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?

David Hansen, MD · Answer

Several light TCA peels at $175-250 each at 2 week intervals followed by twice daily cortisone lotion for 2 weeks and daily sunscreen and nightly triple bleach cream works amazingly to resolve melasma.  Once clear then you use the triple bleach weekly and a daily sunscreen to prevent recurrances.

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.

How Effective Are Frequent TCA Peels for Melasma?

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Answer: TCA peels are very effective for melasma

Answer: TCA peels are very effective for melasma

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Answer: TCA Peels

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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 are very effective for melasma

Answer: TCA peels are very effective for melasma

Answer: TCA Peels

Answer: TCA Peels

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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.