Treatment Overview
The TCA Peel (Trichloroacetic Acid Peel) is a medium-depth chemical peel widely used in dermatology for pigmentation and skin rejuvenation. It penetrates deeper than superficial AHA/BHA peels but is safer and more controlled compared to deep phenol peels.
In Korean dermatology clinics, TCA peels are often used for melasma, PIH (post-inflammatory hyperpigmentation), sunspots, freckles, and uneven tone. They are also valued for improving skin texture, fine lines, acne scars, and photodamage, making them a versatile treatment. Korean protocols usually use layered, low-to-medium concentrations (10–25%) for Asian skin to reduce the risk of PIH, often combining them with laser programs for optimal pigment clearance.
Purpose & Benefits
- Pigment Reduction: Treats melasma, PIH, freckles, and sunspots.
- Skin Rejuvenation: Improves texture, tone, and photodamage.
- Collagen Stimulation: Reduces fine lines, scars, and pore size.
- Safe & Controlled Depth: More effective than light peels, safer than phenol.
- Combination Friendly: Works well alongside Pico or Q-switched lasers.
Ideal Candidates
TCA Peel in Korea is recommended for:
- Adults with moderate pigmentation issues (melasma, sunspots, PIH).
- Patients with textural concerns like fine lines, roughness, or scars.
- Individuals with acne scars + pigmentation.
- Those seeking stronger results than AHA/BHA peels but not as aggressive as deep peels.
- Patients open to moderate downtime for clearer, smoother skin.
Possible Risks & Complications
- Redness & Swelling: Common, lasts several days.
- Peeling & Crusting: Visible exfoliation for 5–10 days.
- Dryness & Tightness: Temporary during healing.
- PIH Risk: Possible in Asian skin if protocols or aftercare are not followed.
- Rare Risks: Infection or scarring if healing is disturbed.
Surgical Techniques Used
- Trichloroacetic Acid (TCA): Concentrations 10–35% used depending on depth required.
- Layered Application: Depth controlled by number of coats applied.
- Frosting Effect: White frosting indicates endpoint of peel.
- Combination Therapy: Often paired with Pico, fractional lasers, or whitening drips after healing.
- Protocol: Usually 1–3 peels, spaced 3–6 months apart.
Recovery & Aftercare
- Immediately: Stinging, redness, tightness.
- 2–3 Days: Skin darkens, feels tight.
- 3–7 Days: Peeling, flaking, and crusting occur.
- 1–2 Weeks: New, smoother, brighter skin revealed.
Aftercare Tips:
- Apply SPF 50+ sunscreen daily; avoid sun exposure completely during peeling.
- Use dermatologist-approved moisturizers and barrier creams.
- Avoid scrubs, retinoids, acids, or harsh products until fully healed.
- Do not pick at peeling skin to avoid scarring or PIH.
- Maintain hydration with serums and gentle creams.
Results & Longevity
- After 1 Peel: Noticeable pigment reduction, smoother texture.
- After 2–3 Peels: Significant fading of melasma, PIH, and sunspots; improved clarity.
- After 6 Months: Ongoing collagen stimulation improves scars and fine lines.
- Long-Term: Results may last years with proper sun care; maintenance peels may be repeated annually.
Treatment Process in Korea
1. Consultation & Skin Analysis
- Dermatologist evaluates pigment severity, skin type, and history of PIH.
- TCA concentration and layering tailored to Asian skin safety.
2. Preparation
- Cleansing and degreasing of the skin.
- Protective measures for eyes and sensitive areas.
3. TCA Peel Session
- Step 1: TCA solution applied in thin coats.
- Step 2: Frosting observed to gauge penetration depth.
- Step 3: Neutralization and soothing agents applied.
- Duration: 20–30 minutes.
4. Post-Treatment Care in Clinic
- Barrier cream and SPF applied.
- Aftercare instructions provided.
5. Follow-Up
- Typically 1–3 sessions needed for pigment clearance.
- Often combined with laser toning or whitening drips after recovery.
Unique Korean Advantages
- Asian-Skin Protocols: Korean dermatologists use low-concentration, layered approaches to reduce PIH risk.
- Combination-Oriented: TCA often paired with Pico, Nd:YAG, or whitening programs.
- Barrier Repair Focus: Emphasis on hydration and sun protection post-peel.
- Holistic Pigment Care: Integrated into packages that combine peels, lasers, and serums.
Cost Range (Estimated)
- Single Peel (Full Face): USD 200 – 400
- 1–3 Peel Package: USD 500 – 1,200
- Premium Program (TCA Peel + Laser + Whitening Drips): USD 1,200 – 2,500
Additional Costs:
- Consultation: USD 20 – 50
- Add-ons (Vitamin C, TXA, Glutathione infusions): USD 100 – 200
- Boosters (PRP, Rejuran, Exosomes): USD 200 – 600
- LED or Cooling Mask Therapy: USD 30 – 80
Popular Clinics in Seoul
- Oracle Dermatology: TCA for PIH + texture improvement.
- Banobagi Dermatology: TCA for melasma and acne scars.
- Renewme Skin Clinic: TCA + whitening drips for pigment and rejuvenation.
- View Plastic & Dermatology: TCA combined with Pico programs.
- Chaum Anti-Aging Center: Premium pigment + anti-aging programs with TCA.
