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TCA Cross Chemical Peel for Treating Acne Scars


Jean Chapman, M.D. uses 75% to 90% Trichloroacetic Acid (TCA) to treat ice pick or boxcar acne scars. She uses an applicator to instill a tiny amount of TCA into the base of the scar. Each scar is treated individually. On average it take between 20-30 minutes to perform a session of TCA cross. The procedure itself is very well tolerated, with little discomfort.

When TCA is applied at a very high concentration, it stimulates collagen formation from the bottom of a deep acne scar. This collagen formation is gradual, and over 2-3 treatments, collagen fills up from the depths of the pick scar. The concentration of TCA will vary between skin types, and depth of scarring.


Facts About TCA Cross Chemical Peels:

  • Deep acne scars, such as ice pick scars can be very difficult to treat and do not respond to laser treatments

  • Treatment with the TCA cross method is well tolerated and recovery is quicker than with laser treatment

  • TCA cross can be used on all skin types, including darker skin patients

  • In some cases, Dr. Chapman will combine TCA CROSS with other treatments such as Fractionated laser, full laser resurfacing and FractoraRF treatments for scar revision

  • Dr. Chapman has excellent results with the TCA Cross Chemical Peel. Most patients will require two to three treatments for best outcomes

Recovery From TCA Cross Chemical Peel:

Immediately following TCA cross, the treated skin will turn white. Over a few hours, the area becomes much redder than the surrounding skin. Pin-point areas surrounding the treated area may peel over the next 3-4 days. The skin slowly returns to its normal color over 8-21 days. In darker skin patients, pigmentation changes maybe more prolonged. It is essential that sun exposure is avoided in all patient for at least 2 weeks following a TCA Cross chemical peel.

Recovery is also dependent on the strength of the TCA CROSS chemical peel. A higher concentration means a longer recovery time.

Each patient is unique; therefore, results may vary.

Icepick acne scarring is traditionally the most difficult type of acne scarring one can get. It is important to use an experienced physician like Dr. Chapman who is an expert in acne scar revision.  Remember, there are many types of acne scars, in different skin types. Dr. Chapman is equipped with training, expertise and the latest technology to deliver the best results to her patients.  Dr. Chapman has performed this technique for many years with success at LaserMed Skin & Vein Clinic in Alpharetta, GA

Dr. Jean Chapman is well known for her treatment of acne scaring throughout the Atlanta Metro Area including Roswell, Johns Creek, Milton, Alpharetta, and Duluth, GA.

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