Tca Peel and Anesthesia

Question

What is the strongest % TCA peel that can be used on the face without the use of anesthesia or pain pills.

David Hansen, MD · Answer

I've done thousands of TCA peels and have never needed anesthesia nor pain meds for TCA peels at all.  What you will need is prednisone pills to take down the redness and swelling and you will need a good cortisone lotion, sunscreen, gentle cleanser and good followups with your doc and well as retin A or bleaching cream afterwards.  Sincerely,

	David Hansen,MD

D.J. Verret, MD · Answer

I would suggest that any TCA peel of 35% of greater needs some time of anesthesia. Generally I perform 35% TCA peels with immediate topical lidocaine. Everyone is different and if pain is a concern, consider having the peel performed with an intravenous anesthesia, though I have never had this be a concern.

Shawn Allen, MD · Answer

TCA comes in many different strengths. When you get to 35% or higher then pain is going to need to be managed, That being said, I have some patients who need no anesthesia when I perform a 35% TCA peel but they are rare. In general, 4 nerve block injections do well to minimize much of the discomfort. The peel is short lived and after pain control is not needed. Be sure you have an experienced dermatologist performing your chemical peels with TCA as they can scar if done inproperly.

Tca Peel and Anesthesia

Answers (3)

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Answers (3)

More TCA Peel Questions

Will a TCA Peel Under the Eyes Help with Small Syringomas?

How Long After Microdermabrasion Should I Wait to Get a TCA Chemical Peel?

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