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Liquid Nitrogen or 30 Percent TCA for Brown Freckle?

asked 2 years ago by isa1972 in ky
Latest answer by Samir Shureih, MD
Question viewed 609 times
Tags: lower eyelids, breast feeding, brown spots, freckles, pregnancy

I have a brown spot on my right lower lid that I would like to remove. My dermatologist suggested either liquid nitrogen or 30% TCA.

I put the treatment on hold because I got pregnant. I would like to have it done now but I'm breastfeeding. Should I still wait until I'm done breastfeeding and which of the 2 treatments will be better?

The freckle got darker during pregnancy, it is not as dark now but is still noticeable.

4 answers to Liquid Nitrogen or 30 Percent TCA for Brown Freckle?

+1

Dark freckle

Wait and do not do anything now, your hormonal status while lactating makes the pigmentation more darker and the results of eithr method will be difficult to predict. Either method may leave a white mark behind. So depending on your color you may need a complete face TCA peel slightly deeper at the freckle.
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Wait until after delivery

In my experience the increase of melanocyte stimulating hormone (MSH) during pregnancy often results in post-inflammatory hyperpigmentation. This means the lesion may come right back. Wait until after delivery and your first menses to know your hormone level is back to normal, then any of a number of treatments should do the trick: laser, 35%TCA, cryotherapy are the most commonly used.
Mary Lupo, MD

New Orleans Dermatologist
+1

Liquid nitrogen is better

Liquid nitrogen better choice, in one or two sessions over a months time. TCA better for skin improvement.  Go find 3 docs to help you decide. Regards
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Prefer Cryotherapy for eyelid lesion

For a solitary lesion like this; in a location such as the eyelid, I would prefer gentle cryotherapy. This should definitely be performed with a cotton swab (tip) and rolled across the lesion. Not sprayed. There would be no contraindication with nursing. The lesion darkened because the estrogen receptors on the melanocyes (the pigment making cells) were activated.
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

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