$350

TCA CROSS (Chemical Reconstruction of Skin Scars) is an advanced, highly targeted technique used to improve the appearance of deep, pitted acne scars and refine uneven skin texture. At Fresh Faced Medical Aesthetics in Calgary, this method involves placing a controlled concentration of Trichloroacetic Acid directly into individual scars. Unlike traditional chemical peels that treat the entire surface of the skin, TCA CROSS works within the scar itself, stimulating a focused wound‑healing response that encourages collagen production and long‑term structural remodeling. This makes it one of the most effective options for ice‑pick scars, boxcar scars, and other deep textural irregularities that often do not respond to microneedling, lasers, or superficial resurfacing.

The treatment begins with a thorough cleansing and preparation of the skin to ensure optimal penetration. The TCA solution is then applied with pinpoint accuracy to the base of each scar. This controlled application creates a temporary white frosting effect, which is a normal and expected part of the process. A brief sensation of warmth or tingling may occur, and a fan is provided to maintain comfort throughout the procedure.

Once the acid interacts with the scar tissue, it initiates a cascade of healing responses. Over the following days, the treated areas darken slightly and begin to peel after tiny scabs are formed. As the skin regenerates, new collagen forms within the scar, gradually lifting and softening its appearance. Because the surrounding skin is left untouched, healing is faster and more controlled than with full‑face resurfacing treatments. Most individuals experience only mild redness or sensitivity, and daily activities can typically be resumed within a short period.

Benefits of TCA Cross Treatment

TCA CROSS offers a unique combination of precision, effectiveness, and long‑term improvement. By targeting only the scarred areas, the treatment allows for deeper penetration where it is needed most, without compromising the integrity of the surrounding skin. Over a series of treatments, clients often notice a visible reduction in scar depth, smoother texture, and a more even complexion. The results continue to evolve as collagen production increases, creating improvements that are both natural and lasting. Because the treatment stimulates the body’s own regenerative processes, the outcome is not dependent on fillers or temporary solutions, but rather on true structural change within the skin.

What to Expect During Your Appointment

Your experience begins with a detailed consultation to assess your skin, understand your goals, and determine whether TCA CROSS is the most appropriate approach for your scar type. Scar depth, shape, and distribution are carefully evaluated, as different scars respond differently to treatment. Once the plan is established, the skin is cleansed and degreased to prepare for application. The TCA solution is then placed directly into each targeted scar using a precise technique designed to stimulate collagen and encourage natural skin renewal. The treatment is quick, focused, and highly controlled, with comfort maintained throughout.

Aftercare and Healing

Following treatment, the skin may appear slightly red or darkened in the targeted areas. This is a normal part of the healing process and indicates that the skin is responding as expected. Peeling typically begins within a few days, revealing fresh, revitalized skin underneath. It is important to avoid picking, rubbing, or exfoliating the treated areas during this stage, as doing so can interfere with healing or increase the risk of pigmentation changes. Sun protection becomes essential, as the newly treated skin is more sensitive to UV exposure. With gentle cleansing, consistent moisturization, and mindful care, improvements continue to develop over several weeks as collagen production increases and the skin remodels from within.

Understanding Acne Scars and Why TCA Cross Works So Well

Deep acne scars form when inflammation disrupts the skin’s natural healing process, leaving behind indentations where collagen has been lost. Ice‑pick scars are narrow and deep, often extending into the dermis, while boxcar scars have sharper edges and a more defined shape. These types of scars are notoriously resistant to surface‑level treatments because the damage lies beneath the skin’s surface. TCA CROSS is uniquely effective because it reaches into the depth of the scar, triggering a healing response exactly where it is needed. Over time, the scar gradually fills in as new collagen forms, creating smoother, more even skin.

Who Is a Good Candidate

TCA CROSS is ideal for individuals with deep, pitted acne scars—particularly ice‑pick and boxcar scars—that have not responded well to other treatments. It is suitable for a wide range of skin types and can be customized based on scar depth, skin tone, and overall skin health. During your consultation, we assess whether this treatment aligns with your goals and create a personalized plan that may include a series of sessions or a combination approach with other modalities such as microneedling for enhanced results.

Results and Treatment

Most clients begin to see improvement after the first session, with continued refinement as collagen production increases. Because scar remodeling is a gradual process, a series of treatments spaced several weeks apart is often recommended for optimal results. The improvements achieved with TCA CROSS are long‑lasting, as the treatment stimulates true structural change within the skin rather than providing temporary surface‑level effects. Over time, the skin becomes smoother, firmer, and more uniform in texture, creating a noticeable difference in overall appearance.

Why Choose Fresh Faced Medical Aesthetics

At Fresh Faced, every treatment is approached with precision, intention, and a deep understanding of skin behavior. Your plan is personalized, your comfort is prioritized, and your results are guided by both clinical knowledge and aesthetic artistry. Our goal is to help you achieve smoother, more confident skin through safe, thoughtful, and transformative care. We take the time to understand your skin’s history, your goals, and the unique characteristics of your scars, ensuring that your treatment plan is tailored specifically to you.

Ready to Transform Your Skin?

If you're struggling with acne scars or uneven skin texture, TCA cross treatment may be the solution you've been looking for. Contact us today to schedule a consultation and discover how we can help you achieve your skin goals!