Generally used when facial spots or wrinkles are felt to be full thickness of the epidermis and even into the dermis. These peels are generally combined with Jessner’s peels as the Jessner’s peel allows a weaker, and thus safer, TCA concentration to be used and still get the peel to reach the depth needed to obtain the desired results. Generally lighter peels are done first to gauge the sensitivity of your skin and only use the deepest peel needed for the desired results. TCA is typically used from concentrations of 15 to 35% and may also be applied in coats. The skin turns red with an overlying whiteness that last up to 1 hour. The skin then gets dry and brown and peels off in scales over 7 to 10 days. The new skin is often smoother and clearer but requires the use of skin care products prior to, and for 3-6 months after, to prevent spots from being produced from the inflammation induced by the peel. Since the wrinkle removing benefit lasts for 1 year, some patients choose to have this peel performed annually to keep the wrinkles away.