What Is a TCA Chemical Peel?

What Is a TCA Chemical Peel?
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In an age where cosmetic surgeries seem to be on their way to becoming as commonplace as facials, chemical facial skin peels have grown in popularity as a non-surgical alternative. Because different strengths of chemical peels are available, this procedure can appeal to a variety of people, from those who want a light touch up that will leave their skin with a healthy glow, to those who wish to diminish deep wrinkles and blemishes.

The Basics

A TCA chemical peel is a procedure during which a surgeon applies a chemical solution to the patient's facial skin in order to improve its appearance and texture by peeling off the outer layers, thereby exposing fresher and smoother skin. The chemical solution---trichloroacetic acid in the case of a TCA peel---is applied to the chosen facial areas with a brush, cotton pad or swab, or sponge, while the lips, eyes and brows are protected.

Types of Chemical Peels

A TCA chemical peel is normally used for those who desire a medium-strength peel. It is ideal for fine wrinkles, blemishes and areas with pigment problems, as well as for those with darker skin. An AHA--alpha hydroxy acid---peel is milder in strength than TCA, and usually several treatments are performed until the patient is satisfied with the results. It is used for superficial imperfections such as fine wrinkles and dry areas. A phenol peel is stronger than TCA, and it treats coarse facial wrinkles, sun-damaged skin, and pre-cancerous growths.

Benefits

A TCA peel is a quick procedure --- normally it takes about 30 minutes to perform a full face treatment --- that will leave your facial skin distinctly softer and rejuvenated. The depth of the peel can be adjusted by making the chemical solution stronger or milder, and the recovery time after the procedure is shorter than with a phenol peel. During recovering it is normally not necessary to use a covering or ointment on the treated areas.

Considerations

During a TCA chemical peel you may feel a warm or hot sensation for the first ten minutes, then a stinging sensation. Pain medication may be used during and after the procedure for a deeper peel. A stronger peel may require two to three days of recovery time with limited activity. Depending on the concentration of the peel, you may experience swelling after the treatment, as well as the formation of scabs or crusts over the treated areas.

Preparation

Your doctor may recommend pre-treating your facial skin with Retin-A or an AHA cream so that the TCA solution will be absorbed into the skin more thoroughly. Lab tests may be done to ensure you have no allergies to the chemicals that will be used. Because the TCA peel is usually done under local anesthesia while you are sedated, you will need to arrange for someone to drive you home after the procedure.

References

Article reviewed by V. Mac Last updated on: Nov 18, 2010

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