Peeling With 25% Trichloroacetic Acid Associated With Jessner’s Solution for Facial Skin Rejuvenation
Author(s): Israel Alfonso Trujillo* Idaisy Guerra Estévez, Astrid Alejandra López Cortés, Yetter Cruz León, Tamara Emilse
Guerra Guerra Angela Rosa Gutiérrez Rojas
Introduction: The exfoliation with trichloroacetic acid (TCA) associated with Jessner’s solution (JS) is a procedure developed by Monheit
to produce a medium depth chemical peel for the treatment of photoaged skin, actinic keratosis, melisma and superficial acne scars; however,
few studies objectively evaluate its efficacy.
Objective: To evaluate the efficacy and safety of the 25% trichloroacetic acid peel associated with Jessner’s solution in the treatment of
facial skin rejuvenation.
Method: An observational, analytical and longitudinal study was carried out in 200 patients from two hospitals (Surgical Clinic: “Hermanos
Ameijeiras” and General Teaching: “Enrique Cabrera”), in the period between January 2010 and January 2020. Treatment it was applied
monthly for 6 months. The final evaluation was carried out 3 months after the end of the treatment.
Results: 148 women and 52 men were treated with an average age of 34.3 (± 3.2) years. After treatment, there were significant changes in the
Glogau Photo Damage Scale (P = 0.003), in the Lemperle Wrinkle Assessment Scale (P = 0.017) and in the Global Aesthetic Improvement
Scale (P = 0.044). The adverse events found were burning, inflammation and scaling. The degree of satisfaction reported by the patients was
good (1.0%) and very good (99.0%) (P = 0.001).
Conclusions: The 25% trichloroacetic acid peel associated with Jessner’s solution proved to be effective and safe to reduce the signs of facial
skin aging, associated with a high degree of patient satisfaction.