Side effects are proportional to the depth of the chemical peel. Common side effects such as redness and itchiness are seen in almost all patients undergoing higher concentration TCA peels. These side effects subside over days ( itch) or weeks ( redness). Other side effects are exceedingly rare however will be discussed below.
Universally seen with deeper peels. This is most marked within the first 2-3 weeks however decreases over the next 2-4 weeks. Make up can be worn after the skin stops peeling, usually 7 days after a peel
This is commonly seen with higher concentration TCA peels ( 20% of greater). Acne or folliculitis maybe seen in higher strength peels and may contribute to the itch. In these cases antibiotics will help alleviate the symptoms.
Viral , bacterial or fungal. Uncommon side effects, follow up post peel will generally pick up the early signs of infection. Your dermatologist may elect to prescribe anti-virals prior to deeper peels as a precaution- especially in patients with a history of cold sores.
Pigment changes / Demarcation lines
TCA peels are designed to minimise the sharp demarcation lines commonly seen after IPL treatments. A technique known as feathering is used to blend in the treated skin with the surrounding areas, minimizing demarcation.
Very uncommon. To minimise the event of scarring, patients with a history of keloid scarring are excluded from TCA peels. Scarring may occur if infections are not treated, or if treatments are too aggressive. Treating physicians will ensure that the depth and concentration of TCA peels are ideal for the condition, location and skin type.