Targeted Chemical Treatment for Deep Acne Scars
Deep acne scars require a treatment that can reach below the skin’s surface and stimulate meaningful collagen remodeling. While TCA CROSS in Los Angeles is commonly to combat scarring, Scar Healing Institute takes a more advanced approach with SHI CROSS, a specialized phenol-based treatment developed by board-certified dermatologist Dr. Salar Hazany.
By penetrating deeper than traditional TCA CROSS, SHI CROSS is designed to promote stronger collagen production and create more substantial, longer-lasting improvements in the appearance of deep acne scars.
Our approach to acne scar removal and scar revision:
- Rebuilds structure beneath deep, stubborn scars
- Stimulates new collagen for visible scar elevation and smoother texture
- Protects surrounding skin for faster recovery and natural-looking results
With each session, your skin becomes clearer, firmer, and more radiant, leaving you with a complexion you’ll love to show off.
The Difference Between TCA CROSS and SHI CROSS
TCA CROSS (Trichloroacetic Acid Chemical Reconstruction of Skin Scars) uses a concentrated acid solution to create a controlled injury inside deep acne scars, stimulating collagen as the skin heals.
Although TCA CROSS can improve ice pick and narrow boxcar scars, treatment may also lead to prolonged redness, pigmentation changes, or widening of the scar.
SHI CROSS takes this targeted approach further with proprietary phenol-based formulas and specialized techniques developed by board-certified dermatologist Dr. Salar Hazany.
Compared with traditional TCA CROSS, SHI CROSS is designed to provide:
- Deeper treatment within the foundation of the scar
- Stronger collagen stimulation for more substantial remodeling
- Greater precision based on the scar’s type, depth, and shape
- A customized approach for different skin tones and treatment responses
- A reduced risk of unwanted changes, including pigmentation concerns and scar widening
Rather than using the same solution and technique for every scar, SHI CROSS allows Dr. Hazany to tailor each phase of treatment to your skin and the scars being addressed.
See What Our Patients Are Saying About Their Results
Are You A Good Candidate for CROSS Treatments?
CROSS treatment may be a good fit if you have deep, indented acne scars that have not improved enough with surface-level treatments.
You may be a candidate if you:
- Have ice pick, narrow boxcar, or other depressed acne scars
- No longer have active or uncontrolled acne in the treatment area
- Are in generally good health
- Want a targeted treatment rather than a full-face chemical peel
- Have realistic expectations and understand that multiple sessions may be needed
- Are willing to follow aftercare instructions while the treated areas heal
Your skin tone, scar pattern, and treatment history also matter. Traditional TCA CROSS may carry a greater risk of pigmentation changes in darker skin tones, while SHI CROSS is designed to offer a more controlled approach for a broader range of skin types and ethnicities.
Dr. Hazany will examine each scar individually and determine whether SHI CROSS should be used alone or as part of a customized Acne Scar Phase Out plan.
Results to Expect During and After TCA CROSS
During your SHI CROSS session, each scar is addressed individually using a fine-tipped applicator to place a proprietary phenol-based solution precisely within the scar. You may feel brief stinging, warmth, or discomfort during application, but the sensation typically passes quickly.
After treatment, the skin may initially appear white or frosted, followed by redness, mild swelling, and small crusts as the skin begins to heal. These reactions are expected and remain limited to the individual scars being treated.
While recovery can vary based on your skin, scar depth, and the number of areas treated, here is a general idea of what to expect during recovery:
- Days 1–3: Redness and mild swelling develop, followed by tiny crusts or scabs.
- Days 4–7: Scabs dry and begin to flake naturally. Avoid picking to protect new skin.
- Week 2: Most scabs fall off and fresh skin starts to appear.
- Weeks 3–4: New skin blends with surrounding areas, and tone evens out.
- Month 2 and beyond: Collagen continues to rebuild, gradually smoothing and lifting scars for ongoing improvements.
Dr. Hazany will give you personalized aftercare instructions and explain what recovery should look like based on your treatment plan.
Why Scar Healing Institute Leads in Acne Scar Revision
At the Scar Healing Institute, we don’t just improve the look of your scars; we rebuild the skin beneath them for long-lasting confidence and transformations you can feel.
Here’s why patients in Los Angeles, Manhattan Beach, Newport Beach and beyond choose SHI:
Precision Treatments Rooted in Science & Results
Led by fellowship-trained Mohs surgeon Dr. Salar Hazany, our acne scar treatments combine cutting-edge dermatologic science with regenerative techniques to create natural, long-lasting skin improvements.
Customized Solutions for Every Skin Type
We customize your scar healing treatment based on your skin’s unique tone, texture, and healing response, ensuring safe, effective outcomes for all complexions.
Our Exclusive Acne Scar Phase-Out System
Our proprietary Phase-Out System targets acne scars at every layer, rebuilding your skin step by step for complete restoration. From collagen stimulation to resurfacing, we’ve carefully designed each phase to lift, smooth, and refine your complexion for your clearest, healthiest skin.
