TCA Cross is the gold standard treatment option for icepick scars.  In this method a TCA (Trichloroacetic acid 90-100%) is applied sparingly, deep into the scar and develops a frost. TCA Cross works on the scar by helping to denature the collagen within the scar tissue and stimulate new collagen production resulting in the scar being “lifted up”. New collagen production begins as early as 4 weeks after the procedure and continues to form up to 4 months after each TCA Cross treatment.

Subcision is a treatment option for rolling or boxcar acne scars and is often combined with TCA cross.  Rolling or boxcar scars are depressed scars that are below the surface of the skin. Subcision is a minimally invasive surgical procedure that is performed by fanning a sharp needle under the skin. The act of fanning the needle will cut the various fibrous tissues pulling down the skins’ surface, thus releasing the scar and allowing it to level with the rest of the skin.


If I combine TCA with subcision, do I see better improvement?


Can I bruise or scab after the procedure?

Yes, it is possible to bruise after a subcision procedure and scab after TCA Cross.  Bruising and/or scabs can last anywhere from 7 to 1 4 days.

How many sessions do I need to see results?

Typically, several sessions of subcision and/or TCA Cross are required to achieve satisfactory results.

How much time will it take and what will it cost?

Appointment times are between 10-20 minutes, according to how many scars that are treated.

Sessions can be repeated every 4-6 weeks.

Cost: $200 for up to 5 scars, $400 for up to 10 scars

Will insurance cover the procedure?

No, unfortunately this procedure is considered cosmetic, so insurance does not cover the expense.  All charges are due at the time of service.

When will I start to see results?

Maximum results are seen about 3 to 4 months after every treatment since it takes time to build collagen inside the skin. You will see your best result 3 months after the last treatment.

Can I exercise?

Tomorrow you can restart exercise.

Can I go to work OR travel today?  Yes

Can I use Retinol, Salicylic acid, Benzoyl peroxide, Panoxyl or any other acids after the treatment?

No, you can resume those ingredients one week after the treatment.

If I am darker skin, can I do the TCA? 

Yes. Studies in darker studies have been performed with successful clinical outcomes and minimal side effects. You need to use bleaching cream.