TCA Peel for Patient Who Had Cold Sores?

If I have had cold sores in the past, do I have to have medication prescribed before doing an 8% TCA peel? Thank you.

Doctor Answers 2

Viral prophylaxis for TCA peel

I agree with Dr. Whitt that prophylaxis would be a good idea and would suggest taking Valtrex as prophylaxis the same day as your chemical peel procedure (2 grams in the morning and 2 grams in the evening).

Good luck.

San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Viral Prophylaxis in TCA Peel

Although an 8% peel is very superficial and the likihood of an herpetic infection is very small, I would recommend treating you before and for a few days after your peel.  I give Valtrex to all of my peel or resurfacing patients if they have any history of cold sores, etc.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

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