Jessner's + TCA Peel


TCA in higher concentrations are performed when a patient desires dramatic results in less time. The higher concentrations also mean that there will be more downtime and additional risks associated with the treatment. When this strength of TCA is performed, the Jessner's solution is applied first because it opens up the skin for better penetrations of TCA to penetrate more deeply and evenly.

What to Do Before Your Peel:
  • 3 day prior to your first peel, stop using exfoliating creams or sponges.
  • If you have a history of cold sores, you must start taking Valtrex 2 days prior to your treatment and 2 days after treatment.
  • Avoid shaving the treatment area the day of your peel.
  • Avoid waxing in the treatment area 5 days prior to your peel.
How the Peel is Performed:
  • First your skin will be cleansed thoroughly and degreased to remove any excess oil or water in the skimn.
  • The Jessner's solution will be applied first to one area of the face at a time. The solution will be left on the skin for several minutes during which time the skin will begin to tingle. Then the TCA will be applied in the same manner. Because of the strength of the TCA concentration the burning sensation will be more intense.
  • Cool compresses will then be applied for comfort and the skin will quickly begin to feel better.
  • Moisturizer and a broad-spectrum sunscreen will be applied before you leave the office.
What to Expect after Your Peel:
  • Your skin may be red immediately following your peel. This will usually subside within 2-3 days.
  • For 7 days after the peel, clean the skin with warm water using a gentle cleanser. Use your fingertips since the skin is very sensitive at this time. Avoid the use of abrasive or exfoliating sponges. After washing, pat dry with a clean towel.
  • The peeling process usually begins 3-4 days following your treatment. During this time your skin will begin to dry and tighten. This is normal as the skin is preparing for the shedding process. You may also experience dark, "leathery" patches in the treated area. This is normal because of the strength and depth of the peel. These dark patches will peel, leaving much younger and healthier skin to form.
  • Once the peeling process begins it is extremely important not to pick or force skin that is not ready to shed. This can result in scabbing, scarring or discoloration of the skin.
  • Wearing a physical SPF of 30 or higher is mandatory to protect your skin during this process and to protect your new skin once it has healed.
  • Avoid wearing make-up (eye make-up may be worn) until your skin has healed.
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