I have had acne since I was around 11. I am now 21 and my face is covered in boxcar scars. Would a TCA peel be effective for me?

I've tried many creams, soaps and gels over the years but they did not work. I mostly have the scars and horrible looking spots now.

Doctor Answers 4

Atrophic acne scars

TCA peels, subcision, microneedling, fractional laser, Ematrix fractional RF, and fillers can help improve acne scars and are used frequently in our office to help reduce atrophic acne scarring. 

Best, 
Dr. Karamanoukian 
Los Angeles


Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Best Acne Scar Treatment

A photo would be most helpful to offer an opinion to your type of scars.  In general, laser treatment is most effective to remove acne scars.  Depending on your skin type and the type of scars either Fraxel laser or eMatrix are the most effective lasers.  Please consult a board certified dermatologist with a great deal of experience with lasers for the best cosmetic results.

Infini is treatment of choice for acne scars

The infini seems to be a very safe, low downtime procedure to treat acne scars in all skin types. Filler might also be needed and Bellafill is a good choice for this in combination. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

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TCA vs Fully ablative laser resurfacing

If box cars are shallow, the use of fully ablative laser is my preference. Why? Because greater than 80% of these scars will be treated in the one session. Downtime? 8-10 days depending on the depth. 
If the box cars are deep, sure, several sessions of TCA, followed by laser. 

Fixing scars really depends on three factors-

1. Your type of scars
2. Your skin type
3. Your allowed downtime. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 62 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.