OverviewPost-operative instructions

Post-operative instructions after TCA Peel

  1. Ice packs first 48 hours
  2. Chloromycetin ointment twice daily to lower eyelids for 4 days
  3. E45 cream x4 daily for one week then twice daily for two weeks
  4. Remove the residual cream gently before each re-application with a cotton wool ball soaked in weak white vinegar solution 1/2 tablespoon vinegar in one cup boiled and cooled water. If this stings, make the solution weaker ie 1 teaspoon per cup water.


After the surgery your lower eyelids will become puffy within the first 2 4 days so you need to use ice packs these can be purchased from a chemist or you can make your own using ice in a plastic bag, put a clean flannel over the lids and hold for 15 mind per hour.


The area of skin treated with the TCA peel (Tri-chloracetic acid) will cause a sunburn like reaction after about 3 days which is maximal by 6 10 days then gets better as the surface skin sloughs off.


If you have freckles in the treated areas these will look more prominent during the first two weeks as they slough off a little.


You need to use Q-tips to gently rub off the crusts and slough skin. These can be used dry. The peel comes off in a blotchy way just like a sunburn NB if you get a cold sore please see you GP urgently or attend the Eye Casualty and purchase Acyclovir ointment from the chemist to put on the sore


One the skin has healed it will look pale and tighter.