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Andi last won the day on May 4 2011

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  1. Quote: Originally Posted by xiarog1908 Thank you for getting back to me so quickly! I am pretty diligent with my skin care routines. I have used hydroquinone products and I do see some improvements with them. It will lighten my skin overall but the dark freckle like acne marks are still evident. I visited the website you recommended in other posts to purchase the at home chemical peels and I came across one called the mandelic acid one that supposedly works for hyperpigmentation and says that it wont cause unwanted lightening in darker skin tones. My complexion is still definitely on the brighter side so I don't feel like I will have too much difficulty so maybe trying that one out won't have negative side effects? What about the lactic and glycolic acid peels? Are those a much safer route for me to try with a medium skin tone? Lactic and glycolic acid peels are definitely safer than TCA peels because they don't penetrate as deep as TCA, but again the higher in % you go, the higher the risk for irritation and possible hyperpigmentation. I have seen the mandelic acid peel on their website, but I don't know if any of the lighter peeling agents (glycolic, lactic, salicylic, mandelic acid etc) is superior in terms of improving hyperpigmentation compared to the others. That's why I mentioned the blend of peeling agents that dermatologists can do, they can mix a specific peeling agent with ingredients that specifically target pigmentation (I believe Kojic acid is such an ingredient). When you're using a single, light peeling agent, I don't know to which extent the excess pigment is targeted. My post-inflammatory hyperpigmentation from acne responded very well to Retin-A, and then the TCA peels took care of the rest. But still, it took several peels to get rid of the pigmentation, and I was still using Retin-A in between the peels. Getting rid of the pigmentation entirely took almost a year if I remember correctly! Overall I'm really not sure if you can achieve the results you're looking for at home. If you do decide to try it, let me know if it worked for you
  2. xiarog1908, yes I would still not start with TCA peels. If you tend to scar and hyperpigment easily, and have a darker skintone, I would hate for an at-home TCA peel to lead to even more hyperpigmentation. It sounds like even though your skin isn't sensitive, you're still at risk for getting more hyperpigmentation from a peel. I would definitely see a professional about this! I don't know how long you've used a hydroquinone product (2% is over the counter, 4% is prescription strength, and even the prescription strength can take months to work), if it was combined it with a retinoid for enhanced efficacy, and if you really have been diligent about using a broad spectrum SPF of at least 30 on the areas you used the hydroquinone on, every single day. If you have done all of this and are still left with hyperpigmentation on your face, I think laser treatments or a blend of chemical peeling agents may be a better option. I'm no expert, but I don't think that at home chemical peels are going to give you the results you're looking for :-(
  3. My skin isn´t very sensitive, so please keep that in mind. I have never had any issues with the peel itself or post-peel care, but everybody´s skin is different. After day 2 post-peel, using a mild & fragrance free facewash shouldn´t be an issue. I use Neosporin/Bacitracin until I peel, and I also used it on the areas that have just freshly peeled. Once everything has finished peeling, I use a gentle, fragrance-free moisturizer (like Cetaphil or CeraVe) for another week or so, at night. During the day, I use an SPF50 sunscreen. About a week after I´ve finished peeling, I resume my usual skincare routine of Retin-A alternating with a light glycolic acid serum.
  4. To my knowledge, boxcar scars don´t improve with TCA peel or most other peeling agents. Icepick scars (indented acne scars) don´t really improve with a full face TCA peel either. The TCA CROSS method can work for icepick scars, but since you´d be using 80% or 100% TCA, it´s best left to a professional.
  5. I`m not a dermatologist, but I have definitely read about dermatologists prescribing prep regimens before a chemical peel. It depends on the peel though. If you get a mild peel at a spa or med-spa, a prep regimen isn´t necessary because the peeling agents that are used don´t penetrate as deep as a TCA-peel would. To prep for a TCA-peel, I´d use the prep regimen for a week before the peel if it´s a weaker peel. I`m a Retin-A user as well, but I discontinue Retin-A a few days before my TCA-peel. I`m not sure if it actually does decrease sensitivity, but it´s just a safety measure for me.
  6. Hi, that has never happened to me. But, it seems like you´ve done the peel recently so I wouldn´t worry about it yet. Just keep up with your post-peel care and more importantly the sunscreen. The only thing I can say about my personal experience is that once the flaking was over, the dark marks from acne didn´t immediately look better. As the remodelling & healing continued in the following weeks after the peel, I saw gradual improvement. That´s why it´s always good to wait a few weeks after you´ve peeled to evaluate the success of the peel and decide if you want to do another one or not.
  7. If you have never done a TCA-peel, start with the lowest strength. If you have never done an at-home chemical peel in general, don´t start with TCA right away! I´d rather do a series of glycolic peels first and then work your way up so to say. You mentioned hyperpigmentation around your mouth, I´d be wary about using TCA on that area. If you´re darker skinned, hyperpigmentation is much more of a risk after a chemical peel than if you are fair like me. As for neck application, I wouldn´t use TCA there, body treatment with TCA is better left for professionals. If you can, get a prescription for something like Tri-Luma, a combo of tretinoin & hydroquinone, which adresses the hyperpigmentation. And give it a few months to work, and use sunscreen daily. If that doesn´t work, lasers may be an option.
  8. Thank you! My prep-regimen is the same as my usual skincare regimen: I alternate between Retin-A 0.05% (which I have used for 4+years) and a 10% glycolic acid serum. Both Retin-A and glycolic acid work well as a prep-regimen, so I don´t do anything differently. But, I stop using both products a few days before the peel. Peel: a TCA-peel is self-neutralizing, so you don´t need to wash your face between layers. I wash my face with a mild foaming facewash when the last layer has been on my skin for 5min or shorter if I feel like the burn is too bad. Typically, I keep each layer on for 5min. Post-peel care: Neosporin or Bacitracin twice daily, and I only splash my face with cool water the first 2 days, then I use a mild facewash. Injured skin heals best when kept moist, and Neosporin provides a nice occlusive layer as well as antibacterial action. If I leave the house, I of course apply a broad-spectrum sunscreen, usually SPF50.
  9. Sure, I couldn´t afford it either. However, there´s a reason why at-home peels aren´t for everyone: you can get great results as well as great damage, even if you do thought you did everything right. And, there´s only so much you can do with at-home peels, for actual acne scars you could apply chemical peels till the cows come home, they´re a witch to treat even in professional hands.
  10. I`m not sure what you mean? The TCA solution that you buy from reputable sellers is ready to go, no mixing required. Unless, you get a TCA solution that has a higher concentration than you would like, in that case you can dilute it with distilled water, the ratio of diluting can be found online. I´ve never done this though, I just ordered the TCA solution in the % I wanted. And I agree, avoid the areas that have rosacea. A full-face TCA peel isn´t always necessary, you can just apply it to your problem areas.
  11. I have no experience with using a different chemical peel right before TCA. I know dermatologists can mix TCA with other chemical peeling agents, but that´s obviously beyond my knowledge and experience. I have used a 40% glycolic peel 5 days before a TCA peel before, but I can´t say that it made anything different. I´m a Retin-A user, so that probably prepped my skin enough for the TCA peel. I personally wouldn´t experiment with what you described. If you have used your Glyco-Lac peel before, I´d try using it a week before your TCA-peel, which will theoretically cause the TCA-peel to penetrate a bit deeper. How much difference does this actually make, I don´t know. About your second question regarding the 30% Salicylic acid peel: don´t apply ANY peeling agents after the TCA peel, wait till you´re done peeling. I´d think using a gentle 2% salicylic acid moisturizer (I thinkt he Neutrogena 3-in-1 moisturizing acne treatment is a great option) when you´re done peeling from the TCA is probably fine though. I have never experienced breakouts after a TCA-peel so I´m afraid I`m not much help. Whatever you do, don´t overdo it. I know it´s tempting, but more than likely overdoing it by doing another peel too soon, or going too strong, will not give you the improvement you´re looking for. Your skin improves itself after each peel, a little bit each time, and as you get older that rebuilding takes longer and longer.
  12. I peeled on the areas that move the most (around chin) the first, the skin on my forehead stayed extremely tight and leathery dry looking for much longer. In those areas, the skin gradually flaked off, probably while washing my face, under the shower etc. I I think only left each TCA layer on for 5min, so if you left it on for that long then it definitely did most of its job. Whether you see actual chunks of skin peeling off or there´s just some light flaking, absolutely wait at least a month after a 15% TCA-peel, no matter how many layers were applied. I know how exciting it is to try this and hope for improvement sooner rather than later, but after the peel, your skin is regenerating and rebuilding collagen, none of which you can actually see. So give your skin the time it needs to do what it´s doing after a chemical peel.
  13. You´re talking about the TCA CROSS method, done with 80-100% TCA. I´ve read about people on acne.org having tried it, with varying success. It takes a few applications and a long period of time in between application. I tried it myself twice, I have about 8 very mild icepick scars, but I figured it´s worth a try. I don´t think they got any better, even though I did everything you´re supposed to do. I don´t know if there´s an age limit to TCA-peels or TCA cross. I wouldn´t mess with your skin by yourself at your age, please see a dermatologist who specializes in acne scar treatments. If you still try TCA CROSS on yourself, be extremely extremely careful and try it on ONE icepick scar, then judge the result after a few weeks to months.
  14. it seems like your skin hyperpigemnts very easily. Do you live in an area that has strong sun exposure year round? You also have to consider that no sunscreen provides 100% protection. Hyperpigmentation is mainly caused by UVA rays (from my understanding). The SPF # tells you about the degree of protection against UVB rays, but there is no universal rating system for UVA protection yet. In asian countries, the PAA system is one of these things, so a PA+++ rating would be the highest protection against UVA rays. In most other countries, the PAA system isn´t recognized, you can only go by the amount of titanium oxide & zink oxide in your sunscreen. I would recommend checking out beautypedia.com for a detailed ingredient-based review on your sunscreen. I use the Neutrogena dry touch sunblock when I know I`ll be out in the sun for a longer time, it´s very highly rated due to its ingredients, and it´s fragrance-free. I would also stay clear of heavily fragranced or potentially irritiating skincare products that could be adding to your hyperpigmentation (again, I love beautypedia.com for a breakdown of ingredients in the products you´re already using or thinking of buying. Also, being on birth control pills or being pregnant can make some women hyperpigment easier. With your history of hyperpigmentation, I would not experiment with TCA peels at home. It is possible that you´ll get even more hyperpigmentation from it. I would consult a dermatologist for laser treatments or professional peels!
  15. I would get that information from the doctor who prescribed Accutane to you. I`ve seen people post this question on acne.org, and I believe the answer was 1 year after, but I could be wrong.

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