Chemical Reconstruction of Skin Scars (CROSS)

What is Chemical Reconstruction of Skin Scars? Chemical Reconstruction Of Skin Scars (CROSS) is a technique that employs the focal application of a high-concentration acid to address atrophic scars—those that are depressed or pitted. This targeted approach allows for the treatment of specific scarred areas, aiming to improve the skin's texture and appearance.

How is Chemical Reconstruction of Skin Scars Achieved? 

The CROSS technique causes controlled chemical injury to the scar tissue by directly applying a highly concentrated acid to the surface of the scar. This method promotes an increase in collagen production as the skin heals, improving the scar’s appearance. Based on the practitioner’s approach and the particular needs of the individual being treated, various acids can be used in the CROSS technique, with trichloroacetic acid (TCA) being the most common. The acid is applied during outpatient visits, and the treatment generally involves multiple sessions spaced several weeks apart to achieve the desired results.

Risks

The CROSS method does come with some associated risks and potential complications, though most of them are considered to be temporary. Some of the reported complications include:

 

  • Postinflammatory hyperpigmentation or dyspigmentation
  • Erythema
  • Pain
  • Pruritus
  • Infection
  • Widening of scars

Source: https://dermnetnz.org/topics/tca-cross

https://pubmed.ncbi.nlm.nih.gov/32573079/