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An almost complete frosting
has appeared with the first layer of Easy TCA; why has this happened? What should I do? This abnormally swift frosting could have appeared due to various reasons:
The safest way to use Easy TCA is to interrupt the application of the acid solution when the first frosting points appear. Each layer should dry completely before the next is applied: sudden, cloudy frosting may appear over greater or larger areas if a layer is applied on a layer that is not dry.
The base protocol for Easy TCA (see technical booklet) requires application without a pre peel preparation and without removing grease from the skin. If the patient uses creams containing retinoids or AHA, Easy TCA shall penetrate deeper and faster, sometimes exceeding the necessary depth (frosting points). Patients do not need to stop applying these creams before the peelings, however, when applying the acid solution the cotton buds should be soaked in lesser amount.
Before carrying out any operation, read the instructions for use, as the necessary information and indications are clearly stated within. Said mistake usually occurs when a third person makes up the solution instead of the person who is going to apply it. Thus, the acid may have been injected twice into the adjuvant bottle. Thus meaning, that 4.8 ml of TCA at 50% m/m must have been injected into the adjuvant bottle for the first peeling and before applying the second, another 4.8 ml of TCA must have been injected. Thus, the second peeling has been carried out with a solution that is much more concentrated, therefore producing sudden frosting.
What to do? After the peeling, which should be carried out with great care, apply the post peel Easy TCA cream (mask). When the cream has penetrated, apply a thick layer of Skin Tech Bleaching + Blending cream and let penetrate. When the patient leaves the surgery, he/she should be recommended to avoid the sun completely and apply an F60 sunscreen (at least) in the morning, at around midday and at 3 in the afternoon, regardless of the degree of sunshine. She must also use the Bleaching + Blending cream every night for 3-6 months. |