TCA peeling? Questions for 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 storage of melanin in the skin and leads to pigmentary shifts.

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

Read also: Facial plastic and aesthetic treatments, Facial plastic surgery, Facial aesthetic treatments, Dermatological and reconstructive surgery

What is a TCA peel?

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

How does TCA peeling work?

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

Can the TCA peel be combined with a surgical face lift?

Yes, the TCA peel is ideal in combination with a surgical face lift and results in an improved appearance of the skin.

What can the TCA peel be used for?

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

Is the treatment painful?

We use the medium deep peel with a 15% TCA solution and is very safe. You will feel a slight warm sensation during application.

How long does the TCA peel last and what do I have to bear in mind after the therapy?

Stop retinol treatment one week before the peel. Similarly, you should avoid sun exposure one week before the treatment. You should not use make-up, perfume or face cream on the day of treatment. The treatment lasts approximately 30 minutes. After treatment, increased UV sensitivity will remain for several weeks. In order not to complicate the healing process, a strong sun protection SPF 50 is very important until 3 weeks after the treatment. You can apply this 2 weeks after the treatment, before that you should avoid the sun. After the peeling, neither water nor cosmetics should be applied to the treated areas within the first three days.

After this period, you may gently cleanse the face and apply a moisturiser. We can give you a face cream containing coritson to reduce swelling. You will also receive a bleaching cream to prevent pigmentation problems. After 1 week you can use your usual cosmetics. Retinol-A treatment can be resumed 10 days after the peel - but initially only every 2nd or 3rd night as the skin is very sensitive.

To maintain the peeling result, an after-treatment with special nourishing externals is recommended (e.g. ointment containing fat).

How often is the treatment carried out?

4 peels at four-week intervals + 6 weeks of cream = 1 regeneration cycle that can be repeated up to 3 times.

What are the side effects?

The treatment is suitable for Fitzpatrick skin typeI-IV. Possible complications are swelling, redness, itching, pigmentary shifts especially in darker skintypes (Fitzpatrick skin types V and VI), or herpes simplex and bacterial infections.

If you have had herpes simplex in the past, we recommend anti-viral shielding (400 mg of aciclovir three times a day starting 24 hours before the peel for six days until complete re-epithelialisation) with valaciclovir (Valtrex®).

How long will I be unable to work?

The first 2 days after the peeling, the treated skin will feel tight. On the 3rd and 4th day, the skin will flake significantly more. The ideal time for peeling would be, for example, on Thursday afternoons.

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

When can I do sports and shower again?

24h after the treatment you may shower for the first time. Gently wash the exfoliated area with cool water. Thereafter, the skin should be washed very gently in cool water before each application of the skin care ointment. This daily routine will continue until the peeling is complete.

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

What are the costs?

Counselling is free of charge.

The cost of a treatment is agreed in advance depending on the region and severity. Usually packages of 4 treatments are agreed, 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 questions about the aesthetic facial treatments?

Contact us for a meeting.

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