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Questions & Answers
Everything about TCA
What Are the Contraindications for Using TCA at Home?
Absolute Contraindications:
- Active skin infections (herpes simplex, bacterial, or fungal)
- Open wounds or skin lesions in the treatment area
- History of keloid scarring or hypertrophic scars
- Pregnancy or breastfeeding
- Recent use of isotretinoin (within 6–12 months)
- Hypersensitivity or allergy to TCA or any peel components
- Fitzpatrick skin types IV–VI (higher risk of post-inflammatory hyperpigmentation)
- Ongoing or recent facial surgery or laser procedures
- Uncontrolled diabetes or poor wound healing
- History of poor pigment healing or post-inflammatory hyperpigmentation
- Use of photosensitizing medications
- Recent waxing, electrolysis, or use of depilatory creams in treatment area
- Active inflammatory skin conditions (e.g., eczema, psoriasis, rosacea)
- Patients with unrealistic expectations
- Patients who cannot adhere to strict sun avoidance and aftercare
- Recent tanning or sunburn
What Skin Concerns Can the 35% TCA at Home Peel Treat?
35% TCA at Home Peel – Indications
The peel is suitable for:
- Hyperpigmentation and sun damage
- Acne scars and post-inflammatory marks
- Uneven texture and dull skin
- Fine lines and early signs of aging
- Enlarged pores
- Thickened or photodamaged skin
Best for:
Fitzpatrick skin types I–III (use caution in IV–V; prep protocols advised)
Patients who are committed to strict aftercare and sun protection
Who Should Not Use the 35% TCA at Home Peel?
- Active skin infections (herpes, bacterial, fungal)
- Open wounds or inflamed acne
- Recent sunburn or tanning (last 2–3 weeks)
- Recent use of isotretinoin (within 6–12 months)
- History of keloids or poor wound healing
- Pregnancy or breastfeeding (unless cleared by a physician)
- Hypersensitive skin or autoimmune skin conditions (e.g., eczema, psoriasis)
What are the pre-peel instructions?
(Start 5–7 Days Before Treatment):
Avoid:
- Retinoids (Retin-A, tretinoin)
- AHAs (glycolic, lactic), BHAs (salicylic), PHAs
- Vitamin C serums and any active exfoliants
- Benzoyl peroxide and acne treatments
- Waxing, shaving, or depilatory creams on treatment area
- Chemical peels, facials, microneedling, or lasers
- Direct sun exposure and tanning (beds or outdoors)
Do:
- Use a gentle cleanser and bland moisturizer
- Hydrate well with water and barrier-supporting skincare
- Apply SPF 50 daily, even indoors
- Patch test if it’s your first time or if skin is reactive
- Consult a medical professional if you have any doubts
Day Before the Peel:
- Avoid all active skincare
- Ensure skin is clean, dry, and free from irritation
- No alcohol, intense workouts, or heat exposure
What Is the Post-Treatment Care for the 35% TCA at Home Peel?
TCA at Home Peel 35% Post-Treatment Care Instructions
1. Immediately After the Peel (Day 0):
- Do not wash the treated area for at least 6–8 hours.
- Avoid touching, rubbing, or applying any products unless instructed.
- Redness, tightness, or a mild burning sensation is normal.
- Avoid heat, sweating, and sun exposure.
2. Days 1–3: Calm & Protect
- Cleanse gently with a mild, non-active cleanser (no acids, scrubs, or actives).
- Apply a bland moisturizer (e.g., petrolatum-based, ceramide cream, or aloe-based).
- SPF 50+ daily, even if indoors.
- Avoid makeup, active skincare, and any exfoliation.
- DO NOT peel, pick, or scratch — allow skin to slough naturally.
3. Days 4–7: Peeling Phase (if occurs)
- Peeling may begin around the mouth, chin, or cheeks.
- Continue gentle cleansing and generous moisturizing.
- Reapply SPF frequently if outdoors.
- Avoid steam, hot water, or physical activity that causes sweating.
- Absolutely no scrubbing or forced removal of peeling skin.
4. Days 7–14: Recovery & Renewal
- Once flaking subsides, introduce hydrating serums like hyaluronic acid.
- Still avoid retinoids, AHAs, BHAs, or vitamin C until skin is fully restored.
- Maintain sun protection daily.
- Skin may still feel sensitive or dry — keep moisturizing and avoid triggers.
What Should I Avoid Until My Skin Fully Heals?
- Direct sun exposure
- Harsh exfoliants (scrubs, acids, retinoids)
- Waxing, laser, or other facial treatmentsSaunas, hot tubs, or chlorinated pools
How Often Can I Safely Repeat the 35% TCA at Home Peel?
Only repeat a 35% TCA peel after at least 3-4 weeks, and only if the skin is fully healed with no signs of irritation.