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”

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
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

PATIENT RATINGS

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definitely: 93.1%
probably: 6.16%
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excellent: 87.9%
very good: 10.1%
good: 1.8%
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Overall doctor performance

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very good: 4.89%
good: 0.80%
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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%
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The doctor explained treatment options

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

Front desk performance

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very good: 10.2%
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very poor: 0.08%

Aesthetician performance

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

Office comfort

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

excellent: 66.4%
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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)

The knowledge, helpfulness, and friendliness of every person in this office has made me decide to have my daughter and me be seen here instead of by a doctor in the area in which we live (more than half an hour away). Thank you.

#12025-12-16

I really liked that I felt as though I was in a warm and friendly environment vs the sterile and cold feel many other physicians offices maintain. I also thought the tablet P.C. was very cool!

#22026-01-07

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

#32026-02-03

The entire staff was friendly, efficient and professional. Office and exam room were immaculate. Exam was thorough and complete. I have peace of mind that I have no problems at this time.

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The entire staff was extremely pleasant and I appreciate being able to see the doctor on such short notice. Everything was top notch!

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Friendly staff and atmosphere

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I loved the way Dr.Ringpfeil listened to my concerns and I also loved the fact that Dr. Ringpfeil very clearly expressed her views. I think she is an excellent doctor.

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Everyone was friendly and helpful. We did not feel rushed at all and that is wonderful. Thanks!!

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Physician and medical assistant were both very friendly

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Everything was great.

#12025-05-28

Magazines in the examining room to read while I waited for the doctor (I get bored easily).

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Parking was a little tight.

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nothing everything is fine as is.

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everything was fine

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beethoven & mahler symphonic music pumped N2 waiting area* squash magazine & velonews & roleur periodical*(my wish list JK)

#92025-06-10

n/a

#102025-10-04

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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)