TCA CROSS is a specialized technique used to treat ice pick scars—the narrow, deep scars that are notoriously difficult to manage with lasers or microneedling. In this method, a high concentration of trichloroacetic acid (TCA) is carefully deposited into the base of each scar, stimulating collagen production from the inside out and gradually lifting the scar over multiple sessions.
What is TCA cross ?
TCA CROSS is a specialized technique used to treat ice pick scars—the narrow, deep scars that are notoriously difficult to manage with lasers or microneedling. In this method, a high concentration of trichloroacetic acid (TCA) is carefully deposited into the base of each scar, stimulating collagen production from the inside out and gradually lifting the scar over multiple sessions.
Who Can Get This Treatment?
TCA CROSS is ideal for:
- Individuals with deep, narrow ice pick scars
- Patients with Grade 3 and 4 acne scarring
- Those who haven’t responded well to laser or microneedling alone
It can also be safely combined with other scar treatments like microneedling, CO2 laser, or skin boosters to improve overall results.
What Should Be the Age of the Patient?
TCA CROSS can be performed on patients aged 18 years and above, provided their acne is inactive. It’s suitable for both younger and older individuals and works best in people with moderate to severe ice pick scars where other treatments may fall short.
Downtime After the Procedure
TCA CROSS involves mild to moderate downtime, depending on the concentration of acid used and the number of scars treated:
- Mild redness and a white frosting effect immediately post-treatment
- Tiny scabs form within 24–48 hours at each treated scar site
- Crusting and peeling occur over 5–7 days, after which the skin heals
There may be slight pigmentation changes during healing, especially in deeper skin tones, but these usually resolve with time and proper care.
Pre-Care Guidelines
Before the treatment:
- Avoid exfoliating agents (retinoids, acids, scrubs) for 3–5 days
- Stay out of direct sun exposure for a week prior
- Treat any active acne or skin infections beforehand
- Disclose history of sensitivity, allergies, or pigmentation tendencies
At Arna Skin and Hair Clinic, we assess scar patterns and decide the TCA concentration and number of scars to treat in a single session to ensure maximum safety.
Post-Care Guidelines
After the procedure:
- Do not wash the face for 6–8 hours post-treatment
- Allow the scabs to fall off naturally—picking can lead to pigmentation or worsening scars
- Use a prescribed soothing and hydrating barrier cream to support skin healing
- Avoid sun exposure, sweating, and makeup for the first 5 days
- Resume sunscreen use after the scabs fall off and continue daily to prevent pigmentation
Mild peeling or dryness is normal, and results are gradual. Improvement is typically seen after 3–4 sessions, spaced 6–8 weeks apart, with continued collagen remodeling over several months.
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At Arna Clinic, we understand that rosacea isn’t just a skin concern — it affects your confidence and comfort too. Our Spectra Gold Toning treatment is designed to calm redness, strengthen delicate capillaries, and improve overall tone without irritating sensitive skin. With customised care plans and expert follow-up support, we focus on giving you clear, soothed skin and the confidence to face every day naturally radiant. Schedule your consultation and take the first step toward lasting rosacea relief.
At Arna Clinic, Hyderabad, your skin is treated with precision and care by experienced dermatologists who specialize in advanced scar-reduction techniques. We use safe, high-quality TCA formulations and customize every session based on your skin type and scar depth to ensure optimal results. With state-of-the-art technology, strict safety protocols, and a patient-first approach, we aim to make your TCA Cross treatment comfortable, effective, and tailored to your goals. Choosing Arna Clinic means trusting a team committed to helping you achieve smoother, clearer, and healthier-looking skin. Book a consultation at Arna Clinic today to start your journey toward clearer, healthier-looking skin.
Faq
How effective is TCA CROSS for deep acne scars?
TCA CROSS is one of the most effective treatments for ice-pick and narrow boxcar scars. At Arna Clinic, results are visible after a few sessions, with scars softening and filling as new collagen forms.
Does TCA CROSS work for ice-pick scars only or all scar types?
It works best for ice-pick and some boxcar scars. For rolling scars or large pits, dermatologists at Arna Clinic may combine TCA CROSS with subcision, microneedling or lasers.
What is the success rate of TCA CROSS for acne scars?
Studies show 70–90% improvement in suitable candidates after 3–6 sessions. At Arna Clinic, success depends on scar depth, skin type and following post-care instructions.
How much does TCA CROSS treatment cost in Hyderabad?
Pricing varies with the number of scars, depth and sessions required. Arna Clinic offers customized plans after an in-person evaluation.
Is TCA CROSS better than laser for acne scars?
Neither is “better” for everyone. TCA CROSS is excellent for deep, narrow scars; lasers work well for surface irregularities. Our dermatologists often combine both for best results.
How many sessions of TCA CROSS are required for results?
Most patients need 3–6 sessions, spaced 4–6 weeks apart. Noticeable changes usually appear after the second or third visit.
Can I do TCA CROSS at home or is it only safe at a clinic?
Because high-strength TCA is used, TCA CROSS should only be done by trained dermatologists. DIY applications risk burns, scarring and pigmentation.
What are the side effects or risks of TCA CROSS?
Temporary redness, frosting, scabs or mild pigmentation can occur. When done by experts and with good after-care, serious side effects are rare.
How long is the recovery time after TCA CROSS?
Downtime is short: redness or tiny scabs settle in 3–7 days. You can usually return to routine within 24–48 hours, protecting skin from sun.
Can TCA CROSS be combined with microneedling or subcision?
Yes. At Arna Clinic, we often combine TCA CROSS with microneedling RF, subcision or fractional lasers to address multiple scar types for better overall improvement.
Is TCA CROSS permanent or do scars come back?
Results are long-lasting because new collagen is created. Scars don’t “come back,” but aging or new breakouts can create new marks, so maintenance skin care is advised.
What’s the difference between TCA CROSS and a chemical peel?
TCA CROSS targets individual scars with high-strength TCA, while chemical peels treat the entire face with a lower concentration to improve tone and texture.
How soon after active acne can I get TCA CROSS done?
Dermatologists recommend waiting until active acne is fully under control to avoid irritation or new scars. A consultation at Arna Clinic ensures correct timing.
Is TCA CROSS safe for Indian or darker skin tones?
Yes, when performed by qualified dermatologists using the right strength and post-procedure care (like sunscreen). It’s a proven technique for Indian skin.
Can TCA CROSS remove old or very deep scars completely?
Very old or deep scars may not vanish 100%, but they can improve dramatically. Sometimes a mix of TCA CROSS, lasers and microneedling is needed for maximal results.
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