TCA 100% peel gone wrong a few days after microneedling, will this scar? (photo)

Question

It's been (one day) so far. I'm very worried that it will scar and stay this grayish color. It looks like a burn all over my checks and forehead. It doesn't look like it will peel because I believe the TCA was too strong for my skin and probably few days after microneedling didn't allow skin to heal quick before the peel. Will this be a permanent scar? Will this heal? I've been putting antibotic cream on it so far. What can I do on my own to heal this? No dermatologist near by. Help!

Jason Emer, MD · Answer

I recommend getting a consultation with a cosmetic dermatologist. Burns need a combination of:
1) healing lasers and light such as aerolase or laser genesis and LED therapy with light stim
2) topical growth factors, stem cells, antioxidants
3) oxygen facials
4) platelet rich plasma and A cell topically
5) sun protection
After 6-12 weeks you can treat for hyperpigmentation with cosmelan peels, hydroquinone, retinol or non ablative lasers like clear and brilliant or radiofrequency like venus viva. Best, Dr. Emer

Davin Lim, MBBS, FACD - Account Suspended · Answer

This is a full thickness burn. At 100% TCA with multiple coats- the eschar or slough is to the fat and muscle layer on your forehead. Logically this is a bad situation to be in.As Dr Emer has addressed - you will require topicals and wound care. This is imperative. Medium term- treat and prevent hypertrophic and keloid scars. Long term - possible skin grafts or POSSIBLY radiotherapy if dilute ILCS injections fail. This scar is a medical emergency. Dr Davin Lim. Brisbane.

TCA 100% peel gone wrong a few days after microneedling, will this scar? (photo)

Answers (2)

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