EnerPeel TCA 25% is usually applied using the brush heads and drawing the EnerPeel solution evenly onto the skin a monolayer at a time whereby the skin looks visibly wet but the solution is not running and then left for 1 to 4 minutes on the skin or until the first sign of frosting/or the client gives discomfort scores of 7 to 8 out of 10.

Then the TCA is neutralised using an EnerPeel neutraliser wipe which will penetrate deeply into the skin and will neutralise the TCA. You are also able to wipe or wash the skin surface with cotton pads dampened with water a few minutes post neutralisation. Always use EnerPeel neutraliser as the 12% arginine neutraliser is also held in an EnerPeel carrier solution. This means it will go wherever the TCA has gone and neutralise it even deep in the skin.

This is different to other company procedures who don’t neutralise the TCA as they believe you cannot, and they don’t advocate wiping or cleansing the skin with pads dampened with water for fear of reactivating crystalised TCA on the skin. Our TCA is taken in using the EnerPeel carrier solution technology and our 12% arginine neutraliser is also held in an EnerPeel carrier and so wherever the TCA is, the neutraliser will reach it.

If a second layer is to be applied, (only do this for a greater response and ensure that the client’s skin is prepared and suitable for a double layer). It would be applied 1 minute after the first layer. It normally takes up to a minute to apply a layer to the whole face and so the second layer is usually applied immediately after completing the first, but always starting from the same point on the skin from where the application of the first layer began, and then to follow the same pattern of application as with the first layer to ensure uniform time exposure for all areas of the face.

Applying a second layer will significantly increase the impact and also post procedural erythema and desquamation. However, neutralisation should be carried out regardless of layers or timings as soon as frosting begins. Maximum exposure is 4 minutes whether it’s one layer or two layers.

The aim is to apply the full 2 ml of TCA solution and so may apply again to make sure you have a good covering. (It is useful to consider that 50% of the 2ml vial contains carrier molecules and 50% is TCA molecules, and so to get the required amount of TCA for the whole area would require the full 2ml of solution). Flaking and desquamation (peeling) with an EnerPeel TCA begins later than with a standard TCA and is less and normally begins around day 3 or 4, not 1 to 3 as with standard TCA’s.