Mesoestetic MD Melano Plus Touch (TCA) Skin Peel

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Mesoestetic MD Melano Plus Touch (TCA) Skin Peel

Treatment Description

The Mesoestetic MD Melano Plus Touch is a powerful, precision depigmenting peel designed for the focal, targeted treatment of excess melanin deposits and stubborn hyperpigmentation. It is particularly effective for dark spots, age spots, lentigines, post-inflammatory hyperpigmentation, and resistant melasma that has not responded to standard treatments.

The peel combines three synergistic active ingredients: 20% Trichloroacetic Acid (TCA), 4% Kojic Acid, and 1% Ferulic Acid. This formula works by deeply resurfacing the epidermis, inhibiting the enzymatic pathway responsible for melanin production, and protecting the skin from the oxidative and UV-related triggers that drive pigmentation relapse.

Please note: Due to the potency of the TCA formulation and the risk of post-inflammatory hyperpigmentation, this peel is not indicated for darker skin phototypes without appropriate clinical assessment and pre-treatment preparation. This treatment is for focal, precision application only; it is not a full-face resurfacing peel.

What to Expect

  • Consultation: Before treatment, your clinician will assess your pigmentation concerns, skin type, and history to confirm the most appropriate protocol. A pre-treatment depigmenting homecare programme may be recommended prior to the first peel session.
  • The Active Ingredients: The peel contains 20% TCA (a medium-depth chemical exfoliant that triggers keratocoagulation), 4% Kojic Acid (inhibits the tyrosinase enzyme to block new melanin formation), and 1% Ferulic Acid (an antioxidant that protects against oxidative stress and UV-related damage).
  • The Procedure: The peel is applied precisely and focally to pigmented areas only. A “frosting” (whitening of the skin) will appear at the site of application, which is a normal sign that the TCA is acting on epidermal proteins.
  • LED Light Therapy Enhancement: Adding LED light therapy to your peel session accelerates cellular healing, reduces post-treatment inflammation, and enhances the overall outcome.
  • Results Timeline: Visible improvement in treated areas typically begins from approximately seven to ten days post-treatment. Multiple sessions may be required for resistant or deeper pigmentation, spaced four to six weeks apart.

Benefits

  • Targeted Focal Depigmentation: Precisely applied to individual pigmented lesions only, without affecting surrounding skin.
  • Dual Action (Corrective & Preventative): Physically resurfaces pigmented epidermal layers while simultaneously inhibiting melanin production at an enzymatic level.
  • Stimulates Collagen & Skin Renewal: Triggers fibroblast activity and the synthesis of new collagen and extracellular matrix components.
  • Effective for Resistant Pigmentation: Indicated for stubborn hyperpigmentation, including melasma, post-inflammatory hyperpigmentation, solar lentigines, and age spots.
  • Antioxidant Protection: Ferulic acid neutralises free radicals and protects against oxidative triggers of pigmentation relapse.
  • Versatile Application Areas: Suitable for focal use on the face, neck, décolleté, hands, and other body areas.

Preparation Instructions

  • Night Before Treatment: Avoid using vitamin A (retinol) products.
  • Active Skincare: Discontinue retinoids, AHAs, BHAs, and all active exfoliating ingredients for at least five to seven days before your peel.
  • Sun Exposure: Avoid prolonged sun exposure and tanning for a minimum of two to four weeks before treatment.
  • Pre-Treatment Protocol: A structured pre-peel homecare depigmenting programme is strongly recommended to prime the skin and optimise safety.
  • Skin Phototype: This peel is not indicated for darker skin phototypes (Fitzpatrick IV–VI) without careful clinical assessment and a thorough pre-treatment depigmenting preparation protocol.
  • Contraindications: Not recommended during pregnancy, breastfeeding, or on skin with active infections or open wounds.

Aftercare

  • ⚠️ Crucial Rule: Do not wash your skin on the evening of treatment. Do not pick at, scratch, or forcibly remove any peeling or frosted skin (allow natural shedding). Sun protection is non-negotiable following TCA treatment to prevent post-inflammatory hyperpigmentation.
  • Night of Treatment: Keep the restorative serum/mask applied at the end of the session on the skin overnight; do not wash or apply other products.
  • Day After Treatment: Gently cleanse with a mild, fragrance-free cleanser and a soft cloth; use only gentle, hydrating products and no active ingredients.
  • Day 2: Some light flaking, tightness, or dryness is normal. Do not pick at peeling skin; allow it to shed naturally.
  • Day 4 onwards: You may reintroduce active products as directed by your practitioner.
  • Ongoing Aftercare: Apply a broad-spectrum SPF 50 every single morning without exception. Avoid retinoids, AHAs, BHAs, or other active exfoliating ingredients for at least five to seven days following each session. Maintain prescribed depigmenting homecare between sessions.

FAQ

What is TCA and how does it work on pigmentation?
TCA (Trichloroacetic Acid) is a medium-depth chemical exfoliant that triggers keratocoagulation—a controlled coagulation of epidermal proteins. This physically destroys and lifts melanin-containing epidermal layers, stimulates collagen, and initiates a healing process that reveals fresher, more evenly pigmented skin.

What is the white frosting that appears during the peel?
The white frosting is a normal sign of keratocoagulation, indicating the TCA is working at the appropriate depth. It appears at the application site and resolves shortly after treatment.

Is this peel suitable for darker skin tones?
It is not indicated for darker skin types.

Will my skin peel?
Yes, visible peeling in the focally treated areas is expected over five to seven days. Do not pick at or force the removal of peeling skin, as this can lead to scarring or uneven pigmentation.

How many treatments will I need?
Some lesions may respond in one to two sessions, while deeper or more resistant pigmentation often requires a course of three to six sessions, spaced four to six weeks apart.

Why is sun protection so important after this treatment?
TCA removes melanin-containing layers, leaving the skin highly vulnerable to UV stimulation. Without strict SPF 50 protection, UV exposure can rapidly trigger post-inflammatory hyperpigmentation that may be darker and more widespread than the original pigment.

Can the Melano Plus Touch peel be combined with other treatments?
Yes; it is best as part of a programme combining in-clinic peels with depigmenting homecare and LED light therapy to accelerate healing.

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