Kent V. Hasen, MD: Aesthetic Plastic Surgery & Med Spa of Naples
3699 Airport Pulling Road North
Naples, FL 34105
Phone: (239) 262-5662
Monday-Friday: 9 a.m.–5 p.m.

TCA Pigment Peel

Who is a Candidate?

  • Patients in the Naples area with hyperpigmentation (sun spots or age spots) of the facial skin.
  • Patients with environmentally damaged skin.
  • Patients with actinic (sun) damage.
  • Patients with fine lines.
  • Patients with rough skin.

If you are seriously considering a chemical peel treatment and would like to come to our Naples office, we invite you to contact us for more information or to schedule your consultation. Be sure to register online for special consultation savings.

Bottles of la roche posay
Shop Brilliant Distinctions

Shop SkinMedica® Online

Purchase your favorite SkinMedica products from the comfort of your home through Brilliant Connections™. Shop Dr. Hasen’s online store and choose from a broad selection of medical-grade skincare essentials that will be shipped straight to you.

Shop Brilliant Distinctions

Intended Result:

  • A more even appearance to the complexion and coloration of the facial skin.
  • A reduction in the appearance of stubborn pigmentation that less aggressive peels and skin care have not been able to resolve.
  • A natural and presentable appearance after one week.
Treatment planner

Need Help Finding the Right Treatment?

When it comes to medical spa treatments, your choices are plentiful…and possibly overwhelming. Our interactive treatment planner can help. Just select the skin condition you want to address, and you'll see a list of possible treatment options. Having beautiful skin has never been so easy.

Plan Your Treatment


  • The skin must be prepped before the peel to maximize safety and results.
  • For 7 -14 days pre-peel, BioMedic Retinol 60 or another Retin-A® formulation must be used nightly.
  • Valtrex® is given 1 day before and continued for 3 days after for patients with history of cold sores.
  • Dark skinned patients may need pretreatment with a bleaching agent a few weeks before the peel.
  • Minimize sun exposure the week before the peel.

Procedure Description:

  • TCA (Trichloracetic Acid) is a frequently used acid for medium and deep peeling of the skin.
  • The BioMedic TCA Pigment Peel Plus also contains salicylic acid for clearer skin, a special modifier to assure even penetration and a colorless accelerator that leaves no residual coloration.
  • The skin is prepped and the peel solution is applied.
  • The peel solution is slowly absorbed and neutralized by the body.

Recuperation and Healing:

  • The patient goes home with no dressing or bandages.
  • Downtime ranges from five to seven days.
  • Mild redness / irritation / swelling can be present for the first several days.
  • The skin will flake and peel for 5 – 7 days.

Additional Options:

  • Additional procedures that would enhance the result are: injectable treatments like BOTOX® Cosmetic and facial fillers such as Restylane®, JUVÉDERM®, RADIESSE®, Sculptra® Aesthetic, and Perlane®.

Insurance Guidelines:

  • This procedure is cosmetic and therefore is not covered by insurance. The patient is responsible for payment.


  • The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All non-surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
Closeup of patient's freckled face before tca peel treatment


Closeup of patient's face after tca peel with clear skin


BioMedic® TCA Pigment Peel – Frequently Asked Questions

What is the Pigment Peel Plus?

A state-of-the art, low concentration, modified trichloroacetic acid peel formation with a salicylic acid accelerator and glycerin modifier to achieve a more even penetration and depth.

What are the indications for this peel?

Skin that has brown spots (hyperpigmentation of the epidermis), environmentally damaged skin, sun damaged skin, fine lines and rough skin.

Who is not a candidate for this peel?

The following patients should not undergo this peel: pregnant/lactating, herpes simplex, current sun burn, auto-immune disease, recent chemotherapy, recent radiation therapy, Accutane® use within one year, keloids, recent laser procedure, immunosuppressed and post-transplant patients.

What is the difference between this peel and the MicroPeel or Glycolic Acid Peels?

This is a medium depth peel that is designed to treat pigmentation problems that more superficial (epidermal) peels are not able to fully treat.

Why is it important to prepare the skin prior to a Pigment Peel Plus?

The results are enhanced when the skin is prepped with clinical treatments and home care products prior to the peel. This allows the stratum corneum (outer layer of the skin) to thin allowing for a more even penetration and accelerates the healing process.

What should I use to prep my skin?

Usually you need to be on a retinol product like Retin-A® or BioMedic Retinol 60 for 2 weeks before the procedure. If you have olive or darker skin, you may also need to be on a bleaching cream like hydroquinone for 2 weeks before the peel. It is best to ask Dr. Hasen or his aesthetician for the right pre-treatment regimen for you.

What should I take if I get cold sores easily?

Dr. Hasen will write a prescription for Valtrex® to suppress the cold sores from appearing after the peel if you are inclined to get these lesions.

How is freshly peeled skin treated and protected?

It is very important to strictly avoid the sun or heat for 2 weeks. A hat, visor and sunglasses should be worn at all times while outside during the first 2 weeks.
Cleanse daily with bar soap, spray with Thermal Spring Water and then apply Gentle Healing Ointment or Crisco to the face during the first week until fully peeled.

When can I resume retinols and hydroquinone post peel?

It is safe to resume these agents 7-10 days post-peel or when the skin has completely reepithelialized.

What is the actual down time expected from the Pigment Peel Plus?

The expected down time is 7-10 days, which can be longer depending upon each individual patient’s rate of healing.

Can the peel be repeated?

Yes, many people have the peel once a year to freshen up their skin and remove new pigmentation. If the first peel does not remove as much pigmentation as hoped, it can be reapplied safely at 8 weeks.

Shop Brilliant Distinctions
Back to top