Medium Depth Jessner TCA Peels

Medium Depth Jessner TCA Peels At A Glance

  • Best Results1-2 sessions
  • Treatment Recovery6- 9 days
  • Procedure Time30 minutes
  • Skin SpecialistDermatologist. Dr Davin Lim
  • Duration of Results3-6 years
  • AnaestheticSedation, numbing gel
  • Back to Work5-8 days
  • Cost$$$

Medium Depth Jessner TCA Peels

TCA/ TCA Jessner peels are still relevant in dermatology, despite the event of advanced lasers. Chemical peels can address minor skin concerns such as acne, blemishes and congestion, whilst deep peels can address wrinkles, sun damage and pigmentation. This peel is best suited for fair skin patients with a downtime of just over one week. For darker skin types, I prefer pico or fractional laser resurfacing.

FactsFacts on medium - deep chemical peels

  • Chemical peeling is a tactile art form that address different layers of skin
  • Superficial peels include salicylic acid peels, lactic, glycolic, citric, retinoic & mandelic acid
  • Medium depth peels include TCA 25-35% with or without Jessner solution
  • Deep peels include TCA, Jessner TCA & phenol croton oil peels
  • Downtime following a chemical peel is proportional to the depth of peeling
  • I often combine lasers with chemical peels to get better outcomes

What conditions can be treated with chemical peels?

Medium to deep chemical peels including TCA or Jessner/ TCA can treat the following skin conditions-

  • Sunspots and precancerous lesions such as solar keratosis/actinic keratosis.
  • Fine lines, wrinkles & elastosis (broken collagen – sun damage)
  • Smoker’s lines, upper lip wrinkles (often in combination with lasers)
  • Superficial skin scars from acne pox
  • Freckles
  • Brown spots – liver spots – lentigos (not melasma)
  • Enlarged pores

I often combine lasers with chemical peels to deliver better results; wrinkles and acne scars are examples.

How do I perform Jessner- TCA peels?

This procedure is performed under partial sedation. In some cases, I do initiate a pre-peel prep followed by a pre-procedure de-greasing scrub. The procedure takes approximately 2 hours to perform- this includes 1 hour anaesthetic time. Throughout the procedure you will be kept comfortable with skin directed cooling. 

Is this peel painful?

This peel is well tolerated as I perform medium to deep peels under mild sedation, topical numbing creams, & skin cooling. I frequently perform nerve blocks (especially deep peeling – laser for lip lines – smoker’s lines).

How long does it take to recover following this peel?

Downtime (defined as time taken to reform new skin) is approximately 7-14 days following a medium-deep chemical peel. Redness can last 4-8+ weeks, depending on the depth of the peel.

Davin’s Viewpoint on medium - deep chemical peels

Jessner TCA is one of my favorite skin resurfacing procedures. Unlike laser resurfacing, the art of chemical peeling is tactile, going with pressure and the squeeze of the applicator, as well as the number of coats. The art is to ‘feather’ the peel towards the periphery and the hairline so as to not leave streaks or demarcation lines. With alterations of connections, and pre-peel preps, I can tailor a peel according to the patient’s clinical examination. I also combine peels with ablative lasers such as erbium or CO2. I do think that the art of chemical peeling should still be taught to dermatologists, as there is a time and place for this procedure.

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