Post TCA Lower Eyelid Peel

  • After the peel, you may shower and bathe normally but you must avoid having shampoo or water run onto peel areas.
  • You should wash your face twice daily with a recommended OBAGI skin cleanser, avoiding the treatment area located under the eyes.
  • You will be prescribed an ointment such as Neosporin.  Topical reactions to these in the periorbital area (tissue around the eye)  are common and an ophthalmic grade ointment may be necessary.
  • To reduce swelling, a steroidal anti-inflammatory agent may be prescribed.
  • You should sleep on your back.
  • Excessive facial expressions should be avoided, as well as unnecessary touching of the face, picking, scratching, or peeling.
  • Scaling, helping to remove thick scabs, after a TCA Peel is not recommended as it may leave a scar and may cause hyperpigmentation.
  • If you are susceptible to herpex simplex it is essential that you continue your antiviral treatment.
  • You may go to work during the initial healing process if you desire.
  • Wait seven (7) days after a TCA Peel before having any of the following:
  • Collagen or Botox injections
  • Electrolysis
  • Hair chemicals
  • Waxing/depilatories

The Healing Stages of the TCA Peel

Healing Stage (3-10 days post peel)

  • Home care instruction above to be followed
  • Swelling expected for 2-3 days
  • Skin will appear as a tight, dark mask
  • Skin will begin to peel off in 2-3 days
  • No pain with normal healing.  Pain suggest an infections
  • Anticipated reaction may appear such as swelling, post-inflammatory hyperpigmentation, milia

Recovery Stage (2-6 weeks post peel)

  • Camouflaging with make-up may be necessary
  • Skin reconditioning should be started
  • True complications should be identified and proper treatment initiated

Return to Normal (6-8 weeks post peel)

  • Results of the procedure can be evaluated at this stage
  • Treatments of any complications to continue
  • Plan for a second peel if needed