Coastal Medical and Cosmetic Dermatology

10/13/2025

Post-TCA Chemical Reconstruction of Scar: Aftercare and Recovery Tips

Undergoing a TCA (Trichloroacetic Acid) chemical reconstruction of a scar can be transformative, improving the appearance of skin imperfections and scars. TCA chemical peels, especially those designed for scar reconstruction, work by exfoliating the skin’s outer layers to allow new, healthier skin to emerge. However, proper aftercare is crucial to ensure the best possible results and minimize complications. The following guide will walk you through essential post-procedure steps for a smooth recovery.

What is TCA Chemical Reconstruction for Scars?

TCA is a medium-to-deep chemical peel that is commonly used to improve the appearance of scars, wrinkles, hyperpigmentation, and other skin irregularities. The TCA solution removes the outer layers of skin, encouraging fresh skin to regenerate. This process is particularly effective in treating acne scars, surgical scars, and various forms of skin discoloration.

After TCA treatment, proper care is crucial to support skin healing and minimize risks such as infection or scarring. Here's what you need to know for post-treatment care.

Post-TCA Chemical Reconstruction Care: Essential Steps

1. Refrain from Washing Your Face for 6 Hours After the Procedure

Immediately after your TCA chemical reconstruction, it is essential to give your skin time to settle and avoid further irritation. Do not wash your face for at least 6 hours post-treatment. This waiting period allows the skin to start the healing process without disrupting the freshly applied TCA solution.

· After 6 hours, you can gently cleanse your face with a mild cleanser. Be very gentle in the process to avoid irritation.

· Use a mild, non-abrasive cleanser: A gentle, soap-free cleanser should be used twice a day to cleanse the skin without stripping away moisture or irritating the healing skin.

· Avoid exfoliants: Do not use exfoliating scrubs, brushes, or any harsh skin treatments during the recovery period. This will prevent unnecessary irritation and help your skin heal without disruption.

2. Moisturize Your Skin

Moisturizing is one of the most important aspects of aftercare. Keeping your skin hydrated helps with the healing process and reduces discomfort.

· Gentle Moisturizers: After the initial 6 hours, apply a gentle moisturizer or ointment like Cetaphil, Vaseline, or Aquaphor to the treated areas. Apply this four times a day,

especially on the scabs, to keep them soft and hydrated. This will also help minimize discomfort and support the regeneration of healthy skin.

3. Protect Your Skin from the Sun

Sun exposure can significantly damage healing skin and increase the risk of pigmentation changes or worsening scars. It’s critical to avoid the sun and tanning beds for at least two weeks before your TCA treatment and up to two months following your final treatment session.

· Always use broad-spectrum sunscreen with an SPF of at least 30 to reduce the risk of pigmentation or sun damage during the healing process. Sunscreen should be applied generously and reapplied every two hours when outdoors.

· Wear a wide-brimmed hat or seek shade when outside to further protect your skin.

4. Don't Pick at the Scabs

It is very important to let the scabs fall off naturally as your skin heals. Picking at scabs can cause damage, delay healing, and potentially result in more prominent scarring. While it may be tempting, resist the urge to pick or scratch the treated areas.

· Let the scabs shed naturally: As the skin heals, you will notice the scabs begin to peel off. Avoid touching or picking them during this process to prevent scarring and allow the skin to heal properly.

5. Wear Makeup After Day Three

Although your skin will be more sensitive in the initial days following the TCA procedure, you can start wearing makeup after day three, once the skin begins to heal. Be sure to choose gentle, non-comedogenic makeup that won’t irritate your skin.

· Use non-comedogenic makeup: Opt for makeup that is labeled non-comedogenic (won’t clog pores) to prevent irritation.

· Avoid heavy layers of makeup, as it may further irritate your sensitive skin during the early stages of healing.

6. Hydrate and Maintain a Healthy Diet

Skin healing requires nourishment from within. Make sure you stay hydrated and maintain a balanced diet rich in vitamins and minerals that support skin health.

· Drink plenty of water throughout the day to stay hydrated and help your skin heal faster.

· Include vitamin C-rich foods (such as citrus fruits) and omega-3 fatty acids (found in fish like salmon, walnuts, and flaxseeds) to promote skin healing and regeneration.

Potential Side Effects to Watch Out For

While TCA chemical reconstruction is generally safe, it’s important to monitor the healing process for any signs of complications. Common side effects during recovery include:

· Redness and swelling: These are typical immediately after the procedure and should subside within a few days.

· Peeling: This is a natural part of the healing process, but excessive peeling can sometimes indicate irritation or complications.

· Hyperpigmentation or hypopigmentation: Your skin may develop darker or lighter spots, which should improve over time as healing progresses.

· Infection: If you notice increased redness, swelling, warmth, or pus at the treated area, it may be a sign of infection. If these symptoms occur, contact your dermatologist promptly.

When to Contact Your Dermatologist

While side effects like redness and peeling are expected, it’s essential to contact your dermatologist if you experience any of the following:

· Persistent or excessive swelling

· Severe discomfort or pain

· Signs of infection (pus, warmth, or fever)

· Hyperpigmentation or scarring that doesn't improve

Your dermatologist can provide guidance, recommend treatments, or offer reassurance as necessary.

Long-Term Care and Results

The effects of TCA chemical reconstruction will continue to improve over time as your skin heals. It’s important to continue practicing good skin care, including:

· Sun protection: Continue applying sunscreen for several months to protect your healing skin from sun damage.

· Moisturizing: Keep your skin moisturized to prevent dryness and support ongoing skin regeneration.

· Regular check-ups: Follow up with your dermatologist to monitor progress and assess whether additional treatments are needed for optimal results.

With proper aftercare, you can expect smoother, more even-toned skin and improved scars. While the healing process may take a few weeks, the results of TCA chemical reconstruction can be long-lasting and highly effective.

Conclusion

TCA chemical reconstruction for scars offers a powerful way to improve the appearance of scars and skin texture, but proper aftercare is key to achieving the best results. By following these essential aftercare steps — including refraining from washing your face for 6 hours, moisturizing regularly, protecting your skin from the sun, and avoiding picking at scabs — you’ll help ensure that your skin heals effectively and that you get the most out of your treatment.

For personalized care, always consult with your dermatologist or aesthetician to address any concerns or questions during your recovery process. With patience and consistency, you'll be on your way to beautiful, smooth skin!

Author
Dr. Joyce Cheng

https://www.coastaldermonline.com/blog/post-tca-chemical-reconstruction-of-scar-aftercare-and-recovery-tips

Coastal Medical & Cosmetic Dermatology is a premier medical, surgical, and cosmetic dermatology practice that serves patients of all ages in the greater San Diego area. With two convenient locations in San Diego.

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Sensitive skin can be a challenge to manage. Whether you're prone to redness, irritation, dryness, or even itching, taking care of sensitive skin requires a thoughtful approach. If you have sensitive skin, you may have noticed that certain products or environmental factors can trigger discomfort, making it more difficult to find a skincare routine that works for you.

In this blog post, we’ll discuss key tips for caring for sensitive skin and how to avoid common irritants that may cause flare-ups. By following these tips, you can help soothe, hydrate, and protect your skin for a healthier, calmer complexion.

Visit our blog for these great tips..

https://www.coastaldermonline.com/blog/sensitive-skin-care-tips-for-maintaining-healthy-calm-skin

03/13/2025

Happy National Dermatologist Day!

March 13 marks the second annual National Dermatologist Day. Established by EltaMD in 2024,1 the day honors the expertise and dedication of dermatologists who play a crucial role in skin health.

Thank you Dr. Darrell Gonzales, Dr. Alyssa Nash, Dr. Timothy Chang & Dr. Joyce Cheng for taking care of our community.

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Acne Skincare Tips for Teenagers: A Guide to Clearer Skin
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Acne is one of the most common skin concerns for teenagers. As hormones fluctuate during puberty, many teens experience breakouts, pimples, and oily skin. While acne is natural and temporary, it can affect confidence and self-esteem. Fortunately, there are several skincare tips and strategies that can help manage acne and maintain clear skin.

In this blog post, we’ll explore practical acne skincare tips for teenagers that can help prevent breakouts, soothe irritated skin, and keep your skin looking fresh and healthy.

1. Cleanse Your Skin Gently

One of the most important steps in acne skincare is keeping your skin clean. However, it's crucial to cleanse your skin gently to avoid further irritation.

· Use a gentle cleanser: Opt for a mild, fragrance-free cleanser that won’t strip your skin of its natural oils. Look for a product specifically designed for acne-prone skin. Cleansing your skin twice a day — once in the morning and once before bed — helps remove dirt, oil, and makeup that can clog pores and cause breakouts.

· Avoid scrubbing too hard: While it might be tempting to scrub away oil and dirt, harsh scrubbing can irritate the skin and make acne worse. Use your fingertips to gently massage the cleanser into your skin.

2. Moisturize Regularly

Even if your skin is oily, moisturizing is essential. Skipping moisturizer can cause your skin to overproduce oil in response to dryness, which can lead to even more breakouts.

· Choose a non-comedogenic moisturizer: For acne-prone skin, it's important to use an oil-free and non-comedogenic moisturizer. Popular options like Cetaphil or CeraVe cream are great choices for acne-prone skin, as they hydrate without clogging pores.

· Apply moisturizer at the right time: When using a dermatologist-recommended topical retinoid, it’s helpful to apply a gentle moisturizer about 10 minutes before or after applying the retinoid. This will help lock in moisture and prevent your skin from getting too dry or irritated.

· Keep it light: A lightweight moisturizer will help balance your skin’s moisture without overwhelming it, especially if you’re using stronger acne treatments.

3. Avoid Touching Your Face

It’s easy to rest your chin or hand on your face throughout the day, but this can transfer bacteria and oils from your hands to your skin, leading to clogged pores and more breakouts.

· Keep your hands off: Try not to touch your face unnecessarily, and make sure to wash your hands regularly to reduce bacteria on your skin.

· Avoid picking or popping pimples: While it can be tempting, popping pimples can lead to scarring and make acne worse. Let pimples heal on their own.

4. Use Non-Comedogenic Makeup

Teenagers often wear makeup to cover acne, but it’s important to choose makeup that won’t clog your pores.

· Opt for non-comedogenic products: Choose makeup labeled as “non-comedogenic,” which means it is formulated not to clog pores. Avoid thick foundations or concealers that can lead to breakouts.

· Remove makeup before bed: Always remove your makeup at the end of the day, even if you’re feeling tired. Leaving makeup on overnight can contribute to clogged pores and breakouts.

5. Non-Comedogenic Sun Protection

When it comes to acne-prone skin, sun protection is essential. However, traditional sunscreens may contain ingredients that can clog pores and lead to more breakouts. The good news is that there are many non-comedogenic sunscreens designed to protect your skin without worsening acne.

· Choose oil-free, non-comedogenic sunscreen: Look for sunscreens that are labeled "non-comedogenic," "oil-free," or "for acne-prone skin." These formulas are specifically designed to provide sun protection without clogging pores or contributing to breakouts.

· Go for lightweight formulas: Gel-based or water-based sunscreens tend to be lighter and more breathable, making them ideal for acne-prone skin.

· Mineral sunscreens: Physical or mineral sunscreens containing zinc oxide or titanium dioxide are often a great choice for sensitive or acne-prone skin. These ingredients sit on top of the skin and don’t clog pores like some chemical sunscreens can.

· Reapply as needed: Don’t forget to reapply sunscreen every two hours, especially if you're outside for an extended period, to ensure your skin is protected from harmful UV rays

Why Sunscreen is Essential for Acne-Prone Skin

Sunscreen is critical for everyone, including those with acne, as UV exposure can worsen skin conditions, increase redness, and lead to hyperpigmentation (dark spots left behind after pimples heal). For acne-prone skin, sun exposure can also contribute to further irritation and breakouts, so incorporating a non-comedogenic sunscreen into your daily routine is an important step in protecting your skin.

6. Eat a Balanced Diet

While no specific food directly causes acne, what you eat can affect your skin. Maintaining a healthy diet that supports overall skin health can help minimize breakouts.

· Incorporate fruits and vegetables: Eating a variety of colorful fruits and vegetables helps provide your skin with the vitamins and antioxidants it needs to stay healthy. Vitamins A and C, found in foods like carrots, oranges, and spinach, can be particularly beneficial.

· Limit sugary and processed foods: Some studies suggest that foods high in sugar and processed carbs can trigger acne in certain individuals. Try to reduce your intake of sugary snacks, soda, and junk food.

7. Stay Hydrated

Drinking plenty of water is essential for maintaining healthy skin. Proper hydration helps flush toxins from your body and keeps your skin looking fresh and hydrated.

· Drink plenty of water: Aim to drink at least 8 glasses of water a day to stay hydrated and support your skin’s natural functions.

· Avoid sugary drinks: Sugary beverages like sodas and sweetened juices can contribute to skin issues, so try to stick to water, herbal teas, or other low-sugar options.

8. Stay Consistent with Your Skincare Routine

Consistency is key when it comes to acne care. Sticking to a daily skincare routine will give your skin the time it needs to heal and improve.

· Stick with your routine: Don’t expect overnight results. It can take several weeks to see noticeable improvement, so be patient and stay committed to your routine.

· Be gentle with your skin: Avoid using too many products at once, as layering different treatments can irritate your skin. Start with a basic routine and add new products gradually if necessary.

9. Consider Seeing a Dermatologist for Severe Acne

If acne persists or becomes severe, it may be time to visit a dermatologist. Severe acne can include cystic acne or acne that leads to scarring. A professional can assess your skin, recommend suitable treatments, and possibly prescribe medication or topical treatments to help control acne.

· Prescription treatments: A dermatologist may recommend stronger treatments like topical antibiotics, retinoids, or oral medications if over-the-counter products aren’t working.

· Systemic antibiotics or Accutane: For more severe, cystic, or scarring acne, a dermatologist might recommend systemic antibiotics to reduce inflammation or Accutane (isotretinoin), which is a powerful oral medication used to treat severe acne. These treatments can provide more lasting results but may have potential side effects, so it’s important to have a detailed conversation with your doctor.

· Acne facials: In some cases, your dermatologist may recommend professional treatments like chemical peels or facials designed to treat acne.

10. Stay Positive and Patient

Acne can take a toll on self-esteem, especially during the teenage years when physical appearance feels more important. It’s important to stay positive and remember that acne is a temporary condition.

· Be kind to yourself: Understand that acne is a common part of growing up and that it’s not a reflection of your worth. Everyone’s skin is different, and with the right care, your skin will improve.

· Give it time: Acne treatments take time, so be patient and allow your skin to heal.

Final Thoughts

Teenagers with acne don’t have to suffer in silence — with the right skincare routine, acne can be managed and minimized. By following these tips, like cleansing regularly, moisturizing, using non-comedogenic makeup, and avoiding touching your face, teens can take control of their skincare and see clearer, healthier skin.

If acne becomes particularly stubborn or severe, don’t hesitate to reach out to a dermatologist. They can help create a personalized treatment plan that works for your skin type and needs.

Remember, acne doesn’t define you, and clear skin is possible with a little care and patience.

Coastal Medical & Cosmetic Dermatology is a premier medical, surgical, and cosmetic dermatology practice that serves patients of all ages in the greater San Diego area. With two convenient locations in San Diego.

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