The TCA skin peel is a medium skin peel that uses trichloroacetic acid. Medium skin peels penetrate deeper into the skin than mild peels, for faster, longer-lasting results. If you’re thinking about having a TCA peel, check these FAQs to learn more about what’s involved.

Will My TCA Skin Peel Hurt?

TCA peels are not incredibly painful. You may experience some burning, stinging and pain during the procedure. Your dermatologist may administer a local anesthetic to relieve your discomfort. After the procedure, you may continue to feel uncomfortable for up to 24 hours. Oral pain relievers can be prescribed to relieve your pain, and cold compresses can also help.

How Long Before I Recover from a TCA Skin Peel?

Most TCA peels are medium peels, and the standard recovery time is about two weeks. You will feel pain for the first 24 hours following your skin peel, and your skin may remain quite red for the first few days. Your surface skin may harden into a brown crust, which will probably fall off within the first week. The new skin beneath will be very pink, but this is normal. You can resume normal activities, including wearing cosmetics, once the brown crust has completely fallen off. This should take one to two weeks.

How is a TCA Skin Peel Performed?

A TCA peel can be performed in your dermatologist’s office, and you can go home the same day. The procedure can take anywhere from 15 minutes to one hour to perform, depending on the size of the treatment area.

You may receive an oral sedative as well as a local anesthetic during the procedure. Your dermatologist will apply a TCA peel solution to your skin and leave it in place until the acids have penetrated to the appropriate depth. Acid is left in place for at least two minutes, but usually no longer than ten. Once the acids have been allowed to burn to the right depth, your dermatologist will neutralize them with a cold saline solution, and then apply an ointment to keep your skin moist as it heals. You’ll be sent home with a supply of this ointment to use during your recovery.

How Can I Prepare for a TCA Skin Peel?

Preparing your skin before your peel can help make the treatment more effective and reduce the risk of complications. Start four to six weeks before your skin peel. Apply glycolic acid and Retin-A® to your skin each day. If you are having a TCA peel to treat hyper-pigmentation problems, apply a skin lightening cream to your areas of hyper-pigmentation each day, as well.

How Long Do TCA Skin Peel Results Last?

The results of a TCA peel can last a long time. Results typically last at least six months to a year. If you practice good skin care, your results may last as long as two years.

How Much Does a TCA Skin Peel Cost?

TCA peels cost about $2,000 on average. However, the cost of your TCA peel will vary, depending on your geographical location, your doctor’s rates, and the size of your treatment area. Peel costs range from $500 to $6,500.