TCA CROSS: how ice pick acne scars are treated
Video in Spanish · subtitles available
Ice pick acne scars are narrow and deep. In this short video we explain how TCA CROSS works, what a session in the clinic looks like, what aftercare it requires, and why it should always be performed by an experienced physician.
TCA CROSS involves applying high-concentration trichloroacetic acid very precisely to the base of each narrow atrophic scar. The minimal, controlled injury this causes stimulates collagen production, and the scar gradually fills in from within; the surrounding skin is left untreated.
The session is performed in the clinic and is brief. Afterwards, small scabs may appear for a few days — these should not be picked off — and sun protection is essential. Several sessions spaced a few weeks apart are usually needed, and the treatment can be combined with others, such as fractional laser.
Results depend on the type of scar and are not guaranteed: the indication requires an individualised medical assessment. To learn about the mechanism, indications, risks and evidence, read the full article on TCA CROSS.
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Doctor Florian A. Vallecillo Cabrera
The doctor on video
Informational content by Doctor Florian A. Vallecillo Cabrera. It does not replace an in-person consultation or an individual diagnosis.



