This section of the forum is dedicated to discussions on managing, treating, and correcting acne scarring. (Of note, Dr. Lam is focused principally on acne scarring rather than on managing the ongoing condition of acne, which a dermatologist would be better equipped to address.)
I have been very busy and will try to catch up and read all that was posted in the past weeks
I have what might be a terribly stupid question... hope not!
Couldn't doctors get a somewhat similar result (collagen formation?) by using the CROSS method with phenol? as in topical application of phenol versus TCA 100% in specific spots? I know that phenol carries some dangers and it is not something I would do myself! I just want to know if at least in theory a localized phenol peel could get an effect somewhat similar to the super strong TCA localized peel?
unfortunately, no one has tried phenol that i know of for this kind of point scarring. what is interesting is that the higher the concentration of phenol, the weaker the result. phenol (which true works deeper than tca) works the exact opposite of tca. with higher strength phenol, the phenol burns out and prevents it from going deeper. weaker, dilute substances allow it to continue to burn deeper. classically, croton oil and septisol (especially croton oil according to Hetter) truly affects the depth of penetration. With all of these variables and lack of clinical experience in the literature, i would be careful to experiment with a weapon of mass destruction. best, sml