Milia,Fatty Deposits Cautery and TCA Peel?

Is it possible to do a TCA peel and at the same time cauterization of milia and fatty deposits in the face?Will there be a hyperpigmentaion afterwards? Thanks! Maria

Doctor Answers 3

Electrocautery Works Well For Sebaceous Hyperplasia (Overgrown Oil Glands), Xanthelasma (Fatty Deposits) and Milia

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I have been using standard electrocautery for removing or flattening all kinds of growths for more than thirty-two years with gratifying aesthetic results. I have found this modality particularly useful for getting rid of overgrown oil glands that protrude above the skin surface (sebaceous hyperplasia); yellowish, fatty deposits around the eyelids (xanthelasmas); milia (essentially larger clogged pores related to sebaceous cysts); and even skin tags. After numbing the area with a little local anesthesia, the cautery--when set to the precise setting needed and triggered for the precise miniseconds needed--can heat the treated tissue to a temperature in which it literally "pops."  Performed in this fashion, quite a few lesions or even a large fatty deposit may be treated in just a couple of minutes. Healing is generally uneventful, like a healing scratch with a crust, and when treating small lesions, like milia, skin tags, and sebaceous gland overgrowths, leaves imperceptible aftermarks. The results of cautery treatments in my experience rival or exceed the more hyped laser alternative, and are typically much less expensive.

If a TCA peel (or any other peel, for that matter) is contemplated, I would strongly suggest that the peel be performed first and then the electrocautery treatment. If the order is reversed, the wound created by the cautery treatment might permit deeper-than-desired penetration of the peeling agent that might result in a burn and subsequent scarring.

Naturally, these procedures should only be performed by board certified aesthetic physicians with extensive experience with these treatment approaches.

New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews


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Treating milia and hypertrophic sabaciuous gland, can be done with Medical grade skin care and chemical peels. Laser resurfacinf( depending on your color can be very effectice too.

Samir Shureih, MD
Baltimore Plastic Surgeon

Treating Milia and Prominent Oil Glands While Doing TCA Peel

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It is possible to treat milia and prominent oil glands when undergoing a TCA peel. However, this should be done by a board-certified physician (preferably dermatologist) experienced in doing TCA peels and treating milia and prominent oil glands (sebaceous hyperplasia).  Healing and wound care are also important to avoid any permanent discoloration, depressions and/or scarring.

Channing R. Barnett, MD
Boca Raton Dermatologist
4.1 out of 5 stars 8 reviews

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