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Scar Treatment (TCA Cross) In San Jose

CONVENIENTLY LOCATED TO SERVE FREMONT, CUPERTINO, SUNNYVALE, LOS GATOS, MOUNTAIN VIEW and MILPITAS
Acne Scarring Metropolis Dermatology Los Angeles
Scar treatment can be transformative, especially for individuals with deep or pitted scars. One of the effective methods for treating such scars is TCA Cross, a technique that uses trichloroacetic acid (TCA) to promote collagen production and skin renewal within the scar itself.

This treatment is particularly beneficial for those with acne scars or deep scars that have not responded to traditional resurfacing techniques. At Metropolis Dermatology in San Jose, we offer TCA Cross to help patients achieve smoother, more even skin.

What is Scar Treatment (TCA Cross)?

TCA Cross (Chemical Reconstruction of Skin Scars) is a specialized scar treatment that involves applying a high concentration of trichloroacetic acid directly into individual scar depressions. This procedure triggers a controlled chemical reaction that promotes collagen production and tissue remodeling, gradually raising the scar to be level with the surrounding skin.

TCA Cross is especially effective for treating boxcar and ice-pick scars, which are typically difficult to improve with other types of treatments. It provides a targeted solution, allowing for the precise treatment of each scar.

 

How Does Scar Treatment (TCA Cross) Work?

 

  • Preparation and Assessment. Before beginning the TCA Cross treatment, the dermatologist thoroughly assesses each scar to determine if it is a suitable candidate for this technique. The treatment is typically performed in-office and requires minimal preparation.
  • Application of TCA Solution. A high concentration of TCA (often between 70 to 100%) is applied directly to each individual scar using a fine applicator. This concentration is strong and should only be administered by a skilled dermatologist. The acid penetrates deep into the scar, triggering a controlled injury.
  • Scar Tissue Reaction. Upon application, the TCA solution creates a controlled chemical reaction, causing the scar tissue to frost temporarily. This process activates a healing response in the skin, stimulating collagen production and encouraging the skin to repair itself from within.
  • Collagen Remodeling and Healing. As the skin heals, new collagen fibers are produced within the scar, gradually raising the depressed area and improving overall texture. With a series of treatments, patients often see a noticeable reduction in scar depth and improved skin smoothness.
  • Gradual Improvement with Minimal Downtime. The TCA Cross technique involves minimal downtime, with most patients experiencing only mild redness or scabbing that heals within a few days. Results are gradual, as collagen production continues over the following weeks.

 

 

Importance of Scar Treatment (TCA Cross)

TCA Cross offers several unique benefits, making it an ideal choice for patients dealing with difficult-to-treat scars:

 

  • Effective for Deep and Stubborn Scars. TCA Cross is highly effective for ice-pick and boxcar scars, which are challenging to address with conventional treatments.
  • Promotes Natural Collagen Production. By stimulating collagen synthesis within the scar, TCA Cross supports natural skin healing and long-term improvement.
  • Precise, Targeted Treatment. This technique targets individual scars directly, minimizing the risk of affecting surrounding healthy skin.
  • Non-Surgical and Minimally Invasive. TCA Cross requires no surgery, making it a low-risk option with minimal downtime and discomfort.
  • Enhances Skin Texture and Appearance. Regular TCA Cross treatments can improve overall skin texture, creating a smoother and more even appearance over time.
Acne Scarring Metropolis Dermatology Los Angeles

FAQs

How many TCA Cross treatments are needed for best results?

Most patients benefit from 3 to 6 treatments spaced about 4 to 6 weeks apart, depending on the severity of their scars.

Is TCA Cross painful?

Patients may experience a mild tingling or burning sensation during treatment, which usually subsides quickly.

What should I expect after the treatment?

Treated areas may show mild redness, scabbing, or peeling, which typically heals within a few days.

Can TCA Cross be combined with other scar treatments?

Yes, TCA Cross can be combined with treatments like microneedling or laser therapy for enhanced results.

Are there any side effects of TCA Cross?

Side effects are minimal but may include temporary redness, peeling, or slight pigmentation changes, which generally resolve with proper aftercare.

Hear from

Real Patients
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449 reviews
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James Craft
September 23, 2026
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favorite dermatologist hands-down. Highly recommended.
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Danielle Glenn
September 16, 2026
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I have been going to Metropolis Dermatology for about two years now, and it has been, and continues to be, a wonderful experience. The staff are always friendly, thorough, and welcoming. They make everything run so smoothly, and I appreciate how prompt they are in answering any questions I have. But the star of the show is Dr. Shauna Higgins! I could spend all day writing about what an incredible physician she is. She is the kind of doctor people wish for. She’s incredibly caring, so attentive, and extremely knowledgeable. At every appointment with her, I walk out feeling seen and heard, and I always leave with a smile on my face. Prior to coming to her, I was struggling with my skin in many ways, but she has completely fixed all of those issues! If I could have her as all of my doctors, I absolutely would.
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James Bond
September 16, 2026
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They have snacks, tea, coffee , and water for you. The staff is very nice and pleasant. One staff suggested a nice restaurant and bakery . Dr. Higgins is excellent and has great communication skills. I asked a few questions and she gladly answered. Some doctors are short and blunt and you don't feel comfortable asking questions. I'm glad Metropolis is not that type of medical facility . The staff are courteous, the place is clean and they have snacks!
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Schedule Your Consultation Today 

If you are ready to reduce the appearance of deep or pitted scars, Metropolis Dermatology in San Jose, CA, offers expert scar treatment with TCA Cross. Contact us today to schedule a consultation and take the first step toward achieving smoother, more even skin!

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