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Everything about TCA

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
Relative Contraindications (use with caution or under medical supervision):
  • 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)
Other considerations:
  • Patients with unrealistic expectations
  • Patients who cannot adhere to strict sun avoidance and aftercare
  • Recent tanning or sunburn

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

  • 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)

(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

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.
  • Direct sun exposure
  • Harsh exfoliants (scrubs, acids, retinoids)
  • Waxing, laser, or other facial treatmentsSaunas, hot tubs, or chlorinated pools

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.

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