Performing the TCA cross method

The TCA cross method is simple but should be done with extreme precaution. I cannot emphasize this further. Like all other procedures, you might achieve negative results, i.e., further damage to your skin, widened pitted scar, when done improperly. So read everything first and be patient.

A sample of TCA peel solution

Thus saying, if you feel like you cannot carry this out, then seek out a professional to do this for you.


What you need: TCA, anti-bacterial ointment, a steady hand








Steps:

1. Prep you skin by washing with soap or gentle cleanser. Cleanse with alcohol and air dry. 
2. Dip a toothpick in the TCA solution and pressed firmly (not too hard or too soft) on the depressed area until frosting appears. This will only take, literally, a few seconds. There will be mild and temporary stinging, but this is tolerable. No local anesthetic is required, and TCA is self-neutralizing. Remember to treat only the depressed part; you do not want to affect the normal skin surrounding it.

   

   Photo credit to Bhardwaj and Khunger, on their study on the efficacy and safety of TCA cross

3. After treatment, use an ointment-based antibiotic until scabs form. You can go to any generic drugstore and ask for a triple anti-bacterial ointment. Others suggest Vaseline petroleum jelly for the same moisturizing effect.
4.  Scabs will form a few days after. This will naturally fall off, so be careful not to prematurely detached the scabs. You can also use emollient ointments (such as Vaseline) until the scabs fall off.
5. Use a facial sunscreen daily thereafter. This is an important after care to avoid damage caused by sun exposure.
6. After the scabs have fallen off, you may wash your face with a gentle cleanser and resume your daily routine for skin care as well as use make-up.

Wait for at least a month to allow skin reconstruction. Production of collagen is slow and on-going. Multiple sessions of the TCA cross method are required before you can see significant improvement.


As long as you follow the protocol and take precautions, you should be fine.

Also, don't forget to read a few reminders before doing this.