These peels consist of 4-6 treatments of 10% trichloroacetic acid or 70% glycolic acid applied to the skin at two-week intervals. This can generally have the same effect as one year's use of Retin-A® or Renova® in some individuals. Serial peels are used for individuals who want to "jump start" their skin rejuvenation program or on people who are unable to use Retin-A® or Renova® either because it is too irritating or they are unable to work it into their schedule.

The process is a simple one. Patients present to the office and remove makeup. The peel solution is applied to the skin with a cotton-tipped applicator. Some patients experience a slight tingling, but most have no discomfort. Cool-water compresses are then placed over the face to deactivate the solution. After this, the patient can then apply makeup and are able to leave and return to normal activities. No recovery time is necessary, and the patient can immediately resume their normal daily activities. Over time, the skin gradually develops improved texture and a refreshed appearance. This peel can be used in combination with glycolic acid, Retin-A® or Renova®, and topical Vitamin C.

As part of an overall skin rejuvenation program we frequently perform a light TCA peel at three to four month intervals to essentially act as a very deep "facial" and to further accentuate the results of the application of the daily rejuvenation lotions and creams that we have prescribed.