TCA and Jessner Peel for Better Results?

I have been having TCA 20% peels done so far i have had two and have had minor improvements. I was told that a combination peel would give better results. My surgeon recommended a TCA 20% with a Jessner peel to yield better results. I just want a second opinion to be sure.

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5 Doctor Answers | Asked by ferny1991 in Dallas, Tx

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Layered peels give more results

A good option to get more results, without using a stronger acid is to layer more than one acid. This is a published procedure and is a common practice among dermatologists.

Jessner and TCA peel

This is a reasonable and graduated approach to the peeling process. A Jessner peel in and of itself does little. In combination and as a prep for the TCA peel, the two can provide a gentle and more agressive approach than the TCA byu itself.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Adding Jessners to TCA peels will yield better results

A 20% TCA peelis a very minimal peel for facial skin improvement. I prefer 50% Glycolic acid peels with 10% glycolic home maintenance. Nevertheless, if you would like to stay with 20% TCA peels, adding Jessners solution would yield better results than the TCA alone.

Combination peels are more effective than single acid peels

Combination peels are more effective than single acid peels. Another choice which works better for some people is the "glycolic-TCA peel" which has been shown to be highly effective in several articles in the journal Dermatologic Surgery.

TCA and Jessner's combination a step up from light peels

A TCA and Jessner's combination chemical peel, originally described by Monheit, is definitely stronger than a TCA peel alone. In fact, it's an order of magnitude higher, going down to the dermal layer of the skin rather than just the epidermis. It also requires such things as prophylactic antiviral medications to protect you against herpes simplex (cold sore) outbreaks over the face. This combination is considered a medium depth peel, and has much more downtime than a TCA light chemical... more