Large Mole Removal with TCA Peel - Part 2

The first part of this post contains pictures of the 2nd application of 50% TCA chemical peel solution to a large mole.

Skip down to see pictures from the first application.

Had to apply anti-bacterial ointment on the first day after the 2nd application because it was red.

Day 1

 Anti-bacterial ointment worked well after two days of use.

Day 3

Accidentally snagged scab, so it came off too early:

Day 5

Looking so much better, but at least one (possibly two+) more application(s) will be necessary.

Day 7

I will post pictures next week of the third application of 50% TCA chemical peel to remove this large mole.



Click here for information regarding this mole and treatment information.

Pictures from Part 1:

Dime-sized irregular mole

Here is a picture of the first TCA chemical peel application - you can see the frost:

First TCA application

This is a picture of the first layer peeling:

First TCA application peeling

Here is the final picture of the first TCA application:

First TCA chemical peel complete

Large Mole Removal with TCA Peel - Part 1

For those of you who are not accustomed to seeing large, irregular moles, this series may not be for you! You have been warned...

I have a guest reader who contributed a series of photos and information that records the removal of a large mole using TCA chemical peels. She wanted to share this because she said she's been so embarrassed about this mole for years, and wants others to know how she did it without surgery. The doctors she's seen have only recommended surgical removal, which meant stitches (on her cheek), so she's been doing a series of TCA peels to remove the mole.

The mole was quite large:

Dime-sized irregular mole

She has had a recent biopsy of the mole, so there are no concerns with cancer. After seeing her initial photos, I have to admit that I was concerned--because it seemed to fit so many of the criteria of the ABCs associated with malignant melanoma:

Asymmetry
Asymmetry can be assessed by comparing one half of the growth to the other half to determine if the halves are equal in size; unequal or asymmetric moles are suspicious.
Border
If the mole's border is irregular, notched, scalloped, or indistinct, it is more likely to be cancerous (or precancerous) and is thus suspicious.     
Color
Variation of color (e.g., more than one color or shade) within a mole is a suspicious finding. Different shades of browns, blues, reds, whites, and blacks are all concerning. 
Diameter
Any mole that has a diameter larger than a regular pencil's eraser in size (> 6 mm) should be considered suspicious.
Elevation
If a mole is elevated, or raised from of the skin, it should be considered suspicious.



Knowing that her biopsy showed a non-suspicious mole, she began a series of TCA chemical peels. She said when she suggested it to her dermatologist, he spoke with her about doing it himself, but the cost was prohibitive, and since the mole was not malignant, her insurance wouldn't cover what would be classified as a cosmetic procedure (that is so irritating).

She purchased the Dermalure 50% TCA Chemical Peel that I have displayed to the right and decided to just take the plunge with that strength, using a cotton swap to apply the solution.

She left the solution on, not neutralizing it at all. A couple of hours after the application, she applied the CU3 Post-laser Copper Peptide Lotion.



Here is a picture of the first TCA chemical peel application - you can see the frost:

First TCA application

This is a picture of the first layer peeling:

First TCA application peeling

Here is the final picture of the first TCA application:

First TCA chemical peel complete

I have removed many moles using TCA chemical peels, but I have to say that this first application seems very successful! I can't wait to see more pictures. I will continue this series next week.

Here's the link to Part II.

Am I Causing Wrinkles?

Although I don’t do chemical peels during these months when I’m out in the sun more, I still think about all the things I could be doing to prevent—or even cause—wrinkles.

There are seven major factors that influence the development of wrinkles; some we can control: sun damage, smoking, diet, and environment to some extent, but others we cannot control such as aging, muscle contractions, and heredity. Are you doing everything you can to prevent wrinkles, or are you causing more wrinkles?

Diet

It's true: diet may be contributing to wrinkles! In recent years, scientists have found that diets high in sugar (or carbohydrates) may contribute to more wrinkles through the process of glycation (type of chemical reaction that happens when sugar molecules attack to proteins or lipid fats). This process breaks down the skin’s underlying structure and contributes to premature aging.

Environment

Akin to smoking, harmful environmental factors can also cause premature aging of the skin. Research has shown a correlation between premature aging and living in areas where chemical exposure is higher. Oxidation is also an important factor in wrinkle development, although consuming and using antioxidants may help mediate this source. Oxidation occurs in our bodies, regardless of environment, caused by just breathing, but thought to be increased by simple stress. Even chemical peels if done incorrectly can cause premature wrinkles.

Smoking

Healthy skin perpetually regenerates, although the process slows as we age. While old collagen is broken down and removed, new collagen is produced. Researchers have found that smoke causes a noticeable reduction in collagen production. A lack of new collagen results in the development of wrinkles. Smoking is an addiction, and it's not easy to stop, so if you or someone in your home is smoking, consider trying to quit.

Sun Damage

Exposure to UV (ultraviolet radiation), ahem … too much sun, can result in premature aging of skin. UV rays that cause wrinkles damage collagen fibers and cause the excessive production of abnormal elastin. When ultraviolet light damages skin tissue, an enzyme called metalloproteinase is produced. This enzyme creates and reforms collagen. During the process, however, some healthy collagen fibers may be injured, resulting in a disorganized formation of fibers. Protect your beautiful skin by using hats, sunglasses, umbrellas, sunscreen, or whatever you can find!


Heredity

Genetics play a big part in the susceptibility of wrinkling by determining the makeup of skin structure as well as skin color, tone, sensitivities, and so on. Compare my pale Irish skin to that of a darker or olive tone; unfortunately, my skin will freckle and wrinkle long before the other type, which contains more melanin, the skin’s first line of defense against sun damage. Those of us with skin that is more susceptible to sun damage must be diligent with sunscreen or sunblock. Melanin notwithstanding, some people have been blessed with the gift of skin that ages better than others.

Aging

As we age, skin cells divide more slowly, and the inner dermis layer, begins to thin even more. The network of elastin and collagen fibers, which support the outer layer, loosen and unravel--causing fine lines on the skin’s surface. Older skin is also less efficient at retaining moisture, oil glands are less capable, and skin heals more slowly. Keeping the skin hydrated, nourished, and protected helps prevent wrinkles, even as we age, although nothing will keep all wrinkles away!


Facial Muscle Contractions

Those pesky lines between the eyebrows (thank goodness for botox) and crows’ feet are thought to develop after countless muscle uses that crease the overlying skin. Smiling, frowning, squinting, and other consistent facial expressions cause these wrinkles to become more prominent. Over time, the expressions, combined with the effects of aging, contribute to the formation of wrinkles.

We can't affect some of these factors, but we do have control over a few. Doing chemical peels is one way I try to undo the damage that has already been done, but we should also consider all factors that contribute to premature aging.