A targeted dermatology treatment designed to treat deep acne scars by stimulating collagen and improving overall skin texture.
Struggling with deep acne scars or pitted skin? TCA CROSS Therapy at Kandhari Dermatology is a dermatologist-led treatment that targets individual scars with precision. By applying a specialised chemical solution directly into the scar, this procedure stimulates collagen production and helps improve scar depth, texture, and overall skin appearance over time.

TCA CROSS (Chemical Reconstruction of Skin Scars) is a specialist dermatology technique that uses high-concentration trichloroacetic acid, applied precisely with a fine applicator, to the base of individual acne scars. This focused chemical application triggers a controlled inflammatory response within the scar tissue, stimulating collagen production and progressive scar elevation from the base upwards. TCA CROSS is particularly effective for ice pick scars and narrow, deep boxcar scars — scar types that are notoriously difficult to treat with surface-level procedures. Multiple sessions lead to progressive improvement in scar depth and appearance.
TCA CROSS is best suited for patients with ice pick scars or deep, narrow boxcar scars resulting from acne. It is appropriate for most skin tones when applied correctly by an experienced dermatologist. Patients with active acne or inflammatory skin conditions may need to complete acne treatment before beginning TCA CROSS.
TCA CROSS targets individual scars with precision, stimulating collagen regrowth from deep within the scar structure. Over successive sessions, scars visibly elevate and their appearance improves. The procedure is quick, requires minimal downtime, and is highly cost-effective. It is often combined with other treatments such as MNRF, subcision, or CO2 laser for a comprehensive scar management programme.
Avoid sun exposure and discontinue retinoids and exfoliating agents for at least one week before treatment. Sun protection should be maintained consistently in the weeks leading up to the procedure to reduce the risk of pigmentation changes.
The skin is cleansed and prepared before the dermatologist carefully applies high-concentration TCA using a fine applicator to each individual scar. A frosting reaction — a white colouration of the treated spot — confirms accurate delivery. The procedure takes 15–30 minutes depending on the number of scars being treated. A mild stinging sensation is expected during application.
Each treated spot will form a small crust over the following days as the skin heals. It is important not to pick or disturb these crusts. Keep the skin moisturised and apply broad-spectrum sunscreen daily. Avoid direct sun exposure until the skin has fully healed. Mild peeling is expected as fresh skin emerges.
When performed by an experienced dermatologist, TCA CROSS is a safe and well-tolerated procedure. Temporary redness, darkening of the treated spots, and crusting are expected parts of the healing process. Pigmentation changes are uncommon when appropriate aftercare is followed. Incorrect technique or excessive concentration can cause unintended tissue damage, making expert administration essential.
The cost of TCA CROSS therapy in Delhi depends on the number of scars being treated and the sessions required for adequate improvement. A personalised treatment plan and cost estimate will be provided following a dermatologist consultation.
Looking for targeted ice pick scar treatment in Delhi? Book a consultation with Dr. Rajat Kandhari for TCA CROSS Therapy — a precise, clinically proven technique designed to reconstruct deep acne scars from the base up. With expert dermatologist application and personalised scar management protocols, TCA CROSS progressively improves scar depth and skin texture for visible, lasting results.
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TCA CROSS is most effective for ice pick scars and narrow, deep boxcar scars. For other scar types, your dermatologist may recommend complementary treatments.
Most patients require three to six sessions spaced four to six weeks apart for optimal results. The number of sessions depends on scar depth and individual skin response.
A mild stinging sensation is felt during application. The procedure is generally well-tolerated and brief in duration.
Small crusts form at each treated spot and fall off naturally over seven to ten days. Moisturising and sun protection are essential during this period.
Yes. TCA CROSS is frequently combined with MNRF, subcision, PRP, or CO2 laser as part of a comprehensive acne scar treatment programme tailored to your specific scar types.
TCA CROSS can be performed safely on darker skin tones when the correct concentration is used and aftercare instructions are followed carefully under dermatologist supervision.
Progressive improvement in scar depth is typically observed after two to three sessions, with optimal results becoming apparent over several months of continued treatment.
Dr. Rajat Kandhari is a specialist in acne scar management with extensive experience in TCA CROSS technique. Precise application and personalised concentration selection ensure safe, effective results for each patient's unique scar profile.
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