TCA Chemical Peel for Acne Scars

Chemical peels is not a very effective treatment for significant acne scarring. Chemical peels in general are placed on the surface and penetration is similar in all areas of the scar so their major improvement relies upon improving skin texture. With acne scarring whether it is raised or depressed, the goal is to make the skin as close to one level as possible. For example, it is like driving over hills and valleys. The deeper the valleys, the more visible the scars. The higher the hills, the deeper the adjacent valleys appear. In my opinion, either a laser abrasion typically a CO2 laser or dermabrasion are effective treatments for any significant degree of acne scarring since they take the hills down or stretch the valleys so that the skin is smoother. Chemical peels are not effective in producing this type of an effect or improvement.

Our office performs both deep chemical peels, laser resurfacing, and sublative treatments for acne scars. All of these treatments provide benefits for different types of acne scars. Best, Dr. Karamanoukian

While TCA chemical peels can be helpful for acne scarring, fractional CO2 laser does a better job with significant greater tissue collagen remodeling.

Thank you for your message! Generally, a combination of treatments provide the best result for diminishing the appearance of acne scarring, of all types. Chemical peels, such as a TCA based peel is an option, though we often recommend incorporating microneedling and laser resurfacing. Multiple treatments of each are typically needed and sometimes, depending on the tone of your skin, a pre/post treatment may be needed. I would recommend a consultation with a provider in your area for further assessment! 

Your scars have to be examined. A peel can help some scars and won't help others. Only an examination can determine if you would benefit from peeling for scars.