ACID PEEL INSTRUCTIONS
The Trichloroacetic Acid (TCA) Peel, a medium peel, is one of the most popular and reliable treatments for skin imperfections. Trichloroacetic acid treatments can be used in varying concentrations from as low as 10% to as high as 50% -- The higher the concentration, the deeper the peel. When used in a controlled fashion, TCA peels produce improvement in collagen and elastin in the skin and reduction of fine wrinkling, acne scars, and dark spots. It will lighten or even diminish tattoos (depending on darkness and depth of tattoo). Tattoos progressively lighten with each treatment. Medium peels (25% TCA) produce a deeper penetration than light peels such as glycolic. The draw back is that a medium peel causes the skin to appear to have a severe sunburn for about one week. A person having a medium peel must keep the treated skin out of the sun and protected with antibacterial ointment for about one week. 25% TCA works best for most skin issues.
Skin condition and overall health are factors in determining whether
you are a good candidate for a TCA Peel. Pretreatment medications (if needed), the strength of solution to be used, and duration
and depth of the peel may need to be determined by a qualified skincare
practitioner. Applying this product without proper medical consultation
constitutes using it at your own
risk. The seller of this product is not familiar
with buyer’s skin type, condition, skin history, or sensitivity
and does not make personal recommendations of any kind to any buyer.
Seller is not liable for negative or damaging results that may be
obtained by proper or improper use of this product on any person.
The first week after the peel the skin may be red and perhaps swollen.
The skin may also burn and may weep slightly.
Peels can sometimes cause persistent redness of the skin and ultimate
de-pigmentation, although this is rare.
The most common side effect after a peel is brown discoloration
of the skin. This is usually reversible but can rarely be permanent.
This side effect usually occurs only in those who have had excessive sun exposure
after the peel and who are not protecting the skin with sunscreen SPF 25 or higher.
If the client gets cold sores, a peel can cause them to flare. Client
should begin taking Lysine 1-2 weeks prior to a peel (or consult
Precautions to Clients:
If the client
has any of the following issues or contraindications, a doctor’s
advice is recommended so that precautions can be taken:
Recurring Facial Warts
Prior bad reaction to a peel or dermabrasion
Past herpes simplex (cold sores)
History of sun allergies
Recent radiation treatment for cancer
Keloid or hypertrophic scars (thick scars)
Pregnant or breast-feeding
Accutane use within the past six (6) months. Accutane should not
be taken for at least six months after the peel either. There are
reports of scarring in people who have taken Accutane after a peel.
Sunburn or significant sun exposure in the last two days
Surgery or cryosurgery within the last six weeks to the area that
is to be treated.
Do NOT use on children. TCA causes a burning on the skin.
Warts, Moles, Skin Tags:
Treating skin issues such as warts, moles, and skin tags does not require all of the steps as for a facial peel. After cleansing the area to be treated, just apply the solution to the growths, avoiding surrounding skin. 50% TCA works well on most cases. The growths should turn white (frost) after applying 1-3 coats. Rinse off after 4 minutes. The frost will fade after 20-30 minutes. Keep the area moist with ointment or petroleum jelly. The growths should peel off within a week. If portions remain, reapply the solution a second time, same procedure. Not for use on internal warts or growths. For external use only.
to Do Before The Peel:
At least three
to four weeks before the peel client should stop using exfoliating
sponges or buff pads. All forms of hair removal should be discontinued
at least three to four weeks before the peel. Client should avoid
shaving the day of the peel.
Each night before
client goes to bed, starting at least two weeks before the peel,
client needs to begin applying a mild AHA (Alpha Hydroxy Acid 3-8%)
cream or lotion to the entire face and to any other areas that will
be treated. This conditions the skin and begins the exfoliation
process. It enhances the TCA treatment, resulting in a more even
TO DILUTE & DO
A PATCH TEST <<<<<
the Peel is Done:
do a patch test close to the area you wish to peel to determine
the skin’s reaction to the solution. Not everyone's skin reacts the same to skin peel solution... some peel more than others and some less. 25% TCA works best for most skin issues. A solution weaker than 25% may be required. Using too strong of a solution could result in darkening of the skin and scarring. Stronger is not better with skin peels. A full facial treatment or a treatment on large areas with 50% TCA is NOT recommended. 50% should be used only for spot issues such as acne scars, warts, moles, and tattoos. Mix just a small portion of the 100% or 50% TCA down to 25% so that you will have remaining solution for future treatments. Do NOT use metal bowls or utensils for mixing.
Treat the patch test as you would
the complete peel... keep it moist with ointment and out of the
sun for a week. Then determine whether to use the full 25% TCA or
to dilute it to a weaker solution for your full treatment. A number of
factors come into play, such as allergies, previous peels, etc.
Always do the patch test before undergoing a complete peel.
You are responsible for it's usage.
For a 50% Solution: Mix 1 part 100% TCA with 1 part purified water (example: 1 capful TCA with 1 capful water).
For a 25% Solution:
Mix 1 part 50% TCA with 1 part water (equal amounts).
For a 12% Solution:
Mix 1 part 25% TCA with 1 part water (equal amounts).
For variations between 50% and 12% just add a little more or less
A 25% solution will result in
a medium peel, whereas the 12% will give you a lighter "lunchtime"
peel, comparable to a 30% glycolic treatment.
First cleanse the skin with a mild cleanser and remove oils from
the skin with an alcohol prep pad. For extra protection, you may
want to apply a small amount of ointment around the eyes to protect
that area. A 25% TCA solution is the average strength used for normal
skin and gives good results without a prolonged recovery period.
- Using too strong a solution may result in scarring or discoloration.
Skin around the eye area is thinner; a weaker solution should be
used there. Avoid getting the solution too close to the eyes. After
completing the patch test and determining what strength to use,
apply an even coat of the TCA solution using a cotton swab or cotton
pad. Do not scrub any areas that may need more exfoliation than
others. The skin will burn. The treated skin should frost (turn
white) after just a minute or so. Apply a second coat of TCA to
problem areas or if the skin is not frosting. The frost indicates
that the TCA is penetrating and working as it should. (This is normal
and will subside. The frost will fade within 20-30 minutes after
the treatment). The solution will be left on the skin for several
minutes (3-4), depending on the skin type, condition, and results
desired. You will want to fan the treated area at this time since
the burning will be intense. Rinse the treated area with cool water
and apply cool compresses (water dampened cotton or cloths) after
the 3-4 minute application, gently blotting the skin to remove excess
solution and to cool the skin. Do not rub the area, as it is now
somewhat sensitive. A neutralizer is not necessary, but if you prefer
to have one on hand, you may make your own by mixing one cup water with two
teaspoons baking soda; simply apply it with cotton pads on the treated
area. The treated area will soon begin to take on a pink/brownish
color. Next apply a thin coat of protective triple-antibacterial
ointment. During this time the skin will begin to feel better, although
a very slight burning sensation may continue for a while.
Note: If you are only applying
a 12.5% solution for a "lunchtime peel," there is no need to apply
ointment. DO apply a sunblock for a week or so following the "lunchtime
peel" treatment. Lunchtime peels lightly flake... they do not peel
the same as the 25% TCA treatment.
For 7-12 days
after the peel, clean the skin with warm water using the mild liquid
cleanser. Use fingertips (not a wash cloth) since the skin is very
sensitive at this time. Avoid the use of abrasive or exfoliating
sponges. After cleansing, pat dry with a clean towel, and then apply
ointment to keep the exfoliating skin soft and the new skin protected.
The skin will
turn brown, wrinkle up, and crust, much like a bad sunburn. It is
this browned outer layer of skin that is in the process of exfoliating.
Keep it moist each day with ointment. Do not peel, pick, or scratch
the exfoliating skin. Advil, Nuprin, or Ibuprofen (200 mg) may be
taken 3-4 times daily with food to reduce swelling and discomfort,
Avoid sun exposure
-- this includes tanning beds. Sunlight on the skin after a peel
can cause brown discoloration of the new skin. A sunscreen of SPF
25 or higher should be applied every morning before going outdoors.
With trichloroacetic acid peels, scarring and brown discoloration
of the skin is unlikely unless the client goes to a tanning salon
after having the treatment or lies out in the sun. Daily sunscreen
use should continue indefinitely to prevent new photo damage from
occurring. The new skin will have a pinkish color for several days,
perhaps weeks after the peel (depending on solution strength and
skin condition). If there is persistent redness in an area that
doesn’t seem to be fading after the first few weeks, let the
doctor know. Persistent redness of the skin can lead to brown discoloration
of the red area and a scar if it is not treated right away.
For a minimum of one month after the peel, do not have hair removed
by any technique. It can cause severe irritation of the skin. Make-up
application may be resumed one week after the peel, provided there
is no crusting or tenderness.
Touch-ups or a second peel may be needed after the initial peel.
Wait at least 4-6 weeks before reapplying the TCA.