TCA Peel After Jessner Peel Left Brown Spots

Question

TCA 25% 2 weeks ago & skin cracked in 2 spots & now have brown spots on face. Doctor told me it will take 3-4 weeks to heal. This peel was recommended by dr because I did a Jesner's peel 1 week prior and my face did not peel. Will these spots disappear or what should I do?

David Hansen, MD · Answer

You should be using a prescription bleaching cream and cortisone cream to help resolve those dark and red spots quickly.  Even another light jessners peel later can even out the color also.

Joseph Serota, MD, FACS · Answer

This could have been avoided altogether by pre-treating for a couple of weeks with a prescription bleaching cream, like hydroquinone, and tretinion. It looks like you have olive skin tone, which should always be pre-treated before TCA peels.

	Unfortunately, the peel has been done and hyperpigmentation has occured, but there is hope. Avoid direct sun exposure and wear a broad-spectrum sunscreen of at least SPF 30 or higher every day. Start using a prescription bleaching cream ASAP to help fade the brown spots and cortisone cream to reduce inflammation and calm redness. You should see improvement fairly quickly, but give yourself more healing time. It may take several more weeks, so be gentle with your skin and in time it will be looking much better. Good luck!

Darryl J. Blinski, MD · Answer

Thanks for the photo. It appears as a hyper-pigmentation effect. Treatment bleaching creams or hydroquinones. Seek a derm or PS advise

	From MIAMI Dr. B

Chad L. Prather, MD · Answer

Dark spots, or hyperpigmentation, can be a side effect of chemical peeling.  It is best managed immediately by the following:

	1. Sunscreen and sun avoidance - Don't get any sun on the face for the next few weeks

	2. Triple combination cream (such as Triluma) - hydroquinone, tretinoin, and low potency steroid cream - this is the mainstay of treatment

	If your peeling physician didn't speak with you about this, you should look for another one - preferably a board certified dermatologist or plastic surgeon.

TCA Peel After Jessner Peel Left Brown Spots

Answers (4)

Answer: Triple combination cream for dark spots after peeling

Answer: Triple combination cream for dark spots after peeling

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TCA Peel After Jessner Peel Left Brown Spots

Answers (4)

Answer: Triple combination cream for dark spots after peeling

Answer: Triple combination cream for dark spots after peeling

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Everything you need to know about TCA Peel

Our mission is to create a world where every investment in modern beauty is Worth It.