Ananya Aesthetics
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TCA Cross

TCA CROSS is the chemical reconstruction of skin scars (CROSS) using trichloroacetic acid (TCA). It is used to to treat atrophic acne scars such as ice pick scars, rolling scars, and box car scars. It works by stimulating collagen production in the scar. It is very effective but may need to be repeated multiple times, typically 3 times.  Patients can experience significant improvement with this treatment. It is safe in all skin colors however one must be careful in darker skin individuals. 

Frequently Asked Questions


The following are some of the frequently asked questions regarding the chemical peel treatment:
​
How long will I take to recover from TCA cross chemical peels?

Immediately following TCA cross, the treated skin 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 may be more prolonged. It is essential that sun exposure is avoided in all patient for at least 2 weeks following TCA Cross.

The recovery time of TCA Cross is 3 to 8 days, and differs from patient to patient.  The results can be observed after the recovery time has passed. The patient can proceed the daily routine tasks; however, some precautions are required.

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

Does the TCA Cross treatment hurt or burn the skin?

The most common perception of people is that this chemical peel hurts or burns the skin. The TCA Cross procedure is very tolerable for the patient. 

How many treatments will I need?

As with many other acne scar treatments, multiple sessions are advised for the best results. As a guide we encourage patients to complete 2-3 sessions, over a period of 3-4 months. Very deep scars can be treated with subcision during the time of TCA Cross or as a separate procedure.  Microneedling treatments in between treatments will provide best results.  Individualized treatments will give the best results. 

How much will my acne scars improve with TCA cross?

As a guide we should aim for at least 50-80% improvement of deep ice pick scars after a series of 2-3 TCA cross chemical peels. Scar specialists do not recommend fractional laser resurfacing for deep ice pick scars, as TCA peels or punch surgical excision out performs lasers in this setting. Once deep acne scars are raised up to form a shallow scar, we then use microneedling to complete the scar revision process.

What types of acne scars respond best to TCA CROSS peels?

-
Ice pick scars
-Box Car acne scars
-Enlarged pores​

What are the side effects of chemical peel?

There are no major side effects of Chemical peels, if performed by a specialist. The minor effects include redness, hyperpigmentation, scarring or a burning sensation for a while.

What are some things I should do before getting chemical peels?

This is a good question. What to do before getting a chemical peel is important because it can help the doctor or provider know your current skin condition. Tell them what you’re allergic to, if you have any history of scarring or cold sores, and any medications you may be taking. Most of the time, the doctor will work with you and ask these questions.

Can microneedling be combined with TCA cross?
​

Yes. Specialist often combine a number of techniques to give the best possible results to patients. We can combine subcision, microneedling and TCA cross. Remember, most patients will have a number of different types of scars, and hence a combination of treatments will be needed.

TCA cross for acne scars can form an integral part of our Program for acne scar revision. The concept is to map and treat each scar individually, using the best method available for the scar type. 

Is home-exfoliation of skin same as chemical peel?

The home-exfoliation is not same as the professional chemical peel. Though the home exfoliators are useful and beneficial, they cannot be compared to the chemical peel treatment.

The treatment includes application of an acidic solution with supervision of a qualified provider.

Is TCA cross chemical peel safe in dark skin types?

TCA cross can be used to treat acne scars in all skin types. Darker skin patients may develop slight darkening of the treated skin (1-2mm areas), but this fades over a period of weeks. Occasionally post treatment darkening may last a few months. The use of sunscreen after this procedure is very important.

Treating acne scars in darker skin types can be more challenging as post -treatment darkening of the skin can be encountered. As a guide, it may be recommend that an extra one or two treatments be performed, as a lower concentration of TCA is used in darker skin patients. Often we will prescribe a bleaching agent before and after the TCA Chemical peel procedure, as this can fade darkened scars.

​What precautions are required after chemical peel?

The provider will explain all the precautions that need to be taken after the chemical peel treatment. Direct sun light must be avoided for a couple of days, the patient must wear sunblock with high SPF when going into the day light.
Home-exfoliators must not be used for a certain amount of days after the chemical peel treatment.​

Our providers have extensive training in the treatment of acne scars in darker skin patients, including Asian, Hispanic, Middle Eastern, as well as African skin types.

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What Our Clients Are Saying

I love this med spa. The service is very personalized and they are following your results as much as you are. I got Botox here and was pleasantly surprised that they started it with a facial that was so relaxing. I'm thrilled with my results and couldn't recommend them enough!."
-Amy W.

"I followed Dr. Sam to her own practice because she is simply the best person for lip injections in LA if you're looking for a natural look. I've had people tell me I have the best looking lips they've ever seen-- most of them didn't even know they were from injections. Dr. Sam works around what you're looking for and gives you the perfect shape. Loyal customer for life!"  -Charlotte C. 

Contact Us

Serving the cosmetic needs of Pasadena and North East Los Angeles areas such as Glendale, Burbank, Arcadia, Altadena, San Marino, and Sierra Madre.  Our experienced staff specializes in customized treatment plans to meet your individual needs.  These treatment plans may include Botox, Dermal Filler, Platelet Rich Fibrin (PRF), Microneedling, Laser Hair Removal, The Confidence Laser, Anteage MD microneedling, Exosomes, Hair Restoration, Acne, Spider Veins, Melasma, Rosacea, Skin Tightening, Skin Rejuvenation Escarglo-needling, Kybella, IV Therapy, Vitamin Shots.
Copyright 2022, Ananya Aesthetics
766 E. Colorado Blvd., Ste 107
​Pasadena, CA 91101
  • Home
  • Self Care Membership
  • Skin Concerns/Treatments
    • Treatments by Skin Concern >
      • Acne
      • Hyperpigmentation
      • Acne Scarring/Uneven Texture
      • Redness/Rosacea
      • Spider Veins/Telangiectasia/Leg Veins
      • Skin Laxity/Volume Loss/Loose Skin
      • Wrinkles/Crepe Skin
      • Unwanted Hair
      • Pseudofolliculitis Barbae/Ingrown Hairs
      • Dark Undereyes/Dark Circles
      • Tired Looking Eyes
      • Psoriasis
      • Cherry Angiomas
      • Skin Tags/Moles
      • Nail Fungus
      • Bruising
      • Excessive Sweating / Hyperhydrosis
    • Service Treatments >
      • The Consultation: It's All About You
      • Neurotoxin: Botox/Dysport/Xeomin/Daxxify/Jeuveau
      • Botox for Excessive Sweating
      • Dermal Fillers
      • Filler Dissolving: Hyaluronidase
      • Sculptra Aesthetics >
        • Sculptra Butt Lift
      • The Porcelain Trifecta
      • Microneedling
      • Escarglo-needling
      • Platelet Rich Fibrin (PRF)
      • Laser Treatments >
        • The Confidence Laser Treatment >
          • The Confidence Laser Treatment with Neo Skin
          • The Confidence Laser Treatment with Neo Clear Acne Treatment
      • Microinfusion
      • The Unicorn Facial: WIQO PRX-T33 Bio Revitalization
      • TCA Cross
      • Kybella
      • Skin tag/mole/sun spot removal
      • Acne/Ingrown Extractions
      • Cortisone Injections
      • Cosmelan MD
      • Wellness/IV Therapy
      • Vitamin Shots
  • Shop
    • Gift Cards
    • Lifestyle >
      • Candles >
        • Sofia Candle 7.5 oz.
        • Sofia Candle 14 oz.
        • Sofia Candle 24 oz.
        • Rose Marie Candle
    • Skincare >
      • Shop By Concern >
        • Antiaging
        • Acne
        • Dry Skin
        • Sensitive Skin / Rosacea
        • Dark Spots/Hyperpigmentation
        • Tone and Texture
        • Keratosis Pilaris
      • Shop All
      • Skin Integrity Skincare
      • Defenage >
        • Defenage Clinical Trio
        • Defenage 3D Eye Cream
      • AnteAGE MD
      • Cyspera >
        • Cyspera Intensive Single (Not the Kit)
        • Cyspera Intensive System
    • CO 2 Lift Carboxy Therapy Mask
    • Upneeq >
      • Upneeq Box of 45
      • Upneeq 5 Pack
    • Latisse
    • Accessories >
      • Silicone Facial Mask Brush Set
      • Silk Headband
  • About Us
    • Policies
    • Terms of Use
    • Privacy Policy
  • Gallery
    • Botox/Dysport/Jeuveau Before and After
    • Dermal Filler Before and After
    • Sculptra Before and After
    • Microneedling Before and After
    • Qwo Before and After
    • Kybella Before and After
    • Cortisone Injections Before and After
  • MEDIA
    • CBS
    • Blog >
      • 4 Skincare Serums You Need to Know About
      • What the Kardashians Have Done for the World of Minimally Invasive Aesthetic Medicine
      • Prevention Vs. Maintenance Vs. Correction
      • 5 Types of Wrinkles and How to Treat Them
      • The BIG Event Guideline
      • Everything Sunscreen
      • Benefits of Carbon Dioxide
      • When to Schedule
      • How to Layer Skin Treatments for Best Results
  • REVIEWS
  • Promotions
  • Contact Us
  • FREQUENTLY ASKED QUESTIONS
    • What is the difference between microneedling devices?
    • RETIN-A AND HYDROQUINONE INSTRUCTIONS
  • Price List
  • COVID-19 Updates
  • Xeomin offer video