Which is better tca or glycolic

GA peel is associated with fewer side effects than TCA and has the added advantage of facial rejuvenation and patients can continue to go for work. Translate this page into: English. Buy Reprints PDF. Comparative study of trichloroacetic acid versus glycolic acid chemical peels in the treatment of melasma. Indian J Dermatol Venereol Leprol ; Abstract Background: Melasma is a common cause of facial hyperpigmentation with significant cosmetic deformity. Many modalities of treatment are available, but none is satisfactory.

Methods: Forty nonpregnant female patients with a minimum melasma area and severity index MASI of 10 were recruited in the study. After a detailed history and clinical examination under natural light, MASI was calculated and color photographs were taken of all the patients.

No relation of treatment response to age and duration of melasma could be established in this study. There are hardly any major side effects, and regular use of sunscreens prevents chances of postpeel hyperpigmentation. GA peel is associated with fewer side effects than TCA and has the added advantage of facial rejuvenation. Keywords: Melasma, chemical peels, glycolic acid, trichloroacetic acid. Introduction Melasma is a common, acquired, symmetric hypermelanosis, characterized by irregular light to dark brown macules and patches commonly involving the cheeks, forehead, upper lip, nose, and chin.

Methods This study was carried out on 40 nonpregnant women with epidermal and mixed melasma, with a minimum melasma area and severity index MASI 7 of 10, visiting the outpatient department of our hospital over 1 year duration from March to March , after getting due ethical clearance from our institute ethics committee. Hypomelanosis and hypermelanosis. Dermatology in General Medicine, 7 th ed.

New York: McGraw-Hill; The combination of glycolic acid peels with a topical regimen in the treatment of melasma in Dark-skinned patients: a comparative study. Dermatol Surg ; Skin changes and diseases in pregnancy. Dermatology in General Medicine, 7th ed. Melasma in men: A clinical and histologic study.

Int J Dermatol ; Grimes PE. Melasma: etiologic and therapeutic consideration. Arch Dermatol ; A clinical light microscopic, ultrastructural and immunofluorescence study. J Am Acad Dermatol ; Localization of melanin pigmentation in the skin with Wood's lamp. Br J Dermatol ; Trichloroacetic acid peels.

Dermatol Ther ; Safety and efficacy of glycolic acid facial peel in Indian women with melasma. Salvin JW. Considerations in alpha hydroxyacid peels. Clin Plast Surg ; Topical retinoic acid tretinoin for melasma in black patients. Topical tretinoin retinoic acid improves melasma. A vehicle- controlled, clinical trial. Moy LS, Mene R. Glycolic acid chemical peel. Neerja Puri. Find articles by Neerja Puri. Author information Copyright and License information Disclaimer.

Address for correspondence: Dr. E-mail: moc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. This article has been cited by other articles in PMC. Abstract Background: Chemical peels are the mainstay of a cosmetic practitioner's armamentarium because they can be used to treat some skin disorders and can provide aesthetic benefit.

Conclusions: There was statistically insignificant difference in the efficacy between the two groups for the treatment of melasma. Keywords: Acne scarring, glycolic acid, melasma, peels, photoaging, TCA.

The data collected was analysed using Chi-square test. Open in a separate window. Figure 1a. Figure 1b. Figure 2a. Figure 2b. Table 1 Pattern of melanosis. Table 2 Etiology of melasma. Table 3 MASI score before and after treatment. Table 4 Adverse effects of peels. Chemical peeling: How, when, why? J Eur Acad Dermatol Venererol. Wiest L. Chemical peels in aesthetic dermatology. Current peeling methods.

Ortonne JP, Passeron T. Melanin pigmentary disorders: Treatment update. Dermatol Clin. Grimes PE. Melasma, etiologic and therapeutic considerations. Arch Dermatol. Glycolic acid peeling in the treatment of acne. J Eur Acad Dermatol Venereol. Landau M. Chemical peels. Clin Dermatol. Monheit GD. Chemical peels, advances in dermatologic surgery. Skin Ther Lett. TCA peels are medium depth peels.

TCA is more powerful. The results were the same:. TCA peels are an effective way to rejuvenate the skin, fade dark spots and reduce wrinkles. But, even small concentrations are pretty harsh, involving severe peeling, stinging and up to 10 days of downtime. Why suffer like that when you can get the same results with a much gentler glycolic acid peel? It does burn and you are right about the neutralizing solution stinging really bad, but it just stings for a few seconds and then calms down.

My skin turns red in places. When I was younger, though, I probably would have done the same as you and went for the glycolic. Karma, thanks for sharing your experience with you.