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TCA is not the preferred removal method for skin tags. Scissors and topical numbing medicine are much more successful (usually when a dermatologist wields the scissors!)
TCA peeling can burn very deep depending on the concentration and the number of layers it is applied. It should be used by the DOCTOR only who has knowledge of skin types and color and it's uses. It is not used for warts????? Now you describe hyperpigmentation post inflamatory. Post...
TCA comes in many different strengths. When you get to 35% or higher then pain is going to need to be managed, That being said, I have some patients who need no anesthesia when I perform a 35% TCA peel but they are rare. In general, 4 nerve block injections do well to minimize much...
This strength TCA should only be used by a trained physician. Even a much lower strength TCA can cause a very deep peel depending on the type and thickness of skin and how it is applied.
