How long to wait after V-beam treatment to get a TCA chemical peel for shallow acne scars.?

Question

I was planning on having vbeam treatment done to remove tiny red vein s on my face and I wanted to know how long should I wait to get a TCA peel done? It would be my first TCA peel to treat shallow acne scarring. Or should I do the TCA peel first and then do vbeam?

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

you can do both the V Beam and TCA peel on the same day.  we often do this in my practice. I suggest speaking to a cosmetic dermatologist with experience.  Best, Dr. Emer.

Dennis Gross, MD · Answer

Good question. I often recommend doing the VBeam laser with a peel. You can most definitely do a TCA peel the same day as your V-beam laser or afterwards. The TCA peel should always be done after the laser. You will see great results.

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