Complications after a TCA eyelid peel. What should I do?

Hello, I had a tca peel done one month ago on my lower eyelids. one month later they are red/brown. my doctor prescribed hydroquinone 4%. i woke up this morning and they look very red on the area where the peel was performed. should I keep using the hydroquinone cream and will the redness lessen over time. thank you.

You bring up several good points.  With TCA peels or almost any procedure, there is the procedure itself and then there’s what comes afterwards.  When there’s a complication, sometimes it’s the procedure and sometimes it’s the post care that the problem.  It sounds to me like the peel went fine but now you’re not healing well and often the culprit is the products you are using afterwards which are creating an irritant or allergic reaction.  I’m wondering if that’s the problem.  In my opinion, hydroquinone 4% is almost always too irritating to use on eyelid skin.  I would recommend stopping it for now. While you are waiting to see your dermatologist again, try just very bland Vanicream or even vaseline.

Finding a good dermatologist to help you now is key. You didn’t mention if your doctor is a board certified dermatologist.   I think you’ll need one to help you manage this problem.   I hope this helps.  Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!