70% TCA. Problem? (Photo)

Question

now day 5 still no peeling. painted 70% TCS layers back and forth with a brush. stung 20 minutes. was told didn't need to neutralIze as meant to stop anyway after 5. I waited 3 days. is red and wrinkly but no peel and didn't turn white when first put on. was told it should if working. so did another 70% peel day 3. it looks red and wrinkly like tissue paper. no burning pain but a deep ache and throb. I have fair to medium skin. when will it start to peel? does moisturiser slow it from starting?

Nelson Lee Novick, MD · Answer

By definition, the use of TCA in concentrations of 50% or more, or in concentrations of 25-35% in combination with other acids in higher concentrations, such as glycolic acid, actually constitute a medium depth peel or even deeper peel. And the deeper the peel, the more the potential for serious and potential irreversible complications. Furthermore, the use of higher concentrations on non-facial areas, such as the neck, chest and extremities, carries that much more of a risk for the development of prolonged post-treatment hyperpigmenation and even permanent loss of pigmentation and scarring. The more coats applied the stronger the peel and the greater the potential for problems.  Prolonged redness is usually a sign of potential complications. Chemical peeling is an aesthetic specialty unto itself and takes training and experience to perform properly and safely. I certainly understand the allure of do-it-yourself home treatment to save time and money, but playing with strong acids on one's own is literally playing with fire. Let this serve as a warning to anyone else reading this column contemplating self-treatment with strong peeling agents.  At this point, I would suggest seeing an aesthetic physician asap to evaluate your situation and initiate appropriate treatment. Best of luck to you.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Very important to look after this peel wound. Firstly prevention of infection, secondly prevention of skin colour changes, and thirdly the use of emollients like WSP , aqueous cream or aquaphore. Your Specialist can guide you. Personally, I follow up all my TCA full face peels at least twice before discharge- once day one post op ( most patients have marked swelling), nursing follow up day 4, and discharge at day 7-9. All the best, Dr Davin S. Lim Brisbane. Australia.

70% TCA. Problem? (Photo)

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70% TCA. Problem? (Photo)

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Everything you need to know about TCA Peel

Our mission is to create a world where every investment in modern beauty is Worth It.