Treatment
TCA CROSS
Targeted chemical reconstruction for ice-pick scars.
Scar Evidence: Moderate
Duration
10–20 min
Downtime
Medium (3–7 days)
Main Effect
Helps narrow deep pits by controlled spot remodeling.
Tip
Best for true ice-pick scars; often combined with fractional/RF for broader texture.
What it is
A high-strength acid is applied into individual scar pits to trigger focal collagen remodeling.
Key Benefits
- Targets deep pits
- Focused scar remodeling
- Works well in combination plans
Typical Plan
Sessions
3–6 sessions
Interval
every 4–6 weeks
Maintenance
as needed
Results
When visible
4–8 weeks (gradual)
Peak
3–6 months
Longevity
remodeling-based
Who it’s for
Best for
- Ice-pick scars
- Narrow deep pits
Not ideal for
- Broad rolling scars as a solo method
- Unstable barrier without prep
Comfort & Safety
Anesthesia
Usually none; topical numbing sometimes
Pain level
★★★ ☆☆
Common reactions
- Stinging
- Frosting/whitening at spots
- Scabbing
Rare risks
- PIH
- Over-treatment burn (rare)
Contraindications
- Active infection
- Open wounds
* Information is general guidance. Final suitability and protocols depend on in-person assessment.
Aftercare
First 24 hours
- Keep spots clean and dry
- Do not pick
- SPF 50+
First week
- Let scabs fall naturally
- Moisturize surrounding skin
- Avoid acids/retinoids
Avoid
- Pick scabs
- Sun tanning
Related Treatments
Want a personalized plan?
Tell us your skin concern and preferred area. We’ll guide you to the best option.