TCA peels are one of the most effective superﬁcial to medium depth peeling agents. When performed properly, TCA peels can be very rewarding. Following the instructions carefully ensures a good outcome, however due to differences in skin types and reactions Planet Eden cannot guarantee outcomes and user assumes all liabilty and risks when using TCA. Like all peels TCA has contraindictions, it is recommended you do not use TCA if you have/had: • Laser resurfacing within last 6 months • Accutane within one year • Hypersensitivity • Dry, dehydrated skin • Pregnancy or nursing • Herpetic breakout (cold sore - have medication on hand as a TCA peel can cause a cold sore breakout) • Open wounds/lesions or suspicious lesions • Skin Cancer (chemotherapy treatment) • Grade 3 and 4 acne. Individuals with dark skin are strongly cautioned using TCA as it can cause patches of hypo-pigmentation (loss of skin color), please research if TCA is appropriate fro your skin type. Your skin condition and overall health are the biggest factors in determining if you are a good candidate for a TCA peel. Applying this product without proper consultation constitutes as using at your own risk. If you have any concerns as to whether you should be applying this peel, please consult your dermatologists. If you have questions or concerns or need tips about the this peel you may contact us at and we will assist you. SKIN PREPARATION Preparation is a vital step in order to maximize the efﬁcacy of TCA peels. The amount of preparation is dependant on skin type and condition. Preparation can impact penetration of the peeling agent and the overall success of the peel. Preparation can also decrease the potential to develop post peel complications. Typical preparation products that are used 4 to 8 weeks prior to TCA peeling include: • Retinoids (Retin A, Tazorac, Retinol). Discontinue use of retinoid therapy 3 days prior to performing TCA peel. • Bleaching agents such as Hydroquinone, Kojic Acid, Azelaic Acid, Arbutin etc. • AHA’s such as Glycolic, Lactic, and Citric acids. Using a AHA cleanser at least 7 days prior to the peel is recommended. STEP BY STEP APPLICATION PROCESS Perform a patch test - this is crucial in determining if TCA is compatible with your skin. Apply a layer of TCA along the jaw line near the ear and wait 1-3 minutes. Rinse area with cool water, wait 3 days and observe skin closely for any irritation/reactions (redness and tightness is all normal). If no major reactions are observed (blisters) then proceed with the peel. TCA can be diluted with water if you find the strength has caused severe irritation, try diluting the TCA by 50% by doing a 1:1 ratio of water to TCA. 1. Cleanse skin with a non-soap cleanser - preferably a AHA cleanser - Pat dry 2. Cleanse skin using 70% isopropyl alcohol, this removes all oil from skin’s surface. Skipping this step can block the TCA from reaching into the skin deep enough to work well. 3. Apply TCA to a gauze pad or cottonball (wear gloves), carefully apply a thin layer to skin (avoiding eye area, inside nostrils and lips). 4. Wait 3-5 minutes, frosting may not occur unless additional layers are added (1 layer every 3-5 minutes until frosting occurs, additional layers should not be applied until your 3rd application). After 3-5 minutes rinse the skin with cool water and pat dry. Stinging/burning is a normal sensation although not everyone will feel this and lack of sensation does not indicate that the peel is not working. Follow up with post peel care on back.