TCA CROSS
TCA CROSS: Precision Treatment for Depressed Acne Scars
At Fine Dermatology, we specialize in advanced techniques for complex skin texture. TCA CROSS (Trichloroacetic Acid Chemical Reconstruction of Skin Scars) is a highly specialized procedure designed to treat acne scars that do not respond to traditional resurfacing.
Under the expert guidance of Dr. Lauren Fine, this "spot-treating" method uses high-concentration Trichloroacetic Acid to trigger deep structural remodeling. By targeting the underlying structure of the scar, we can effectively "lift" the skin’s surface and restore a smoother, more even skin texture.
The Science of Chemical Reconstruction
Unlike a standard chemical face peel, TCA CROSS is a focal treatment. Dr. Fine meticulously applies a high-strength TCA solution directly into the base of ice pick scars and boxcar scars.
This concentrated application causes a localized reaction that breaks down old scar tissue and stimulates the production of new collagen fibers. As the skin heals over several weeks, the floor of the scar gradually rises, smoothing the appearance of the scar and significantly improving overall skin light-reflection.
A Comprehensive Approach to Acne Scarring
Dr. Fine is regarded as one of the country's leading experts in acne scar treatment. To achieve optimal results for multiple types of acne scars, she often incorporates TCA CROSS into a multi-modality treatment plan which may include:
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Subcision: To release the fibrous bands that tether scars to the deeper tissue.
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Laser Resurfacing: Such as UltraClear, Fraxel Dual or CO2 Laser to refine the surrounding skin texture.
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Vascular Lasers: Excel V addresses any lingering redness or post-inflammatory erythema.
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Dermal Fillers: Injectables offer immediate volume restoration in deep "rolling" scars.
The Specialist Advantage: Why Choose Dr. Lauren Fine
Because TCA CROSS involves high-concentration acid, the technique requires an intimate understanding of skin anatomy and healing. Dr. Fine’s meticulous approach ensures the acid is applied with the highest level of safety and precision. Her goal is not just to treat the scar, but to ensure the surrounding skin remains healthy and unaffected during the remodeling process.
Don't let acne scars dictate your confidence. Dr. Lauren Fine provides personalized, evidence-based solutions for even the most stubborn skin textures. Contact Fine Dermatology today to schedule your consultation and start your journey toward smoother skin.

