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TCA Cross healing concerns. What can I do? (Photo)

MWMomMar 5, 2023
I had CO2 + fraxel peel 5 mths ago, but still had ice pick scars on nose + forehead, so got 30% TCA cross 3 1/2 weeks ago. Since then, I've been staying indoors, keeping wounds wet with growth factors, Neova Clinical Repair Copper Peptide Cream (which is a thick vaseline-like cream), Noeva Cu3 Recovery Lotion + emu oil. They don't seem to be healing. I eat a nutrient-dense diet, no smoking or alcohol, but as I'm keeping wounds moist, scabs have not developed. What to do? Thank you

Answers (1)

From board-certified doctors and trusted medical professionals
Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Nov 19, 2023
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Nelson Lee Novick, MD

I have been routinely performing TCA CROSS for well over two decades with gratifying results for treating ice pick scars and dilated pores in persons of all skin types. Because the TCA is placed down the shafts of these narrow scars and pores, there is typically little disturbance to the surface...

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Kenneth D. Steinsapir, MD

You may or may not scar from this. However, post inflammatory hyperpigmentation would not be surprising. Active management of the wound will be important to reduce the risk of secondary infection and to attempt to control the expected hyperpigmentation. Even 15% TCA is not a product that should...

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Jason Emer, MD

​Hyperpigmentation of any kind needs a combination approach of peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly,; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant s...

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