TCA Peels (inc. Cosmo Peel Forte)

Pre & Post Treatment Advice

As a professional skin and laser clinic, it’s our duty to ensure you’re well aware and well-informed of the potential risks and side effects associated with the treatments we offer – regardless of how small or unlikely those risks might be. This is especially important when it comes to higher risk treatments such as laser or heat-based treatments and skin needling. You can then make an informed decision whether to proceed with the treatment or not.

Please take a moment to read this information in full. Make sure you understand the possible risks and side effects associated with the treatment, and how to manage them should something adverse occur.

You must use a broad spectrum SPF/sunscreen product – this is critical and should not be ignored! Failure to use SPF for at least 7 days following the peel treatment could result in a significant sunburn and may compromise the overall result achieved.

General Information

What you can generally except to experience pre and post treatment. 

The information below is general in nature. Some side effects are very rare, whereas others may be a little more common. The severity will vary from one client to another.

During your consultation, we can advise you of any side effects that we believe may be of higher risk to you.

  • The skin may feel uncomfortable and appear like a bad case of sunburn.
  • During and after the procedure, expect redness, stinging, itching, burning, tightness, puffiness, with thickening and peeling of the superficial layers of the skin.
    • These sensations will gradually diminish over 7 days
  • A white ‘frosting’ may appear during the procedure and usually settles within 1-2 hours.
  • In severe and rare cases the skin may turn very red, blister, swell and later scab or crust.
  • There is a risk of developing temporary or permanent post-inflammatory pigmentation (PIH).
  • There is a risk of triggering an outbreak of ‘cold sores’ in clients with a prior history. TCA cannot be performed if an active cold sore is present.
  • There is a rare incidence of scarring and infection.
  • The treatment is left on the skin for approximately 8-12 hours. After which time, gently rinse off with a bland cleanser and follow with appropriate homecare as recommended by your Clinician.

Cosmo Peel Forte

The first 24 hours you can expect frosting, swelling around the eyes, redness, itching, warm sensation. A darker thickened peeling and shedding of the skin is expected for 7-10~ days with underlying redness lasting 14~ days.

Contraindications

The treatment can not go ahead and will not be performed on you.

Contraindications are specific reasons or circumstances that will prevent you from receiving the treatment due to a high risk of complications.

If any of the following apply to you, the treatment will not go ahead.

  • You are currently pregnant
  • Have used Roaccutane or Accutane within the past 3-6 months
  • You are currently taking Photosensitizing medications such as Tetracyclines, Isotretinoin etc.
  • Active psoriasis, eczema, lupus erythematosus, open wounds, cold sores, sun or wind-burn, infected or irritated skin within close proximity of the treatment location.
  • Currently active severe acne or rosacea
  • Currently undergoing chemotherapy, radiation or immune disorder treatments.
  • Active and present cold sore(s).

Cosmo Peel Forte – Immunocompromised with delayed healing, Insulin dependant diabetes, and any heart liver or kidney disorders

Precautions

Things you need to be aware of prior to treatment.

Treatment may still be possible, but you may need to be willing to take extra steps and precautions to ensure the treatment remains safe and suitable for you.

You must inform us if any of the following apply to you:

  • History of skin cancer – you must have completed a recent skin cancer check (within the last 6 months)
  • Diabetes – May impede wound healing
  • Tattoos including semi-permanent makeup – cannot treat within 1” of tattoo
  • History of keloids or hypertrophic scarring – meticulous pre- and post-care is required
  • History of vitiligo – Depigmentation may occur, whereby your skin gets lighter (loses its pigment)
  • Smoking – impairs healing and increases the risk of complications
  • Fresh scars – Check with your surgeon and/or specialist before starting treatment.

Before Your Treatment

Pre Treatment Advice & Recommendations

What you need to do!

Before treatment, do the following:

  • Notify us of any changes to your health history or medications.
  • Pretreat with antivirals if prone to cold sores.
  • Use active skincare. The better the prep, the better the results from the peel!

Cosmo Peel Forte – A minimum 2 weeks daily use of prescribed prepping products are mandatory. eg. C25/TriActive + Melacream/Radiance

What you must not do!

Before treatment, do not:

  • Do Not expose the area to sun or tanning products for 2 weeks.
  • Avoid Botox/Fillers in the treatment location for 2 weeks
  • Avoid skin irritants in the treatment location for 1 week
    • Includes hair removal such as waxing and shaving, as well as products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, granular scrubs etc

Cosmo Peel Forte – Do Not expose the area to sun or tanning products for 4 weeks

After Your Treatment

Post Treatment Advice & Recommendations

What you need to do!

After treatment, do the following:

  • Rinse the skin 12 hours after treatment using a bland cleanser. Follow with prescribed products
  • Apply broad spectrum SPF30+ or higher daily
    • Normal cleansing, growth factor serums, moisturisers can also be applied
  • Pat dry rather than rub dry after showering/cleansing
  • Keep the skin clean, cool and calm
  • Notify us of any questions or concerns you may have

Cosmo Peel Forte:

  • 10 days daily use of prescribed post care products are mandatory.
  • Cleanser, Growth factors, K-ceutic and Panthenol Ceutic

What you must not do!

After treatment, do not:

  • Do not expose the area to the sun (wear protective clothing and apply SPF 30 or higher, daily)
  • Avoid exercise, swimming, and heat based activities including saunas, steam rooms for 3 days
  • Avoid makeup for 24 hours
  • Do not pick, pull, scratch or rub the skin
  • Avoid skin irritants in the treatment location for 1 week
    • Includes hair removal such as waxing and shaving, as well as products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, granular scrubs etc

Cosmo Peel Forte:

  • Do Not expose the area to sun or tanning products for minimum 4 weeks.
  • Avoid exercise, swimming, and heat based activities including saunas, steam rooms for 7 days

Possible Adverse Effects

Unlikely adverse affects that may occur.

TCA Peels, as well as Cosmo Peel Forte, is considered a safe and effective treatment when delivered by a qualified and highly trained professional.

However, and although rare, these are possible adverse side effects that may occur, especially if you fail to follow the pre- and post-treatment advice provided:

  • WOUNDSLow Risk – Applicable to TCA Peels Level 1 to 3.
  • INFECTIONLow Risk – Unlikely, but any type of wound can develop into infection.
  • SKIN COLOUR CHANGESLow Risk – TCA is designed to lighten hyperpigmentation. Expect reduction of freckles, sunspots and similar lesions. However, there is a risk of developing temporary or permanent post-inflammatory pigmentation (PIH). Daily SPF is mandatory.
  • HAIR LOSS – NA – No effect on hair growth.
  • DARK SKIN TYPESMedium Risk – Have an increased risk of complications and/or pigmentary issues. Additional preparation and post care may be required to maximise skin protection

Cosmo Peel Forte:

  • WOUNDS – Medium Risk – Due to depth of peel / skin shedding.

Other Treatments

Pre & Post Treatment Advice for other treatments are linked below: