Hi I'm Dr. Natasha Moscato at the Victorian Cosmetic Institute
today we're going to demonstrate the TCA peel
TCA stands for trichloroacetic acid. TCA is a strong peel. It's a resurfacing peel
and we use it to treat wrinkles, skin, pigmentation, and overall sun damage
So the TCA peel overall helps to brighten the skin
even out the color and texture and improve the quality of the skin
so the TCA comes in different percentages and that will determine the
strength in the peel
as well as the recovery time so one can pretty much decide
what strength they'd like, depending on what they want to achieve with a skin
as well as what the recovery time they can afford. So the lowest strength TCA
peels approximately 4 to 8 percent
and the high strength is about 20 to 35 percent
with the lowest strength there are a few days of redness peeling and flaking
and with the high-strength more significant
peeling flaking and redness and probably for about a week
Or so. So now I'm going to perform a 35 percent peel on the patient
which is the highest-strength peel so the first step is to apply the numbing cream
which helps to
relieve any discomfort from the procedure. So the numbing cream has been on for
about an hour now
feeling quite numb? So now we're going to
remove the numbing cream and cleanse the skin
now we're going to degrease the skin which we're going to do with a toner
which is going to allow better penetration of the peel as well as even coverage
we've done the toner and we're going to
apply acetone to the skin now, which will also help with
the peel penetrating evenly
so Margaret is a great candidate for this because she's got a lot of sun damage
and also pigmentation and expression lines and so that's what the TCA is used to treat
So we'll see how we go!
so we're just going to protect the corners of the eyes, mouth and nose with Vaseline
and these are the areas that the acid can pool into , so we're just
protecting those areas from that happening . We're also going to use the Zimmer cooler
which also provides extra comfort for the patient while the peel is on
So, I'll get Margaret to hold that
so we need to apply the peel in equal quantities on each part of the face
and the more applications of the peel the stronger the result .
we're going to start with the forehead
so we can see the skins response is there's some frosting on the skin
which is an expected response so basically just applying equal amounts on
each side of the forehead
How are you going? So she's tolerating that pretty well
we the numbing cream she's had on as well as the zimmer cooler
so once I've covered the area with the peel
I put a cold cloth over that area just for comfort
so now we finished the peel and as you can see there's frosting of the skin
which is coagulation of the the proteins and that appearance will last about 15 minutes
and the patient will notice in the coming week, the affected skin peeling off
so the difference between a resurfacing laser and a resurfacing peel is
that the peell doesn't require the local anaesthetic injections or sedation that a
laser may require but it's also cheaper
and give great results. So in summary the TCA peel is a great peel
for anyone who wants to achieve an improvement in the skin texture
pigmentation or wrinkles, it's a cost-effective peel
and it gives great results