TCA chemical peel. How is the procedure performed and what are its features?

Peeling based on trichloroacetic acid provides an excellent cleansing and rejuvenating effect, but is traumatic and painful.

The recovery period takes a lot of time, and efforts must be made to avoid complications. It is necessary to follow all recommendations of cosmetologists for recovery after TCA peeling; post-peel care by day is described in detail below.

What is it and how does it work

TCA peeling allows you to achieve the desired result thanks to its wide spectrum of action.

The deep cleansing technique is based on burning out the upper layers of the skin using trichloroacetic acid applied to it.

What to expect from the procedure:

1. Exfoliation – exfoliation of dead particles. It is this action that explains the severe peeling of the skin after peeling.
2. Stimulating effect. Due to the inflicted burn, the epidermis warms up, and metabolic processes begin to accelerate in it. Thanks to this, the face looks younger after acid exposure.
3. Antimicrobial action. Acid has a detrimental effect on all bacteria that colonize the surface of the skin.
4. Regeneration is a natural process, as the body needs to restore all lost cells.
5. Anti-inflammatory effect. After the procedure, all microorganisms that caused severe rashes on the face disappear.

Peeling eliminates many imperfections. Acne and pimples disappear, wrinkles are smoothed out, and skin color is evened out.

But, since the procedure is serious, it is performed only according to indications and in the absence of contraindications. To prevent TCA, peeling is not performed.

Reviews

Patients

The procedure is very effective, especially in cases where there are problem areas of the skin. But don't forget about daily skin care. Otherwise, you will have to resort to trichloroacetic peeling more than once.

Elena

I performed peeling with trichloroacetic acid a year ago. I plan to repeat the procedure again. I was pleased with the results: the skin on my face became taut, firm and elastic.

Olga

My main problem is freckles on my face. I am 54 years old. Last year I performed the TCA peeling procedure. The freckles have completely disappeared. Why didn't I do this type of cleaning earlier...

Catherine

Indications

As a rule, if there is one minor problem, acid peeling is not used.
The risk is justified only if several defects are present at once, which are an indication for the procedure.

In what cases is deep cleaning recommended:

• the first signs of age on the face - wrinkles, sagging tissues;
• scars, stretch marks;
• extensive pigment spots;
• enlarged pores, rashes, post-acne.

You should contact a qualified cosmetologist so that he can objectively assess the condition of your facial skin and decide on the advisability of performing TCA.

An illiterate approach to treatment can provoke even greater complications.

What is ferul peeling and expert reviews about the procedure. Watch a video of facial ozone therapy here.

At this address https://cosmetolog-expert.ru/plastika-litsa/protseduryi/kak-izbavitsya-ot-postakne.html we will find out how you can get rid of post-acne on your face.

Questions for cosmetologist Yuliana Shiyan about TCA peeling

What to do with pigmentation on the eyelids?

Maria Turmasova: Good afternoon! Tell me, please, how to deal with pigmentation on the eyelids? I read somewhere that you can apply TCA peeling to your eyelids, but in the online store the instructions for the peeling say: do not apply to your eyes, what should you do? I also want to renew my skin a little and tighten it up, I have large freckles there, a dark skin tone on my eyelids, which is why I stopped applying makeup because it’s ugly...And also the fact that with 20% and above
is considered average Is it possible not to use a special cleanser or degreasing agent before peeling, but to wash with what you have? Hello! Did I understand correctly that you are specifying how to make TCA for yourself at home???

Instructions for professional peelings are always minimalistic, because it is assumed that the procedure is performed by a person who knows the basics.

TSA is a very serious professional procedure, from which even an experienced specialist can suffer serious complications.

And the secret to doing it is not in the method of cleansing before applying acid, believe me. An additional pigment spot is the minimum that can be obtained. Hundreds of cases of burns, post-peeling scars, pain shock and even loss of vision.

This is not a light acid peel, but a very specific composition. I hope that you will change your mind and entrust this matter to a professional. Treating complications is expensive and very frustrating.

• Cosmetologist Yuliana Shiyan

I ask for help and advice from a cosmetologist

Nargiza Niyazmetova: Hello! Please tell me, I did a tsa peel the other day, I need your advice, today is the second day, my face turned black almost immediately after the procedure, the cosmetologist said that this is a normal reaction and said for now to apply Panthenol and spf50 every 2 hours, I’m so worried about the condition of my face , and in your practice, from what day does the skin usually begin to peel off, and the cosmetologist also said the first wash after 72 hours with a vinegar solution and not rinse off (dilute 1 glass of 9% vinegar with 3 glasses of water) please answer
Good afternoon! On the day of the procedure, the face is usually red and swollen, the next day the skin tightens and it darkens (usually not to black, of course, it is brown most often). Exfoliation begins from 3-4 days, less often earlier.

It is usually enough to apply the cream 3-4 times a day, SPF - only if you go outside, but this is just my opinion, in this case your cosmetologist is responsible for the result, so it is better to follow her recommendations, there are many nuances regarding the skin, climate, etc. that only she has seen and knows.

Regarding washing with acidified water, yes, this is often recommended. Usually, to acidify water, a glass of vinegar is not required; 2 tablespoons per liter of cold boiled water is enough.

• Cosmetologist Yuliana Shiyan

How often can TCA peeling be done?

Nikita: Good afternoon!
Thanks for the video, very informative! Please tell me, is it possible to do TCA peeling 15% once every 2 weeks, and how often can it be done? There is little left before the season of this peeling, I want to have time to do a course of 3-4 procedures. With such frequency, complications can occur. Recovery after TCA with frost effect (medium grinding version of peeling) takes 2 weeks and you need to wait another 2 weeks. Ideally done once a month. The peeling percentage is not that important here; it only determines how long it will take for the peeling to penetrate to the desired depth. 15% will do this in 6-7 minutes, 30% in 2-3. As a result, there will still be recovery with crusts and all the issues and risks associated with this peeling

• Cosmetologist Yuliana Shiyan

Is there any indication for TCA peeling for aging skin?

Sveta Shchegolikhina asked a question
Yes, aging skin responds very gratefully to TCA peeling. An uneven gray or sallow complexion against the background of signs of photoaging (flabbiness, wrinkles, solar pigmentation) are direct indications for such rejuvenation methods. TCA allows you to polish the relief and fine wrinkles, and even out the color; the skin after this peeling looks incredibly fresh and rejuvenated. The only question is whether you are ready for rehabilitation and whether TCA will be contraindicated due to your skin characteristics or health condition.

• Cosmetologist Yuliana Shiyan

Contraindications

There are many prohibitions on this peeling. At the first visit to the clinic, the patient must tell the doctor about all the diseases and conditions that have bothered him over the past six months, about taking any medications, pregnancy, and breastfeeding.

Attention! During some diseases, the result obtained is completely unpredictable, and serious complications are also very common.

When TCA peeling is prohibited:

• in the spring-summer period, the first month of autumn - when the sun is excessively active;
• benign and malignant neoplasms;
• fungal diseases;
• any infectious diseases;
• expectant and nursing mothers;
• wound skin defects;
• presence of a tan;
• taking retinoids (tablets to treat skin diseases);
• undergone surgery on the face;
• presence of allergies;
• disruptions in the functioning of the endocrine system.

A more detailed list of specific diseases should be checked with a cosmetologist.

It is not recommended to hide your life history from the doctor, otherwise the specialist is not responsible for the negative result obtained, which will certainly be reflected on the face.

It is also worth holding off on cleansing the skin during menstruation, and if the dermis is sensitive, avoid using aggressive acids altogether.

Description of peeling with trichloroacetic acid

TCA chemical peeling helps eliminate age-related changes, as well as increased pigmentation, scars after acne and chickenpox, marks from shallow burns, minor injuries and photoaging.
During the procedure:

• The layer of formed old epithelial cells is burned out and the intensive growth of new ones is stimulated;
• Surface metabolism increases;
• Collagen and elastin are produced, increasing the firmness and elasticity of the dermis.

Despite the fact that the procedure refers to a medium chemical effect, the depth of penetration is determined by the concentration of the main substance.
If trichloroacetic acid 15% is used during TCA peeling, the top layer is burned out, the middle penetration is a concentration of the substance of 25-30%. If the problems are severe, there are benign lumps up to 1 cm in diameter on the face, deep wrinkles, a decision may be made to use a 40% acid component. Additional components enhance the main effect. The final result depends on the pre-peel preparation, the complex used, and the number of sessions:

1. With an acid of 15% concentration, facial wrinkles are eliminated and the relief of the skin is evened out, freckles and age spots are removed. Healthy cells are not damaged, the rehabilitation process is short-term.
2. With a moderate effect, a complex of acids and preparations with vitamins are used. The epidermis is burned down to the basement membrane. It is used to eliminate formed shallow wrinkles, acne, and hyperkeratosis. It is not recommended to practice before 30 years of age.
3. Acid with a 40% concentration helps eliminate pronounced age-related changes, subcutaneous tumors, and old scars. This procedure cannot be done in every salon—high professional training of the cosmetologist is required. A possible mistake can cause chemical burns and serious complications.

It is better to undergo TCA peeling in late autumn or winter to avoid excess ultraviolet exposure. The number of sessions is determined individually. If 2 courses are required, then the interval between them is at least a month. Rejuvenation with trichloroacetic acid can be done no more than 2 times a year.

Preparation rules

The quality of the final result depends on the preliminary preparation, which the patient must carry out independently.

During the first consultation, the cosmetologist will give a reminder that details what needs to be done before acid cleansing.

Preparation begins no later than a month in advance and includes the following points:

1. All medications should be discontinued. A few days in advance, you need to start taking anti-inflammatory drugs, if indicated by a doctor. You cannot prescribe medications yourself.
2. Before going out, you must apply a protective cream with SPF to your face and neck.
3. You cannot epilate, scrub the skin, or injure it with washcloths, sponges or cleansing brushes.
4. For a couple of days, you should not visit a bathhouse or sauna, pluck your eyebrows, or squeeze out pimples.
5. Before performing medium or deep peeling, experts recommend conducting a couple of superficial peeling sessions.

Also, to prepare the epidermis for serious exposure to chemical acid, two weeks before the expected session you need to start using skincare cosmetics that contain fruit acids in low concentrations.

Warning

Experts recommend that any manipulation classified as chemical should be carried out in a beauty salon and after consultation with a cosmetologist, since inept use of the substance described can lead to burns and skin damage. It is necessary to find out whether there are any contraindications for such a procedure, and what preliminary preparation is required. For greater effect, medications are prescribed that are used to treat the skin in a beauty salon. Also, before the session, the cosmetologist gives recommendations on skin care. For example, before the procedure, treatment with fatty and nutritious products is excluded. Depending on the complexity and depth of treatment, preliminary manipulations in the form of softer cleaning may be prescribed.

Carrying out

TCA peeling occurs in four main stages. Completion of each point is mandatory. A cosmetologist who skips any of the steps of the procedure is not a specialist in his field.

To protect your health, you need to ask your doctor in advance about the sequence of proposed manipulations.

Step 1

The epidermis is cleansed using special means. At this stage, antiseptics are mandatory, after which the person can be considered fully prepared for the application of trichloroacetic acid.

Step 2

A specialized preparation containing the required percentage of acid (from 25 to 35%) is applied successively in several layers.

The first layer is not felt by the patient at all; subsequent layers can cause moderate pain. Some cosmetologists use a fan to neutralize unpleasant sensations, which blows cool air onto the face.

The effectiveness of the manipulations is assessed visually. If a white coating begins to appear on the surface of the dermis, the procedure can be considered effective.

Step 3

The cosmetologist applies a drug that neutralizes the further effects of acid. Often, when a neutralizer and an acid preparation are combined, foaming begins.

This can be avoided by applying the product gradually. Then the remaining substances are removed with water.

Step 4

Applying thick moisturizing masks and creams. They protect the injured epidermis from external influences and prevent dirt and germs from getting on the face.

Indications and contraindications for use

The use of trichloroacetic acid is indicated in the following cases:

• presence of facial wrinkles;
• age-related changes in the epidermis;
• photoaging;
• loss of skin tone;
• hyperkeratosis;
• uneven skin tone due to solar activity;
• melasma, flat nevi;
• dull and gray epidermis;
• increased secretion of sebum;
• acne scars, unevenness and keloid scars;
• enlarged pores;
• stretch marks.

Before you make an appointment with a cosmetologist for a TCA peel, you should definitely visit a dermatologist. The specialist will assess the condition of the skin and give appropriate recommendations.

In addition, you need to make sure that there are no following contraindications:

• the presence of wounds and inflammation in the area of ​​skin that is planned to be treated, fresh tattooing or piercing;
• dermatological diseases, such as dermatitis, psoriasis, eczema;
• vitiligo and hyperpigmentation of large areas of skin;
• elevated body temperature, ARVI;
• exacerbation of chronic diseases;
• the period of bearing and feeding a child;
• presence of herpes virus in the body;
• a large number of birthmarks;
• bacterial and parasitic diseases: streptoderma, demodicosis, etc.;
• oncology;
• rosacea;
• hypertension;
• mental disorders;
• 4th, 6th phototype according to Fitzpatrick;
• critical days;
• skin treatment with Roacquant or Acnecutane;
• taking large doses of vitamin A within the last 6 months;
• dysfunction of the endocrine system, including diabetes;
• tendency to form keloid scars;
• fresh tan;
• hirsutism;
• under 18 years of age;
• individual intolerance to the ingredients included in the peeling.

If the skin has been treated with diamond, ferul, enzyme peels or other traumatic procedures within the last 2 months, the application of trichloroacetic acid should be postponed.

Possible complications

Sometimes complications cannot be avoided.
However, it is worth noting that the appearance of slight swelling, peeling, a feeling of skin tightness and dryness is observed in most cases. This is not a side effect and goes away on its own within 1-2 weeks. This is an absolutely normal reaction of the body to the effects of acid.

Negative consequences of an illiterate approach to TCA peeling:

• the appearance of white spots occurs due to the destruction of melanocytes (cells responsible for pigment), which cannot be eliminated;
• subsequent tendency of the skin to hyperpigmentation;
• unevenness, especially in places where scars were previously observed;
• no effect.

You need to be prepared for complications, as sometimes the skin can behave completely unpredictably.

The risks of side effects increase if the patient has not undergone a body examination before undergoing peeling.

What causes milia on the face and how to remove them at home. In this article, we will discuss the cost of facial scar removal.

Follow the link https://cosmetolog-expert.ru/plastika-litsa/protseduryi/otzyivyi-mikrotokovoy-terapii.html if you are interested in a description of a professional device for microcurrent therapy and all the intricacies of the technique.

Procedure

Let's take a closer look at TCA peeling. What it is is already becoming clear. It should be noted that the duration of the procedure depends on its type. The session always begins with cleansing the skin, on which dust and cosmetics may remain. After this, the substance of the selected type of peeling is applied.

The onset of exposure is characterized by the appearance of old spots similar to frost deposits. This is sloughed off dead skin. After the cosmetologist removes the solution, a substance is applied that neutralizes the effect of the acidic agent. Finally, a cooling cream and a special mask are applied, which helps penetrate the skin layers of nutrients, rejuvenating substances and vitamins, and also has restorative and healing properties. To obtain a high-level result, it may be necessary to conduct several courses. But this applies to complex cases; usually one session of a procedure such as TCA peeling per year is enough.

Skin care after the procedure

Complete restoration and renewal of the epidermis occurs after four weeks. At first, the face turns red and swells slightly; after a couple of days, crusts begin to form.

Attention! It is forbidden to remove them yourself! Such an action can cause difficult to correct aesthetic defects.

First week

The first 7 days require the most careful care. Moisturizing creams, emulsions or foams that contain Panthenol should be applied. This will promote rapid tissue regeneration.

You are allowed to wash your face only the next day after TCA peeling using products that do not contain fats. On the recommendation of a cosmetologist, you should use vitamin serums.

Second, third and fourth week

The next three weeks of recovery involve the use of moisturizing care. The procedure of mesotherapy and biorevitalization will be useful.

During rehabilitation it is prohibited:

• sunbathe;
• be exposed to heat;
• swim in a lake, pool;
• carry out other care procedures;
• drinking alcohol.

When all the crusts come off, the regeneration process can be considered complete. The result will be clearly visible in the mirror.

What medications should I take for recovery?

To quickly renew the skin and prevent some complications, the doctor will recommend a course of medications that must be taken for 2-3 weeks.

What a cosmetologist can advise:

• medicines for skin regeneration (Levamisole, Pyrogenal) - promote rapid renewal of the epidermis at the cellular level;
• vitamin complexes with zinc (Doppelgerts asset “from A to Zinc”, etc.) – the absence of this substance has a detrimental effect on skin health;
• ointment containing panthenol - heals microdamages;
• immunostimulating drugs (Immunal) – increase the body’s immunity.

Taking medications on your own is strictly prohibited. Ignorance of pharmaceuticals can have a detrimental effect on the health of not only the epidermis, but also the entire body.

All substances used should be discussed with a doctor, especially since the need for medications varies significantly in each individual case.

Reminder after chemical peeling

To ensure that your facial skin recovers quickly after chemical peeling and there are no complications, you must strictly follow the recommendations from the leaflet:

• The first wash with cool water should take place no earlier than 48 hours after the procedure.
• For water procedures, use only cosmetics (gels, mousses, etc.) marked “for sensitive skin.”

• In the first 7 days after the procedure, finish the water procedures by rinsing your face with acidified water (250 ml of water + 1 teaspoon of 6% table vinegar).
• Before going outside (even if the weather is cloudy), apply sunscreen to your face - the duration of its use and the SPF level should be determined by a cosmetologist.
• To care for your facial skin, you need to use products that contain acids - this will preserve the results for a long time.
• For 20-25 days you need to avoid sunbathing and tanning in a solarium.
• After 5 days, you are allowed to take thermal procedures - hot bath, sauna, steam bath.

We recommend reading about TCA facial peeling. You will learn about who this procedure is indicated for, the medications used to carry it out, the procedure, and side effects. And here is more information about superficial peeling, its advantages and methods of implementation.

Patient pictures

Advantages and disadvantages

TCA peeling completely transforms your appearance, rejuvenating and brightening your face. The upper “old” and keratinized layer completely disappears, giving way to young and healthy cells.

Wrinkles, pimples and other imperfections disappear. Complete tissue renewal occurs without surgical intervention. Suitable for solving complex skin problems.

But this type of cleansing has many more disadvantages. The client should definitely weigh the pros and cons before undergoing such a serious procedure.

Among the many disadvantages are:

• high cost;
• painful procedure;
• the presence of many contraindications and complications;
• duration of preparation and rehabilitation;
• the need to take medications.

This is why few women decide to undergo chemical peeling. And, if this did happen, it was an absolutely informed decision with a willingness to take risks.

Prices and brands of peelings

The cost of each TCA peeling procedure varies from 5,000 to 20,000 rubles.
A set of professional preparations providing pre- and post-peeling care will cost approximately 7,000-15,000 rubles. Thus, a full course of medium TCA peeling can cost 12,000-35,000 rubles. Most often, beauty salons and medical centers offer TCA peeling from the following companies: MP Biomedicals (USA), Allura esthetics (USA), Skin tech (Spain), Dermaceutic (France), MediDerma (Spain), Enerpeel (Italy), MedicControlPeel ( Toscani Laboratory, Russia), GIGI (Israel), Christina (Israel).

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Forecast. Number of sessions

The result can be assessed no earlier than after 4 weeks. The frequency of sessions is selected taking into account the severity of skin problems.

At least one, but no more than three if a deep update is planned. In this case, two surface and one main are made.

As a rule, with a competent approach to peeling and following all medical recommendations, the result is impressive.

Use at home

Experts strongly do not recommend chemical peeling at home, especially using aggressive acids.

In the absence of knowledge in this area, a woman not only risks not achieving results at all, but also risks drying out and even burning her skin.

The money saved after the home procedure will be used to restore the tortured epidermis.

After all, everyone knows that the stingy pays twice, so any competent cosmetologist will advise you not to experiment with your face.

For more information about the TCA medium peel, watch the video.

Results, before and after photos

The results of TCA facial cleansing can be seen in the before and after photos, including the results by day: