TCA scrub? Questions to PD Dr. Mathias Tremp

Many patients suffer from fine scars on the face, skin irregularities, small wrinkles or sun-related skin damage. Also relatively widespread is the so-called melasma or chloasma, an excessive accumulation of melanin in the skin, which leads to shifts in pigmentation.

The TCA peeling is a gentle, non-surgical facial treatment and is well tolerated by all skin types and ages.

Also read: Plastic and aesthetic facial treatments, plastic facial surgery, aesthetic facial treatments, dermatological and reconstructive surgery

What is a TCA peeling?

TCA (trichloroacetic acid) peeling is a chemical peeling method used as a cosmetic or dermatological procedure to treat small impurities and wrinkles of the skin. The treatment is combined with various fruit acids.

How does TCA peeling work?

Dead skin flakes of the uppermost skin layer (epidermis) are detached by the aggressive properties of trichloroacetic acid. The procedure belongs to the "medium-depth peels"; it also reaches the dermis (dermis). TCA is a keratolytic and should be performed by a physician to avoid burns of the skin.

Can TCA peeling be combined with a surgical facelift?

Yes, the TCA peeling is ideally suited in combination with a surgical facelift and leads to an improved appearance of the skin.

What can the TCA peeling be used for?

TCA peeling can be used to treat superficial acne scars, fine wrinkles, pigmentation marks such as melasma or age spots. Special treatments are suitable for décolleté, hands, forearms and stretch marks.

Is the treatment painful?

We use the medium deep peeling with a 15% TCA solution and it is very safe. During the application you will feel a slight sensation of warmth.

How long does the TCA peeling last and what should be considered after the therapy?

The affected skin does not need to be prepared. The treatment takes about 30 minutes. After the treatment an increased UV sensitivity remains for several weeks. In order not to complicate the healing process, a strong sun protection SPF 50 to 3 weeks after the treatment is very important. After peeling, neither water nor cosmetics should be applied to the treated areas within the first three hours.

After this period you may apply moisturising creams or sunscreen. You will also receive a bleaching cream to avoid pigment problems. After 1 week you can use your usual cosmetics. A Retin-A treatment can be resumed 10 days after the peeling - but initially only every 2nd or 3rd night, as the skin is very sensitive.

In order to maintain the peeling result, an after-treatment with special caring externals is recommended (e.g. ointment containing fat).

How often is the treatment performed?

4 peelings at intervals of one week + 6 weeks cream = 1 regeneration cycle, which can be repeated up to 3 times.

What are the side effects?

Possible complications include swelling, redness, itching, pigmentation changes, especially in darker skin types, or herpes simplex and bacterial infections.

If you have had herpes simplex in the past, we recommend an anti-viral shielding (400 mg acyclovir three times a day starting 24 hours before the peeling over six days until complete re-epithelialization) with Valaciclovir (Valtrex®).

How long will I be incapable of working?

The first 2 days after the peeling the treated skin feels tight. On the 3rd and 4th day, the skin will become much more flaky. Ideal would be, for example, a peeling on Thursday afternoons.

On Friday, work can still be carried out without restrictions, at the weekend the peeling process takes place and at the beginning of the week work can usually be resumed.

When can I do sports and take a shower again?

24 hours after the treatment you may take your first shower. Gently wash the peeling area with cool water. Afterwards the skin should be washed very gently and cool before each application of the care ointment. This daily routine will continue until the peeling is completed.

Avoid pronounced facial expressions, bending, tension, sports activities and smoking until the skin has completely healed.

What are the costs?

The consultation is free of charge.

The cost of treatment is agreed in advance depending on the region and severity. Usually packages of 4 treatments are agreed upon, sometimes an annual flat rate is also useful and can be combined with additional facial treatments such as Botox, PRP (Platelet Rich Plasma/own blood) or fillers.

Do you have any questions about the aesthetic facial treatments?

Contact us for a meeting.

PD Dr med Mathias Tremp Surgery

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