You ought to return to the practitioner who applied the peel.

Bryan K. Chen, 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.


Bryan K. Chen, MD
11 months ago

Redness, swelling and some crusting for 7-10 days after an aggressive chemical peel is expected, but worsening redness after 5 days is concerning for possible infection e.g. cellulitis.  A contact dermatitis or other complication is also possible.  I would advise you to follow up immediately with the individual who applied the peel (if he or she is a qualified practitioner experienced in dealing with post-peel complications).  The faster a post-peel complication is appropriately managed, the lower the risk of long-term scarring and pigmentary problems.   

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