Back Acne PIH. Glycolic or TCA Peel? (photos)

Question

Hi, I struggled with acne since I was 13 and now I'm 20. I believe I have Post Inflammatory hyperpigmentation from the old acne and I'm ready to get rid of these marks on my back. I'm of mixed race, black and white. I was wondering if my 30% Glycolic acid peel would get rid of the marks if I did it once a week for a month or so, or would a TCA Peel be better? If so what percent? I'd also like to know in case I go to a professional what peel would be better suited for my skin. Thanks!

Raffy Karamanoukian, MD, FACS · Answer

In my practice, I try to stay away from these combination regimens, as cortisones are non-selective inhibitors of melanocytes.  I would recommend my patients to start Melarase AM and Melarase PM for the pigmentation.
I would start with an intense skin rejuvenation protocol for age spots that includes fractional laser, Covalent chemical peels, and daily skin brightening creams to improve your skin’s complexion. Laser therapy, he adds, must be combined with a proper skin regimen to enhance and maintain youthful results.
He recommends the following skincare products for dark age spots: Melarase
MelaClenz Brightening CleanserMelarase AM: Day-time skin lightener with SPF 30Melarase PM: Night-time skin lightenerMelapads: Daily Exfoliating PadsReplenish Retinoid Cream: Exfoliating and skin-stimulating night creamBest, 
Dr. Karamanoukian
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

I might recommend specific laser therapies instead of peelings. There are a few dermatologist in Miami whom offer these lasers - Dr Waibel & Dr Jegasothy...

Back Acne PIH. Glycolic or TCA Peel? (photos)

Answers (2)