How Effective Are Frequent TCA Peels for Melasma?

Question

I've had TCA peels for my diagnosed melasma, the process is slow but there are some improvements. How effective will frequent treatments be?

Philip S. Schoenfeld, MD, FACS · Answer

Melasma is a very stubborn problem where you must deal with the treatments to alleviate the melasma, but, also prevent new areas from forming and recurrence of the melasma.  TCA treatments can have varying strengths.  The lower the percentage, the weaker the peel and the less deep the peel will penetrate.  If it is a 10% TCA peel it can take several peels to get to the level of the skin where the melasma has originated, and still may not alleviate the melasma.
Combination products that include Hydroquinone, Retin A, and a hydrocortisone if there is an inflammatory component will help decrease the melasma and prevent recurrence.  Also, sunscreen is essential.

Otto Joseph Placik, MD · Answer

You may want to consider the combined use of TCA plus a hydroquinone, Retin-A, and steroid preparation which may provide additional and more rapid response to treatment.

William P. Coleman III, MD · Answer

In the right hands, TCA peels are very effective for melasma. In the wrong hands they can lead to a worsening of the condition. Choose a dermatologist with lots of experience in pigmentary problems.

Samir Shureih, MD · Answer

It is much more effective to combine a good skin care (Obaji) , with peels to treat melasma.
The skin is prepared  for 6 weeks then start a series of peels and add triluma and TCA peels. Maintain with Obaji skin care and sunblock. If you are on hormones such as birth control and can stop then do so.

Lenore Sikorski, MD · Answer

Melasma is caused by various factors such as hormones, sun and skin type.  The more pigment in the skin the greater risk of developing melasma.
I would recommend talking to a knowledgeable dermatologist about all your option, including skin creams, lasers, peels and sun screens.  In order to obtain a lasting result, I recommend adding a pro-active skin care regimen.
I hope this helps.
Dr. S

How Effective Are Frequent TCA Peels for Melasma?

Answers (7)

Answer: TCA Peels

Answer: TCA Peels

Answer: Melasma can be hard to treat

Answer: Melasma can be hard to treat

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Everything you need to know about TCA Peel

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How Effective Are Frequent TCA Peels for Melasma?

Answers (7)

Answer: TCA Peels

Answer: TCA Peels

Answer: Melasma can be hard to treat

Answer: Melasma can be hard to treat

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Recommended reading

Everything you need to know about TCA Peel

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