TCA cross (crater treatment)
TCA CROSS
Promotes reconstruction from within the skin!
Smooths deep acne scars and craters
- Targeting deep ice-pick acne scars and craters
- Supports skin turnover for healthy, smooth, and beautiful skin.
- TCA Cross and New TCA Cross: Choose according to your preferences and skin type
Guided by the philosophy of "Japanese-quality aesthetic medicine recognized worldwide," we oversee specialized doctor teams across plastic surgery, aesthetic dermatology, aesthetic internal medicine, aesthetic gynecology, regenerative medicine, and permanent makeup. Beyond the clinic, we serve as leaders in roles such as Representative Director of Creation Labo, Producer of Cutting Edge, and Director of the Japan Society of Aesthetic Internal Medicine. Our goal is to deliver not just satisfaction, but profound delight. A game changer in the aesthetic medicine field, proposing Lifestyle Beauty that transcends the boundaries of traditional cosmetic treatments.
Even stubborn dents that are difficult to fix are thoroughly addressed with specialized treatment.
Acne scars come in various types, including redness, hyperpigmentation, raised bumps, and indentations. Among these, crater-like indentations are considered particularly difficult to treat.
At Bianca Clinic, we offer highly precise crater treatment using TCA Cross and New TCA Cross, allowing us to intensively target deep acne scars and craters that were difficult to address with other procedures. Both treatments are meticulously performed one by one by our physicians, providing optimal care tailored to each individual's skin condition. If you are troubled by skin texture irregularities, we encourage you to consult with Bianca Clinic.
Case Presentation
CASES
Downtime
DOWNTIMEA scab will form for about a week.
Pigmentation may occur for about 1 to 3 months, but it is temporary, so there is no need to worry.
After treatment, use sunscreen daily to protect your skin from UV rays and maintain thorough moisturization.
After treatment, your skin is sensitive to irritation, so please avoid friction or other forms of stimulation.
・New TCA Cross
Immediately after treatment, the area where the medication was applied turns white, and the surrounding area becomes red.
The redness subsides within 1 to 2 days, and the scab falls off within 1 to 2 weeks.
After the scab falls off, the area will turn red to pink, and it will take 1 to 3 months for the skin to return to its original color.
The next treatment can be performed once the color has returned to normal.
Recommended for people like this
RECOMMENDED FOR:Features
CHARACTERISTICSTCA Cross (Craters Treatment) is
TCA Cross (TCA CROSS: chemical reconstruction of skin scar) is a treatment that applies high-concentration trichloroacetic acid (TCA) to address depressed acne scars and deep ice-pick-like craters.
The action of high-concentration trichloroacetic acid temporarily damages the affected area, supporting the promotion of collagen and elastin production during the wound healing process. These components are key to skin firmness. This helps repair the skin from within, making noticeable craters and indentations less visible.
Typically, rather than achieving dramatic results in a single session, patients undergo 3 to 5 sessions under a doctor's supervision. Through multiple treatments, the indentations on the skin's surface become less noticeable. This treatment is also gaining attention among those troubled by deep craters who found little improvement with other treatments like laser therapy.
What is the new TCA Cross?
The new TCA Cross treatment involves meticulously applying the solution with ultra-fine needles directly into each pore and acne scar crater. Unlike the traditional TCA Cross treatment, which covers the entire face, the new TCA Cross targets specific areas like deep icepick-type acne scars. The amount of solution and the depth of application are carefully adjusted based on the condition of the pores and craters.
Because the medication is injected from the tip of an ultra-fine needle, the procedure must be performed carefully and slowly, but it is characterized by shorter downtime compared to conventional methods.
Can also be used in combination with the Vampire Facial
For those seeking to further enhance the effects of TCA cross, it can be combined with a Vampire Facial. A Vampire Facial is a treatment that utilizes high-concentration PRP (Platelet-Rich Plasma) extracted from your own blood. Blood is centrifuged to isolate platelets, which are then mixed with beneficial components and delivered directly into the deeper layers of the skin through the micro-channels created by the Dermapen 4.
PRP is rich in growth factors that support the repair and reconstruction of damaged skin. When combined with skin stimulated by TCA Cross, it accelerates the healing process and offers greater potential for addressing deeper skin irregularities. Derived from the patient's own blood, it carries a relatively low allergy risk, making it a safe and reliable treatment option.
Benefits
MERITTargets even deep acne scars (craters) you've given up on
It can also address symptoms like ice pick acne scars and craters, which have traditionally been considered difficult to improve with other treatments.
Promotes skin reconstruction through the power of pharmaceuticals
The power of the formula works deep within the skin to promote the production of components that form the basis of skin firmness and elasticity. This accelerates skin reconstruction, leading to a smoother complexion with less noticeable texture.
Choose between TCA Cross and New TCA Cross according to your preference.
Choose between TCA Cross and New TCA Cross treatments to find the best option for your skin condition and desired downtime. Achieve smoother, more radiant skin.
Recommended Features
RECOMMENDED POINTSThe Process Leading to Ice Pick Acne Scars
Ice pick acne scars are characterized by small, deep indentations that resemble puncture wounds from an ice pick. Acne itself occurs when pores become blocked, trapping sebum inside, where acne bacteria multiply and cause inflammation.
When inflammation persists over a long period, it causes fibrosis—a hardening of the skin tissue along the hair follicle—gradually destroying the follicle's structure. Particularly when inflammation is severe and pus is repeatedly drained, the follicle wall may contract and harden, leaving behind a small, deep hole called a fistula. This is the true nature of icepick acne scars.
Our clinic offers TCA Cross and New TCA Cross as specialized treatments specifically targeting ice pick-type acne scars.
Deep, hard ice pick-type acne scars are difficult to see improvement with typical treatments or care.
Ice pick acne scars are extremely small, with a diameter of approximately 2mm or less when viewed from above, and may not appear particularly severe at first glance. However, in reality, the indentation often extends deep into the skin. It is not uncommon for the damage to reach not only the epidermis but also the dermis layer and even the area near the subcutaneous tissue. Consequently, the skin's structure itself becomes compromised, making it difficult to improve through natural healing or self-care alone.
Such deep, narrow craters are difficult to treat effectively with general skincare or superficial procedures, requiring specialized treatments that penetrate deeply into the skin.
How to Choose Between TCA Cross and New TCA Cross
Bianca Clinic offers two treatments: TCA Cross and New TCA Cross.
For those seeking a thorough solution for deep, hard ice-pick acne scars, the highly effective traditional TCA Cross is ideal. On the other hand, the new TCA Cross is popular among those with sensitive skin, prone to hyperpigmentation, or wishing to minimize downtime.
If you're unsure which treatment is right for you, our doctors will assess your skin condition and recommend the most suitable procedure. We also offer subcision (a type of crater treatment) as one option for treating craters. This involves gently separating hardened tissue beneath the skin with a needle to lift depressed areas. Please feel free to schedule a consultation.
Treatment area
TREATMENT AREA顔
Treatment Process
CONTENT OF TREATMENTFace Wash & Cleansing
First, please thoroughly remove your makeup using a facial cleanser and makeup remover. Facial cleansers and makeup removers are provided at the clinic, so please rest assured.
Counseling and Physician Consultation
After listening to your concerns during counseling, our physician will examine your skin condition and determine the suitability of treatment. If you have any questions or concerns about the procedure, please feel free to consult with us.
treatment
Both TCA Cross and New TCA Cross treatments are performed by a physician. The estimated treatment time for both is approximately 30 minutes.
Aftercare
Regarding facial cleansing after treatment, please follow the physician's instructions.
When facial cleansing is indicated: Wash your face 5 minutes after applying the medication, then finish by misting the entire face.
If no cleansing instructions are provided: Do not cleanse the face. Instead, finish by misting the area, avoiding the treatment site.
Please refrain from skincare and makeup on the day of your treatment. Cleansing with water only is permissible on the day of your treatment.
Schedule of Charges
PRICE LISTTCA Cross
| Part | 1 time | 3 times | 6 times |
|---|---|---|---|
| Full face | ¥48,180 | ¥115,610 | ¥202,400 |
New TCA Cross
| Part | Up to 5 | Every 5 additional items |
|---|---|---|
| Full face | ¥22,000 | ¥11,000 |
Lifestyle Beautyis
proposed.
Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.
Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.
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Frequently Asked Questions About TCA Cross (Craters Treatment)
Q&AHow often should I get TCA cross treatments?
Treatments are typically performed 3 to 5 times at intervals of 3 to 4 weeks. Complete healing in a single session is difficult, as changes occur gradually with each subsequent treatment. With ongoing treatments, the appearance of acne scars often diminishes progressively over time.
What symptoms is TCA cross effective for?
Effective for small, deep ice-pick-like acne scars and pits.
Can it be combined with other treatments?
Generally, treatments cannot be performed on the same day, and a 4-week interval is required between sessions. In some cases, the Vampire Facial (Dermapen + PRP) is combined after adjusting the treatment interval. However, this is determined by the physician, so please consult us if you wish to combine treatments.
Is the TCA cross procedure painful?
The high concentration of trichloroacetic acid may cause a stinging sensation on the surface during the procedure, but this typically subsides within about 30 minutes. The discomfort is temporary and within tolerable limits, so please rest assured.
How is the TCA cross going?
The area where the medication was applied will turn white within a few seconds, and a scab will form afterward. Do not touch the scab until it falls off naturally. The area around the scab may become red, but this is a normal part of the healing process, so please rest assured.
How often should TCA cross treatments be performed?
Treatments are generally scheduled once a month. The doctor will adjust the optimal interval based on your skin condition and treatment results.
When can I apply makeup after a TCA peel?
Generally, you can apply makeup starting the day after your treatment.
Are there any precautions to take after a TCA peel treatment?
Avoid friction and irritation, and do not touch scabs until they fall off naturally. Forcibly removing them delays healing and increases the risk of hyperpigmentation. Additionally, thorough moisturization and UV protection are essential.
Can you perform treatments on areas other than the face?
No, the treatment is only for the face. Considering skin characteristics and safety, we do not treat areas other than the face.
Once cleared up, will the crater reappear?
While the procedure improves the appearance of indentations, they may recur due to skin turnover or lifestyle habits. Therefore, daily skincare and regular maintenance are essential.
Treatment Details: TCA Cross (Craters Treatment)
Recommended treatment period and frequency: Approximately 3 to 5 sessions every 3 to 4 weeks *May vary depending on individual condition.
Risks and side effects: Redness, hyperpigmentation, scabs, etc.
Important Notes Regarding Unapproved Medicines
・This treatment may involve the use of unapproved pharmaceuticals that have not received regulatory approval in Japan.
・Medicines used in treatments are imported through personal import procedures under the supervision of a physician. For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Medicines Requiring Caution for Personal Import."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
・Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals containing the same ingredients.
・Serious risks or side effects may not yet be known.
・In the unlikely event of serious side effects, you may not be eligible for the national pharmaceutical adverse reaction victim relief system.
Treatment Details: New TCA Cross (Craters Treatment)
Recommended treatment period and frequency: Approximately 3 to 5 sessions every 3 to 4 weeks *May vary depending on individual condition.
Important Notes Regarding Unapproved Medicines
・This treatment may involve the use of unapproved pharmaceuticals that have not received regulatory approval in Japan.
・Medicines used in treatments are imported through personal import procedures under the supervision of a physician. For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Medicines Requiring Caution for Personal Import."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
・Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals containing the same ingredients.
・Serious risks or side effects may not yet be known.
・In the unlikely event of serious side effects, you may not be eligible for the national pharmaceutical adverse reaction victim relief system.
RESERVATION