Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





How to avoid complications after TCA CROSS treatment such as pigmentation and widening scars? (photo)

Acne & Scars Skin, Hair & Nails
I am 28 yrs old. I am planning on treating my deep pitted acne scars with subcision and TCA cross. I am worried that there is a risk that TCA CROSS can cause pigmentation and widening of scars. How can these risks be avoided, or minimised? Thank you!
DOCTOR’S ANSWER (3)

TCA cross should be done carefully and under proper magnification to ensure accurate placement of acid. This can reduce complications associated with untoward spread/application of the strong acid beyond the scar, which can result in higher risks of post-inflammatory hyperpigmentation and scar widening.

That being said:

1. PIH is common after TCA in darker skins and should therefore be used wisely. Post-treatment skin care is essential, with sufficient recovery serums and sunscreen playing an important role.

2. Scars can appear to widen after TCA as the scars get shallower. As such, once the scars are shallow enough, laser resurfacing can then be used to further blend the scars.

Ensure you are followed up closely after your procedures and you should have a good response to treatment.

Cheers and Merry Christmas,
Dr Shane Abucewicz Tan

0 579 views 11 Dec 2018

Hi!

TCA Cross Complications can be minimised if you see an acne scar doctor who is meticulous and precise.  I also encourage you to invest in effective post-treatment recovery skin care. 

Meticulous technique by your acne scar doctor can help to minimise complications such as hyperpigmentation and widening of scars.

In my practice, I use magnifying loupes and use the syringe-dropper technique for TCA cross. This gives me good visualisation of your acne scars and precise delivery of the highly concentrated TCA cross.

Besides this, post-treatment recovery serums such as growth factor/cell recovery serums and sun protection are critical to ensure fast recovery and minimal complications. 

Please have a detailed discussion with your acne scar doctor for more advice!

Hope this helps!

Warmest regards,

Dr Justin Boey

0 518 views 12 Dec 2018

Can i advise that you discuss with your doctor about subcision and filler placement first? That would help improve the undulating appearance of your scars.

TCA Cross can widen scars if done poorly (technique wise) by having excessive spillage into the normal skin, or if the scar selection was done wrongly. Find an experienced practitioner for this treatment modality.

Post TCA pigment wise - sunblock is key! and you can use Q switch laser to reduce it 2-3 weeks after the therapy.

Hope all goes well and Merry Christmas!

Winston

0 409 views 25 Dec 2018
Not the answer you're looking for? Browse other answers tagged Acne & Scars Skin, Hair & Nails or ask your own question now FOR FREE.