30% TCA Peel on Acne Scars?

I am a 40-year-old middle eastern women. Two days ago, I did a 30% TCA peel on five dark acne scars. However, the acne scars seem to be getting darker. Is this normal? What should I do to prevent them from getting darker? Any advice you can give me would be appreciate. Thank you.

Doctor Answers 2

TCA peels can darken acne scars.

TCA peels can darken acne scars. This is called post-inflammatory pigmentation and may resolve on its own. For a patient with this experience pretreating with hydroquinone and retin A may be preventative.

Chicago Dermatologist
2.8 out of 5 stars 5 reviews

TCA Peel on Acne Scars and Hyperpigmentation

Thanks for the question.

Its difficult to determine your clinical status without having the liberty of seeing a photo. It is possible to develop hyperpigmentation or hypopigmentation after a chemical peel, depending on the strength of the peel, time of treatment, etc.  Although this condition is often temporary, you may require a bleaching regimen to help you achieve confluence. I recommend that you follow-up with a board certified dermatologist or plastic surgeon for an evaluation.

Warmest Regards, 

Glenn Vallecillos, M.D., F.A.C.S. 

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 31 reviews

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