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TCA Treatment for Keratosis Pilaris?

I have bad keratosis pilaris on my upper arms. It's not bumpy--just a lot of very red spots under the top layer of my skin. I used 30% TCA a few days ago, at the moment it's doing nothing. Is it possible that my skin will still start peeling, and is it safe to use it again or should I wait? Is TCA a good solution for keratosis pilaris? If not, do you know what is? Thanks.

Asked 33 months ago by Keratosis in Holland
Sort 3 expert answers by:
+2

Chicken Skin

Keratosis Pilaris is a very common condition. We dermatologists see a number of cases each week. Some expressly come concerned about this rash and others present with an "oh,while I am here can you look at this" mode. Many of these patients do not know what they have until we put a name on it. KP occurs in up to 35% of the general population. This is a condition that tends to improve with age, but is certainly seen in a number of adults. Like psoriasis it improves in the... more
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
+1

Keratosis pilaris or KP treatment with KP Pads available for daily application on the arms and thighs

Keratosis pilaris or KP is a chronic condition and can be improved by TCA peels. I would recommend a daily regimen of exfoliation with a combination of KP Pads (brand name) and ammonium lactate. This will help unclog the keratin plugs.
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

TCA probably not the best treatment

I agree a TCA peel may remove the kertain that plugs the follicles and makes them bumpy, but  al onger-term and more gentle treatment like Retin-A and moisturizers are a better option. Consistency to the tretament offers the best chance of long term control.
John LoMonaco, MD
Houston Plastic Surgeon
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