LAM FACIAL PLASTICS

Dr. Lam,
Would TCA peels in a lower concentration help with skin texture? Also do you perform TCA Cross with less than 100%? Would that be effective and minimize hyperpigmentation.

thanks

i used to do TCA at 35% but i have replaced it with plasma skin resurfacing because it is much better long-term on texture than TCA. i use TCA 100% only for punctate acne scarring issues. for hyperpigmentation without skin damage, i would probably go with a bleaching product or light IPL treatment but you could go with TCA if the condition is more superficial.

Dr. Lam
Can you perform the cross method using either 50 or 65% TCA. Is the downtime less and is it effective?

Thanks

no, studies have compared 60% against 100% and they show it to be much less effective. i do not believe it is worth it especially when you want the fewest sessions possible with the best results. recovery will probably be comparable.