CROSS Technique (TCA Cross)
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Side Effects

“CROSS” stands for “Chemical Reconstruction Of Skin Scars.” A chemical peel, usually trichloroacetic acid (TCA), is applied directly on the area of the...

“CROSS” stands for “Chemical Reconstruction Of Skin Scars.” A chemical peel, usually trichloroacetic acid (TCA), is applied directly on the area of the acne scar in order to maximize the effects of the chemical peel and to spare the surrounding skin. During application, the chemical peel is either (1) applied by pressing hard for a few seconds, using a sharpened wooden applicator, until a white frosting appears, or (2) injected directly into scars. TCA concentrations greater than 50% increase the efficacy of the peel because of increased thickening of the skin and collagen production.

This procedure is normally repeated 4 times in 2-week intervals.

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May 25, 2020
TCA at home

 

Hi my name is Henry I'm 34yo sorry about my English I'm Mexican.
On may 8th 2020 I did on my own the first TCA Cross 100% after reading a lot of articles.. well before all this I did approximately 5 microneedlings at home since mid of 2019, no vitamins or sunscreen ever, not even moisturizer
With this tca procedure after 24 hours I wash my face after 48 I'm using moisturizer and spf 50+ after 9 days the scabs fell I did 1 microneedling. Now after 16days 24 may 2020 after first TCA I did the second one..

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找点小快乐jack
June 4, 2024
怎么联系这家医院啊？在哪里怎么得到他们的电话
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August 2, 2009

Pros:

If a series of peels are performed can dramatically reduce scarring and, as an added bonus, wrinkles. Can be sucessfully done at home, provided you begin at a low percentage and work up. Extremely cost effective done at home.

Cons:

Downtime. With the higher strength tca there is significant downtime. One week where you may not want to leave the house. Stings on application.

I wouldn't reccomend tca as an ongoing treatment for active acne but it can be extremely effective at treating scarring. I used to have terrible acne scarring to the point people would look away when talking to me, but after a year of regular peeling (18%) as well as TCA cross (100%) it is barely noticable. As an added bonus I now look years younger than my friends due to the peels effect on wrinkles. TCA peels and cross are one of the biggest scams in the cosmetic procedures industry with practioners charging outrageous amounts of money for what a procedure which is really a no brainer. Start at low percentage and work you way up. Do repeated peels and don't be concerned about thinning your skin. Peels actually increase collagen and thicken the dermis.
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May 28, 2009

Pros:

TCA at 10%. Layered the solution as per the platinum skin care site and it is causing the skin to peel my hyerpigmentation without doing any damage to my skin. they have great directions for using the peels. I actually purchased the TCA elsewhere.

Cons:

I used 30% and 50% TCA before and it damaged my skin and left terrible hyperpigmentation scars. However, I did previously use the Cross method with TCA at 50% and on my ice pick scars and they were greatly improved.

Layer the lower strengthn TCA to safely peel your skin. 3 to 5 days of peeling will slowly lift hyperpigmentation, clean out and shrink pores. Also, I have almost stopped eating meat and poultry and this has cleared up my acne. Now I;m just working to remove the dark marks.
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.
Find a Doctor Using The American Acacemy of Dermatology Website

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.
Find a Doctor Using the American Society of Plastic Surgeons Website