Can TCA Cross be performed to help ice pick scars on forehead?

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Yes, TCA cross can be used to improve ice pick scars, but keep in mind, a  combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, Cosmelan, TCA cross, punch excision and fillers. It will take a series of treatments and will need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Hi jkieeriz, TCA Cross is actually very effective for ice-pick scars. However, the opening is very small so the proper technique should be used so the acid doesn't spread. Best paired with Bellafill.All the best, Justin Harper, M.D.