Hi Dr. Lam,
First of all, this is a fantastic resource, and I have benefited greatly from your expertise and willingness to educate the masses. Here is my question: Is a TCA peel (with either Jessner's solution or Glycolic acid applied immediately beforehand for more even penetration) safe for under-eye skin? And will this peel effect a noticeable reduction of under-eye fine lines?
I have considerable sun damage that has manifested in the form of lax skin and cross-hatch fine lines under my eyes, so I am looking for resurfacing results. I have heard too many horror stories of laser to feel comfortable with that modality. I recognize TCA comes in many strengths and should be tailored to each case, but I wonder it is particularly risky for the lower eyelids, as I have read of some people complaining that it actually exacerbated their under-eye wrinkles.
My second question is, do you know of any dermatologists/plastic surgeons in the LA or SoCal area who can perform this peel with skill? I know there are many risks including scarring, so I want to make sure I find a doc who is astute with peeling. Many docs now eschew peels in favor of lasers, but I am just not willing to take that bet. I thank you so much for your time and generosity.