How Long Will PIH Last After TCA Peel?
- Asked by xjc5151x in San diego
- 3 years ago
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.
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 occurs, mild corticosteroid creams and retinoids are the best bet, but it can last months. For this reason, I urge "an ounce of prevention" over the pound of cure.
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 everyday (SPF 30 or higher), and reapply every 2 hours if outside for a prolonged period of time.
After your healing process is completed (approx. 4-6 weeks) I recommend a follow up with your dermatologist and starting on a regimen of a retinol/hydroquinone or Triluma to be applied at bedtime. Doing a series of light TCA peels (10%) can be beneficial as well. Good Luck!
TCA follow-up treatment
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.