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Blackheads Normal After Laser Resurfacing and TCA Peel?

I had laser skin resurfacing done on my face and a TCA chemical peel on my neck about three weeks ago. Now, I'm getting a lot of blackheads! I'm following all the directions my doctor gave me on cleansing and moisturizing (I'm done crusting and peeling). Is this normal? Will it eventually stop?

Asked 37 months ago by KirstenLP in Denver, CO
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+1

Skin debris after laser resurfacing can cause blocked pores, pimples and blackheads

Laser resurfacing vaporizes skin cells. During healing dead skin cells and debris often block the pores. Build up of skin secretions behind the blockage can cause pimples, blackheads, and small whiteheads called Milia. Good cleansing of the skin is very important after laser resurfacing. Once the skin is healed microdermabrasion can help and milia can be extracted by the aesthetician. Topical steroids can help the first 2 weeks and after 6 weeks I use topical Retin A and microdermabrasion... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
+1

What you are experiencing is somewhat common.

Post resurfacing, you are more likely to develop blackheads if you are applying a pore-clogging substance such as Vaseline or Aquaphor. You can discontinue these and frequently apply a bland moisturizer, e.g. Cetaphil. Things that can help: gentle facials, extractions of the blackheads by your doctor. Continue to avoid picking or manipulating the skin. Good luck.
Bryan K. Chen, MD
San Diego Dermatologist
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