Philadelphia TCA Peel, Chemical Peel Main Line

TCA (Trichloroacetic Acid) Peel

Overview: Various concentrations of this synthetic compound achieve a superficial to medium depth peel.

Expected results: Reduction of fine and intermediate lines, skin tightening, even skin pigmentation and removal of some sun spots, removal of shallow acne scars, removal of precancerous conditions.

Preparation: The effects of a trichloroacetic acid peel and the efficiency of the peel can be potentiated by starting sunscreens and a retinoid as part of a rigorous skin care regimen several weeks prior to your peel. The night before the peel, any retinoid must be stopped and may be resumed several days after the peel when the refreshed skin is visible. The morning of the peel, there is no necessity to apply any medicinal product other than your daily sunscreen.

Post treatment instructions: The day of the peel, apply a gentle moisturizer (with sunscreen if sun-exposed area was treated) to the area several times; resume your daily skin care regimen the day after the peel with the exception of a retinoid that may be restarted after several days.

Time to desired results: 5 days (surface smoothing) to 3months (collagen production)

Contraindications: Use of isotretinoin (Accutane) in the past 12 months, history of phenol peel.

Downtime: 5-7 days of mask-like exfoliation of the treated area

Selected Patient Questions and Answers

TCA peel - Patients ask, Dr. Ringpfeil answers

Please feel free to use the blog below to share information about TCA peel or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.

4 Responses to “TCA peel”

anne says:

February 14, 2015 at 2:54 pm

Hello,

I am interested in the TCA peel. However I am looking to get a good medium concentration of 30 to 35%. From all I have read, this seems to be the strength that effects the best skin change. I am not interested in laser/deep peeling. I have tried lasers before – did not like them.
I can do the 20% here locally. I have tried other peels and to be honest the concentration is not high enough to affect skin change. The changes are to mild to notice. Do you offer this concentration, I have an event coming up, and I’d like to look my best. (am in my late 40’s) Can you offer a ballpark price for this procedure. I see some prices on your web-site.

I appreciate your discretion,

Cheers Anne

Reply
- Franziska Ringpfeil MD. says:
  
  February 14, 2015 at 3:35 pm
  
  I agree that 35% TCA peels are much more effective than 17% or 20% peels as a one time procedure. Each of these peels has its role. The lesser strength TCA peels are suitable for individuals who have sensitive skin or have a darker complexion or for those who just need to perk up the radiance of their skin rather than improve discoloration, fine lines or shallow acne scars. We perform 35% TCA peel in the appropriate candidate. Your skin type must be Fitzpatrick I-III (fair skinned) in order to avoid discoloration with this type of peel. The effects usually last for 1-2 years and this peel can be repeated at that time. The charge for a 35% TCA peel of the face is $500. In-office evaluation with our physicians for a 35% TCA peel in the office is a must. Only our dermatologists carry out this peel.
  
  Reply
Kenyetta Hollingsworth says:

January 29, 2018 at 5:18 am

I have very dark acne scaring on my face with lots of open pores, I am a African American. I want to know the best way to go to clear my skin I’m 32 yrs old.

Reply
- Franziska Ringpfeil MD. says:
  
  February 25, 2018 at 6:55 pm
  
  When dealing with scars, “clear” skin is not vocabulary I feel comfortable using. Improvement for scars and open pores can be achieved with a combination of Infini treatments, picosecond laser treatments and perhaps photodynamic therapy. TCA is not a safe substance to use on pigmented skin. Please schedule a consultation with our office or any dermatologist office that has all methods available to him/her.
  
  Reply

PATIENT RATINGS

Would you recommend us?

definitely: 93.1%
probably: 6.16%
maybe: 0.58%
not likely: 0.08%
no: 0.02%

Compare our service to other similar practices

excellent: 87.9%
very good: 10.1%
good: 1.8%
poor: 0.06%
very poor: 0%

Overall doctor performance

excellent: 94.2%
very good: 4.89%
good: 0.80%
poor: 0.03%
very poor: 0%

The doctor listened to you attentively

excellent: 93.9%
very good: 4.97%
good: 1.05%
poor: 0.05%
very poor: 0%

The doctor took time to answer your questions

excellent: 94.0%
very good: 4.66%
good: 1.27%
poor: 0.02%
very poor: 0%

The doctor explained treatment options

excellent: 94.3%
very good: 4.16%
good: 1.25%
poor: 0.14%
very poor: 0.02%

The doctor explained treatment options

excellent: 92.0%
very good: 5.69%
good: 2.18%
poor: 0.11%
very poor: 0.0%

Front desk performance

excellent: 85.6%
very good: 10.2%
good: 3.66%
poor: 0.31%
very poor: 0.08%

Aesthetician performance

excellent: 88.6%
very good: 7.61%
good: 3.39%
poor: 0.24%
very poor: 0.08%

Office comfort

excellent: 90.9%
very good: 6.93%
good: 2.08%
poor: 0.05%
very poor: 0.05%

Parking

excellent: 66.4%
very good: 14.4%
good: 15.7%
poor: 2.49%
very poor: 0.9%

Friendliness of the staff during appointment

excellent: 90.9%
very good: 7.23%
good: 1.85%
poor: 0.05%
very poor: 0%

What WE DID WELL

(Answers:674)

Dr. was very attentive and took the time to talk with my daughter and put her at ease. Assistant was great, taking my daughter on tour of facility while I asked the doctor a few questions.

#12025-06-01

I really liked how personable the doctor was during my appointment. She really made me fee confident about her ability.

#22024-11-30

LIKE THE WAY WAY THE EXPLAIN THE PROCEDURE ,AND ALSO LIKE THE STAFF PATIENT INTERACTION.

#32012-10-09 10:22:11

Dr. Ringpfeil's professionalism as well as her wonderful bedside manner.

#42025-07-12

the cute scrubs:-) knowledge of the dr. and staff.

#52025-08-12

as a man and coming in to see a doctor is usually awkward especially a female doctor to look over your entire body. The staff made me feel very comfortable and relaxed. Thanks so much.

#62025-10-22

I felt the doctor really took the time to listen to me, as well as explain all of the important medical information.

#72025-01-10

Everyone was extremely friendly. Doctor was fantastic. Would highly recommend.

#82024-12-14

staff/ambiance/cleanliness

#92025-03-21

The doctor didn't rush

#102024-12-17

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What can we do better?

(answers:373)

Complain to the insurance industry that they cove too little, complain to the product manufactures that they truely charge too much for the products. I feel that the industry in general is very slow to treat because of insurance allowances. Patients have busy work schedules and pay for monthly coverage that covers too little. In one hour or less could do what multiple appointments do to remove or treat small skin defects require many visits. Should provide payment better incentives.

#12010-11-10 12:28:11

your office was just as described to me, most impressive!

#22011-09-07 11:57:29

i was completely satisfies with everything and everyone. Even my lateness was not held against me.

#32024-11-24

I thought everyone was fantastic and very helpful-no suggestions had a great experience

#42024-12-17

Medical newsletters or updates are helpful and informative. If it is advisable to have an annual mole check, for example, friendly reminders are always appreciated.

#52025-09-10

Everything was perfect today

#62010-10-05 10:42:21

Have the patient internet working

#72011-09-08 11:08:45

all good

#82010-10-14 12:21:49

sometimes I feel the phone staff is not as helpful as it could be, but that is not reflected in the quality of services. Front office is very professional overall.

#92010-11-04 13:29:14

I have nothing to add, everyone was superb, made you feel right at home and insanely knowledgable. I am beyond happy.

#102010-09-28 11:03:56

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TCA (Trichloroacetic Acid) Peel

Selected Patient Questions and Answers

TCA peel - Patients ask, Dr. Ringpfeil answers

4 Responses to “TCA peel”

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PATIENT RATINGS

Would you recommend us?

Compare our service to other similar practices

Overall doctor performance

The doctor listened to you attentively

The doctor took time to answer your questions

The doctor explained treatment options

The doctor explained treatment options

Front desk performance

Aesthetician performance

Office comfort

Parking

Friendliness of the staff during appointment

What WE DID WELL

(Answers:674)

What can we do better?

(answers:373)