Dayan Erez, Rohrich Rod J
Dallas Plastic Surgery Institute, Dallas, Tex.
Plast Reconstr Surg Glob Open. 2019 May 17;7(5):e2250. doi: 10.1097/GOX.0000000000002250. eCollection 2019 May.
Trichloroacetic acid (TCA) is a versatile agent, efficacious in treating a spectrum of facial rhytids and dyschrommias at varying concentrations. TCA is commonly used in a 30%-35% concentration to achieve a medium-depth peel into the upper reticular dermis. The addition of Jessner's solution before the TCA peel application leads to partial removal of epidermis, allowing for deeper penetration of the TCA. This combination is beneficial, as lower concentrations of TCA can be used for the same depth of peel, minimizing complications such as scarring.
三氯乙酸(TCA)是一种用途广泛的制剂,在不同浓度下对治疗一系列面部皱纹和色素沉着异常有效。TCA通常以30%-35%的浓度使用,以实现对上网状真皮的中等深度剥脱。在应用TCA剥脱之前添加杰斯纳溶液可导致表皮部分去除,使TCA能够更深地渗透。这种联合是有益的,因为对于相同深度的剥脱可以使用较低浓度的TCA,从而将诸如瘢痕形成等并发症降至最低。