Saturday, June 27, 2026 Never be the last to know Go Pro · $20/mo →
Inside MedSpa
Intelligence for Medical-Aesthetics Owners
Live
SAFETYTirzepatide (Mounjaro/Zepbound) — 140,435 adverse-event reportsFDA CLEAREDIntense Pulsed Light Therapy Device — Sanhe LEFIS Electronics Co., Ltd.Bausch Health (Solta) -8.71%SAFETYSemaglutide (Wegovy/Ozempic) — 82,911 adverse-event reportsFDA CLEAREDBarbed PDO Suture — Sutura Medical Technology, Inc.STRATA Skin Sciences +8.33%SAFETYBotox — 75,499 adverse-event reportsFDA CLEAREDERBECRYO 2 Cryosurgical Unit and Accessories — Erbe Elektromedizin GmbHThe Beauty Health Company (HydraFacial) -7.17%FDA CLEAREDLumiGlam Laser System (SHE-LSP601-3) — Beijing Sano Laser S&T Development Co.,LtdEli Lilly +7.04%FDA CLEAREDCurrentBody Skin LED Multi Light Therapy Mask (MK-110D) — The Beauty Tech Group, Ltd.STAAR Surgical -5.13%RECALLFDA recall: PAYLESS COMPOUNDERS, LLC — Semaglutide-Glycine-Cyanocobalamin Injectable, 2.5 RECALLFDA recall: HTO Nevada Inc. dba Kirkman — MAXIMUM, ZONE 1, 4% Lidocaine Cream, 1/2 oz bottRECALLFDA recall: Pro Numb Tattoo Numbing Spray LLC — Pro Numb Tattoo Numbing Spray, For Sensiti
Exfoliants

TCA (Trichloroacetic Acid)

Potent chemical exfoliant for controlled depth peels and resurfacing.

Also known as: Trichloroacetic acid, TCA, trichloroacetate

What it is
TCA is a non-volatile, halogenated acetic acid that causes controlled protein denaturation and coagulation in the epidermis and dermis. It's a fixed-strength exfoliant—unlike AHAs and BHAs, its depth of penetration depends on concentration (10–50%), application time, and skin prep, not pH.
What it does
TCA precipitates proteins in the stratum corneum and deeper layers, triggering a controlled inflammatory response that promotes collagen remodeling and epidermal renewal. At low concentrations (10–15%), it produces light exfoliation; at 25–35%, medium-depth peeling; and at 40–50%, deep peeling with visible frosting. Results include improved texture, reduced fine lines, diminished hyperpigmentation, and scar revision.
The evidence
Strong clinical evidence supports TCA peeling for photoaging, melasma, acne scars, and post-inflammatory hyperpigmentation. Depth of effect is well-documented and reproducible; outcomes depend heavily on operator skill and patient selection. Long track record in dermatology and aesthetic medicine.
Best for
Moderate to severe photoaging, hyperpigmentation, acne scarring, and texture irregularities; best on Fitzpatrick I–III skin (higher risk of post-inflammatory hyperpigmentation in darker skin).
Pairs well with
Retinoids (post-peel recovery), vitamin C (brightening), hydrating serums and ceramides (barrier repair), sunscreen (essential post-treatment).
Use cautiously with
Other strong exfoliants (retinoids, vitamin A) in the same week; avoid in active infection, eczema, or recent isotretinoin use; use cautiously with hydroquinone (risk of irritation).
Cautions
Requires professional application; risk of scarring, dyspigmentation, and systemic toxicity if misapplied or over-neutralized. Contraindicated in pregnancy. Causes significant downtime (5–14 days depending on depth). Strict sun protection mandatory. Not suitable for home use.
General information, not medical advice. Ingredient effects vary by formulation, concentration, and skin. Patch-test new actives and consult a qualified provider before starting prescription ingredients.

Know what's coming before your patients ask for it.

New actives, device launches, and the FDA calls that change what you can offer — distilled into a two-minute brief, twice a week. Inside MedSpa Pro.

Go Pro · $20/mo
Inside MedSpa Pro

By the time it's news, it's too late.

The rebate cut, the scope-of-practice bill, the competitor opening down the street — it hits your business before the trade press ever covers it. Pro gets you there first: what happened, why it touches your margins, and exactly what to do — at 6 AM, in two minutes.

Go Pro · $20/mo Never be the last to know. Cancel anytime.
The twice-a-week intelligence brief Go Pro · $20/mo