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What is a recommended TCA CROSS regimen while on low dose Accutane? (photo)

Acne & Scars Skin, Hair & Nails
I am on Accutane 10mg/day for 3 months. I have gone for TCA CROSS treatment for 2 of my ice pick scars (red circled) 3 months ago. I had some improvement of 10~15% depth wise, but they also got wider. My most recent breakout resulted in 2 very pitted ice pick scars (yellow circled). I am...
What is a recommended TCA CROSS regimen while on low dose Accutane? (photo)
DOCTOR’S ANSWER (1)

It is good to hear you have had some response to the treatments you have received so far. 

Most scientific studies on TCA cross recommend treatment at 2-weekly intervals for 4-8 sittings, with follow up at the 3rd and 6th month. 

I would suggest you return to your doctor who performed the treatment for you as he/she would be best to advise on whether you need continued treatment or any change in treatment regime/technique. In addition, the other atrophic scars (rolling, box car) on the cheeks may be targeted using a combination of scar treatment modalities in addition to TCA cross.

I would highly recommend a combination approach for best results. Do consider energy based devices such as lasers and RF, subcision and fillers as well. 

Regards,

Dr. Joanna Chan

426 views 13 Dec 2018
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