healing period and any complications.

50% TCA is aggressive and seldom used (but not incorrect under certain circumstances) because of safer options of layering peeling agents of lesser concentration. The other issue is who compounded the TCA and how old is the batch since it can get more concentrated if expired.

Please always make sure all options are discussed before treatment. A laser or lighter peel may have been fine to accomplish your needs.

Please go back and see the treating physician who can manage your unusual complaint post-procedure.

Good luck!

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