TCA Cross
At Doctor Kavena Aesthetics, we offer a highly effective, combined treatment of TCA Cross and microneedling, specifically designed to reduce deep acne scarring.
This treatment is particularly beneficial for ice pick and boxcar scars, as well as improving overall skin texture.
TCA Cross with Microneedling is a tailored, multi-step approach that addresses both deep and superficial scarring for a smoother, more even complexion.

What is TCA Cross with Microneedling?
TCA Cross (Trichloroacetic Acid Chemical Reconstruction of Skin Scars) is an advanced technique used to treat deep atrophic acne scars. High-concentration TCA is applied to deep scars, stimulating collagen production and promoting skin resurfacing.
This technique is particularly effective for ice pick and boxcar scars, which are characterised by deeper indentations.
Microneedling involves using fine needles to create micro-channels in the skin, which triggers the body’s healing process and stimulates collagen and elastin production. It is most effective for rolling scars, which are more shallow and spread out.
When combined, these treatments work synergistically to improve both the texture and depth of acne scars, offering a comprehensive solution for a range of scar types.
How Does TCA Cross with Microneedling Work?
This treatment alternates between microneedling and TCA Cross, with sessions spaced 2–4 weeks apart to allow the skin to heal between treatments:
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Microneedling Session (First Week): Microneedling is performed first to create micro-channels in the skin, which helps the skin absorb the TCA more effectively. This step is particularly effective for treating superficial scars and improving overall skin texture.
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TCA Cross Session (Second Week): The second session involves the application of TCA Cross directly to the deeper scars. The TCA works by inducing controlled injury to the scar tissue, promoting collagen remodelling and reducing the appearance of deep acne scars.
This alternating approach ensures comprehensive treatment, targeting both deep and superficial scars for the best possible results.
Benefits of TCA Cross with Microneedling
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Deep Scar Reduction: TCA Cross is especially effective for ice pick and boxcar scars, which are deeper and more resistant to treatment.
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Improved Skin Texture: Microneedling enhances the overall texture of the skin, making it effective for rolling scars and overall skin smoothness.
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Dual Action for Comprehensive Treatment: The combination of both techniques provides a more complete approach to acne scarring, addressing multiple types of scars at once.
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Minimal Downtime: While downtime may vary, this combined treatment typically offers quicker recovery compared to more invasive procedures.
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Customised Treatment Plan: The alternating sessions allow for a tailored approach based on your individual skin needs and the severity of your scars.
Treatment Protocol
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Frequency: Sessions are spaced 2–4 weeks apart to allow for proper skin healing and collagen production.
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Number of Sessions: A series of 3–6 sessions is usually recommended, depending on the severity of the scarring.
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Aftercare: Post-treatment care will be provided to help support your skin’s recovery and optimise results. This includes moisturising, avoiding sun exposure, and following any specific skincare recommendations.
Ideal Candidates
This treatment is best suited for individuals with:
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Deep Atrophic Scarring: Including ice pick and boxcar scars.
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Rolling Scars: Although less effective for rolling scars, microneedling improves their appearance and smooths skin texture.
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Good Skin Health: Ideal for individuals with generally healthy skin and no active infections or severe skin conditions.
TCA Cross with Microneedling is not recommended for individuals with active skin conditions, pregnant women, or those with certain health concerns. A consultation with Dr. Kavena will help determine if this treatment is right for you.
What to Expect After Treatment
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Initial Effects: Expect mild redness and swelling immediately after treatment. These effects typically subside within a few days.
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Peeling: You may experience mild peeling and flaking as the skin renews itself. This is a normal part of the healing process and usually lasts for 3–7 days.
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Gradual Improvement: Skin texture and scarring will improve gradually over several weeks, with noticeable changes in the appearance of scars as collagen production takes effect.
If you're struggling with deep acne scars and want to achieve smoother, clearer skin, TCA Cross with Microneedling might be the perfect solution. Book a consultation with Dr. Kavena to learn more about this advanced treatment and how it can help you achieve the results you desire.