Our icon is a capital L, standing for Loftus

Loftus Plastic Surgery Center

Natural Results from a National Expert

Right Here In Cincinnati and Northern Kentucky

Schedule a


TCA Peels

Medium chemical peels are highly effective in promoting skin smoothness and vitality. They also improve superficial discoloration and eliminate fine wrinkles. They do nothing for acne scarring or dynamic wrinkles. Medium depth peels can be achieved with a variety of chemicals. Trichloro acetic acid peel, or TCA peel, is the most common. Jessner’s solution, glycolic acid, salicylic acid, and other agents are also used.


A medium chemical peel will improve color, freshness, texture, skin tone, and fine wrinkles. It will also improve superficial discoloration, such as age spots. It may improve blotches and can sometimes improve dark circles under your eyes. Medium peels may be repeated every three to six months for optimal results. Unlike deep peels, medium peels may be performed safely on people with olive and light brown skin. They may also be used in some people with dark brown skin, although the risk of discoloration is higher.


Although fine wrinkles will be improved, medium chemical peels offer no improvement for dynamic wrinkles. To achieve the best results, you should use skin care products before your peel and anticipate that two or more peels may be needed at three-month intervals. The effects of a medium chemical peel may dissipate over six months to a year, but improvement will persist if you adhere to a skin care program with micro peels.

Preparation for Medium Chemical Peel

Preparing your skin prior to a medium depth chemical peel will result in deeper penetration, faster recovery, lower risk of discoloration, and a better result. Skin preparation may be achieved by applying retin-A, glycolic acid, and bleaching agents daily for four to six weeks. Retin-A will help your dead superficial layers of skin shed and will allow chemical peel agent to penetrate more deeply. Retin-A will also stimulate your skin to regenerate and heal more quickly. Alpha hydroxy acids, such as glycolic acid, will enhance the effects of retin-A. Women with dark skin are at increased risk for developing blotchy skin after a medium chemical peel. Bleaching agents used before and after your peel will minimize this problem. If you are on a skin care program, you may already be prepared for a medium chemical peel. Some physicians may perform medium peels in patients who do not prepare their skin. These patients must understand that the results may not be optimal, recovery may be longer, and risk of discoloration is greater.

The Procedure

Medium peels are performed as office procedures and require 15-60 minutes. Your surgeon may offer you pain pills or sedatives to help you tolerate intense burning during peeling agent application. Your surgeon will apply a chemical solution, usually TCA, to your skin, one area at a time. When the desired depth has been achieved, your physician will neutralize the peel by applying iced saline. After ice is applied, you will have no further discomfort. Burning lasts about two to ten minutes. Once all areas have been neutralized, your skin will return to its normal color in 15 to 45 minutes. Your face will be covered with an oil-based ointment, steroid ointment, or vegetable shortening to keep your skin moist and promote healing. You will then be allowed to go home. Post operative pain medication is not required.


There will be no discomfort following the procedure. You will wash your face twice daily with gentle soap and water followed by application of ointment. Your face will initially appear red. Within a few days, your superficial layers of skin will turn dark, become stiff, and resemble leather. They will then crack, flake, and peel. Flaking is usually complete in four to seven days. There will be no open wounds and no scabs. Once your old skin has sloughed, your new skin will be bright and flushed. Once your skin has finished peeling, you may begin wearing makeup. You will physically be able to return to work immediately, but your appearance may preclude this. Most are able to comfortably return to public within seven days. You should resume skin care within two weeks of your procedure. Your flushed appearance will fade slowly over several weeks.


Total cost of a full-face medium chemical peel averages $2,000. If you wish to have only a portion of your face peeled, such as the area around your mouth or the area around your eyes, you will pay about $1,200.

Expected Duration of Results

Medium chemical peels will last six months to two years. If you use skin care products regularly after your peel, you will maximize the duration of improvement. Most women who choose medium chemical peels as the mainstay of their facial rejuvenation have a repeat peel every six to twelve months.


Women who seek dramatically increased skin vitality with a reduction of fine wrinkles, who understand recovery and temporary duration of effect, and who do not expect improvement in dynamic wrinkles are generally satisfied with medium chemical peels.


When compared to all simple and serious treatment options, medium chemical peels provide an intermediate level of improvement at an intermediate cost and impose an intermediate period of recovery. They are ideal for the woman who wants more than a superficial peel, but can not afford the expense or recovery time of a deeper treatment.

Dr. Loftus by herself

About Dr. Loftus

Dr. Loftus is a female plastic surgeon who is considered a national authority on plastic surgery, having appeared on numerous talk shows as an expert. Her book has become a best-selling book on plastic surgery and has earned her the reputation as a vocal advocate of patient safety, satisfaction, and education in plastic surgery. No wonder her patients have such great things to say about her…
Dr. Loftus and her staff
My results are amazing - Dr. Loftus is amazing!
My friends can't believe how natural I look!
I had no pain after surgery and recovery was so easy.
The entire experience was fabulous!
I am a nurse who has worked with many doctors, Dr. Loftus is the best!
The care was exceptional and results are incredible!
My results are better than I ever imagined!
Dr. Loftus is a rare surgeon: highly skilled, personable and compassionate!
My experience from start to finish was completely extraordinary!
Awesome results from a skilled and caring doctor.
I love love love Dr. Loftus and everyone in the office!
I've never felt so comfortable and understood in a doctor's office.
I felt so comfortable and barely had any pain at all.
I never knew I could look this good! Thank you Dr. Loftus!!!
Never met such a warm and caring staff anywhere else.
If only every doctor could be like Dr. Loftus, how very fortunate we would be.

Reviews on Loftus Plastic Surgery Center

reviews on Google

reviews on Real Self

reviews on Health Grades

reviews on Vitals

reviews on Rate MDs

TV Appearances of Dr. Loftus

Interview with Local12 WKRC

Dr. Loftus
on Local12 WKRC

Interview with The View

Dr. Loftus
on The View

Interview with The Today Show

Dr. Loftus
on The Today Show

Interview with MSNBC

Dr. Loftus

Interview with Later Today

Dr. Loftus
on Later Today

Interview with Later Today

Dr. Loftus
on Later Today

Interview with CNN

Dr. Loftus
on CNN

Cincinnati: The Christ Hospital2139 Auburn Avenue, Suite 201
Cincinnati, OH 45219
(513) 793-4000
5 minutes from downtown Cincinnati,
At the Christ Medical Office Building

View Map
Northern Kentucky1881 Dixie Highway, Suite 300
Fort Wright, KY 41011
3 minutes from downtown Cincinnati &
visible from I-71/75

View Map
Explicit photos on this site are currently by you. Click or tap here to change this.You are currently viewing the website. Click or tap here to view the Site.