TCA Peel: Q&A
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How Long Will PIH Last After TCA Peel?
I had a 40% TCA peel done by my dermatologist that left my face with Post inflammatory hyperpigmentation (all over my face) and prolonged redness.
I look really bad, and I am just wondering what is the longest amount of time I can expect to look like this (it has been 3 weeks since my peel)? I am a 21 year old male, with light brown hispanic skin.
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5 Doctor Answers |
Asked by
xjc5151x
in San diego
+3
This must be treated quickly
PIH is a common complication for type III skin like hispanic skin. To avoid it, I usually peel such patients in the winter months. I recommend at least a 2 week pre-treatment with Triluma nightly, a high SPF daily (rain or shine) and immediately after the peel is healed, return to the Triluma. If there is any persisting redness at 2 weeks, it needs to be addressed quickly with a corticosteroid cream for 2 weeks to reduce the inflammation quickly before the pigmentation starts. Once PIH...
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+2
PIH after TCA peel
It has only been 3 weeks, so you are still healing. Hispanic skin is prone to hyperpigmentation. You should have pre-treated with a retinol/hydroquinone blend for at least 2 weeks prior to the 40% TCA peel, which may have prevented it in the first place. Now that you have done the chemical peel and experiencing "post-inflammatory hyperpigmentation" the best option for you right now is to wait a couple more weeks to complete the healing process. Wear a broad spectrum sunscreen...
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+1
TCA follow-up treatment
I would recommend a follow up treatment such as a microderm with a 10% tca, followed by the Obagi skin care system or tri-luma. With ethinic skin, you almost always have to follow up with some sort of pigment correcting skin care products. Never leave home without SPF.
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+1
TCA peels
You are very early now. The best time to start treatment of the hyperpigmentation.
A good Skin care Like the OBAJI skin care and frequent light chemical peels.
You may also try Cosmelan mask and creams.
Baltimore Plastic Surgeon
+1
Hyperpigmentation can take months to resolve
Hyperpigmentation needs to be treated with various bleaching creams and can take many months to resolve. I would seek advice from a dermatologist in your area.
Good luck.
Dr. Lenore
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