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Can a TCA Chemical Peel Treat Post Inflammatory Hyperpigmentation (PIH)?

The marks that are a red/brown color were left by cysts. Would a TCA chemical peel have any effect on them?

Doctor Answers (3)

Treating Pigmentation and acne scars with TCA peel


Yes, a TCA peel will improve post inflammatory hyperpigmentation in combination with a sound topical skin care regimen.


I also recommend a Melapeel for my patients to improve PIH. 

Los Angeles Plastic Surgeon
5.0 out of 5 stars 47 reviews

Along with topical regimen, the Peels should help


The tried and true TCA-Jessner's peel is an excellent strategy to combat post-inflammatory hyperpigmentation (PIH). It absolutely must be done in concert with a topical regimen including Hydroquinone and Retin-A. Typically, a series of lighter concentration peels (10-15%) are employed in series to treat PIH. A commitment to meticulous sun protection is required throughout this regimen for both success and safety. 

Stephen P. Smith, Jr., MD
Columbus Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Yes, TCA peels would help


TCA chemical peels really help with post inflammatory hyperpigmentation such as acne marks. If your skin is more asian or black then a few light TCA peels 10-15% every 2-3 weeks do good. I like to use a bleaching cream with it as well such as Tri-Luma to help prevent any unexpected pigmentation problems and of course a sunscreen as well.

The TCA peels run about $250 each for the face. You can also do spot treatments instead of the whole face which are less expensive.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

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