When it comes to specialized peels, the preferred option for Xanthelasma removal in cosmetic clinics is TCA. The main reason is that TCA allows easy removal of Xanthelasma usually within one or two sittings. This makes this product very successful within cosmetic clinics because the client can see the results soon after the first session and the results are achieved within a relatively short timeframe. However, TCA is not very easy to control and compared to other types of cosmetic peels, it could be too aggressive on certain skin types and more prone to cause, hypo or hyperpigmentation than other types of peels. Therefore it may not be the best option for home use given that there are milder peels available on the market which are easier to control.
TCA is a non-toxic chemical (trichloracetic acid), which has been used to perform skin peels for over 20 years. It is a relative of vinegar (acetic acid.) When TCA is applied to the skin, it causes the top layers of cells to dry up and peel off over a period of several days to one week. When the old skin is peeled off, it exposes a new layer of undamaged skin, which has a smoother texture and more even color.Some dermatologists, in fact, still prefer TCA peels for treating sun damage or melasma, usually in combination with prescription creams. TCA peels are safe in the hands of an experienced dermatologist. TCA peels may be a good option, particularly if you have melasma, because many lasers are difficult to use when treating melasma.
Usually, the main choice for Xanthelasma removal in cosmetic clinics is the use of TCA based peels. This is because if used properly and at the right concentration TCA allows removal of the Xanthelasma in one or two sessions only. This is ideal to both cosmetic clinics as well as the customers because this allows achieving the best possible results within one session. However, if the concentration is too high or the application of the TCA is not done appropriately there cosmetic procedure could result in mild scarring (a very rare occurrence). On the other hand, if the concentration of TCA is too low the results will not be apparent and the client will not be satisfied. So, by using the right concentration of TCA it is possible to remove the Xanthelasma in a one or two sessions. TCA is the best choice in cosmetic clinics because results are achieved and appreciable in a short time frame and few sessions. This makes both the client wanting to remove their Xanthelasma and the Beauty therapist usually very satisfied. The client is happy because their problem is resolved and the beauty therapist has justification to invoice the happy customer.
However, the use of TCA requires a certain experience in order to achieve good results. This is because TCA is very effective but not as easy to control and for this reason sometimes neutralizers need to be used during the cosmetic procedure. The main reason for the sort of difficulty of control of TCA is that it is not as easy to neutralise by using water as alternative Glycolic and Mandelic Acid.
Skin TypeDark do not seem to respond as well to TCA because Hypopigmentation develops quite easily after the use of strong TCA peels. Also, skin type 1 is generally quite sensitive to TCA meaning that lower strengths of TCA concentrations may be required for Xanthelasma removal and therefore Xanthelasma removal may not be achievable within one to two sessions. Also TCA there are other two issues with the use of TCA peels for Xanthelasma removal: It causes a burning/stinging sensation during its applications (normally bearable). Swelling tends to develop on the area where TCA was applied, this generally occurs one or two days after the application. Therefore TCA is the best candidate for Xanthelasma removal in cosmetic clinics around the world for Xanthelasma removal as well as removal of many other benign skin lesions because it is very effective in the removal of lesions in general, however given that there are other peels types which can be used without the need to learn about the drawbacks and slight degree of complexity associated with the use of TCA for benign skin lesion removal.
How do TCA peels work and what are the different depth of peels?
All peels work by removing a layer of sun damaged skin. Superficial or “light” peels remove only the top layer, mostly the layer of dead skin called the stratum corneum. Progressing from medium to deep peels, the layer of skin removed is greater with each increase in strength of the peel solution. The stronger the peel solution the greater the risk of complications like uneven pigment or even scarring. TCA peels can be done at different depths from shallow to deep. Most dermatologists now are using laser technology instead of deep TCA peels, but light to medium depth peels are still in widespread use. Lighter TCA peels are usually done in a series of 2 or 3 for best results. This is similar to other light peels that usually involve hydroxy acids such as glycolic, salicylic, or a mixture of other hydroxy acids. Medium depth TCA peels are usually done once or twice a year and do require some downtime – usually about a week – when the peeling is obvious