Fully regulated by the CQC, and registered with the GMC and Cosmetic Insure.
Easy TCA Pain Control® and precision lip & eyelid resurfacing are medium and targeted deep chemical peels designed to improve pigmentation, scarring and fine lines with controlled, clinical precision delivered in a doctor-led CQC regulated clinic.
Trichloroacetic acid (TCA) peels are medical-grade resurfacing treatments used to improve skin tone, texture and clarity. Working at a deeper level than superficial peels, TCA stimulates controlled exfoliation within the epidermis and upper dermis to address pigmentation, acne scarring, sun damage and early skin ageing.
At Real You Clinic in Twickenham, TCA resurfacing is delivered following detailed assessment with Dr Kathryn Taylor-Barnes. Treatment depth, layering technique and preparation are selected according to your skin type, history and long-term goals.
Medium-depth protocols such as Easy TCA® Pain Control improve generalised texture and pigmentation concerns, while more targeted approaches may be used for delicate areas including the lip and eyelid region.
Each treatment plan is structured with preparation and aftercare in mind, focusing on controlled regeneration and long-term skin quality rather than aggressive peeling.
TCA peels are suitable for patients looking to improve skin texture, pigmentation irregularities, acne scarring, fine lines and visible sun damage. They are often recommended when topical skincare alone is no longer delivering meaningful improvement. Many patients come to us after finding that topical skincare alone has plateaued in its results.
The treatment may be appropriate for:
Final suitability is determined during consultation, taking into account medical history, skin response and realistic expectations.
CA peels can be performed on carefully selected areas of the face and, in some cases, the neck and décolletage. At Real You Clinic, medium-depth resurfacing is most commonly used to treat uneven pigmentation, acne scarring, sun damage, fine lines and changes in skin texture. Specific formulations such as Easy TCA Lip & Eyelid are designed for delicate areas including vertical lip lines and crepey skin around the eyes, where controlled depth is essential.
Results develop gradually. As the outer layers exfoliate, skin tone becomes more even and surface irregularities soften. Over the following weeks, increased fibroblast activity supports collagen remodelling within the dermis. Patients often notice smoother texture, improved clarity and a fresher overall appearance. Final results depend on peel depth, skin condition and adherence to aftercare guidance.
As with all medical skin resurfacing treatments, there are temporary and expected side effects. Redness, tightness and visible peeling are common during the first week. Skin may feel sensitive while the barrier recovers. Less commonly, prolonged redness or pigment changes can occur, particularly if post-treatment advice is not followed or if treatment depth is inappropriate for the individual. For this reason, thorough assessment and correct skin preparation are essential.
When performed under medical supervision and with appropriate patient selection, TCA peels are considered a safe and effective method of controlled skin renewal.
In some cases, TCA resurfacing may be incorporated into a wider regenerative programme, with combination treatment such as microneedling or polynucleotide therapy discussed where clinically appropriate.
Easy TCA® Pain Control is a medium-depth trichloroacetic acid peel designed to improve pigmentation, acne scarring and visible textural changes. It works by creating controlled exfoliation of the epidermis while stimulating collagen activity within the upper dermis.
This option is typically recommended for patients with:
The TCA Lip & Eyelid formulation is specifically designed for delicate, thinner areas of skin where traditional resurfacing methods may be unsuitable.
It may be considered for:
Because these areas require careful depth control, treatment is performed following detailed assessment. The aim is gradual regeneration rather than aggressive peeling, with particular attention to safety and healing response.
Trichloroacetic acid works by creating a controlled protein coagulation within the epidermis. This produces a visible “frosting” response, indicating depth of penetration. Following treatment, the outer layers gradually peel away. During this process, fibroblast activity increases and collagen remodelling begins within the dermis.
The depth achieved depends on:
For this reason, medical supervision is essential.
Medium-depth TCA peels involve visible peeling for approximately 5–7 days. Redness may persist beyond this period depending on individual skin response. This is not considered a “lunchtime peel”, and appropriate recovery planning is advised. Results continue to develop over several weeks as collagen remodelling progresses.
TCA resurfacing is technique-sensitive and requires careful depth selection and patient assessment. At our Twickenham, London clinic, Dr Kathryn Taylor-Barnes evaluates skin type, pigmentation risk, previous treatments and long-term goals before recommending a protocol.
Preparation, application and aftercare are structured to support predictable healing and minimise complications. Where appropriate, TCA peels may be incorporated into a wider regenerative treatment plan to enhance collagen stimulation and maintain long-term skin quality.
The focus is controlled regeneration, improving visible concerns while preserving skin integrity.



See real patient results from treatments performed at Real You Clinic. Explore our before and after gallery to understand the subtle, natural improvements that can be achieved.



See real patient results from treatments performed at Real You Clinic. Explore our before and after gallery to understand the subtle, natural improvements that can be achieved.
TCA peels are medical-grade treatments and should only be performed by a trained practitioner. When correctly assessed and applied, they are considered safe for appropriate candidates. Depth, concentration and preparation are tailored to minimise risk and support controlled healing.
This depends on the concern being treated. Pigmentation and mild textural concerns may improve after one session, while acne scarring or deeper photoageing may require staged treatments. Your plan will be discussed during consultation.
Medium-depth TCA peels typically involve visible peeling for 3–7 days. Redness may persist slightly longer. Skin preparation and aftercare are essential to support recovery and optimise results.
TCA resurfacing can improve the appearance of certain acne scars by stimulating collagen remodelling and resurfacing uneven texture. The suitability depends on scar type and skin condition.
In appropriate cases, TCA resurfacing may be incorporated into a wider treatment plan. It can be sequenced alongside microneedling, polynucleotide therapy or structured medical skincare programmes, depending on long-term goals.
In appropriate cases, TCA resurfacing can be incorporated into a wider treatment plan. Depending on your skin concerns and long-term goals, it may be combined with microneedling, polynucleotide therapy, exosome treatments or a structured medical skincare programme. Each plan is tailored following assessment, ensuring treatments are sequenced safely and strategically for optimal skin health and visible results.
Mesotherapy delivers targeted skin-rejuvenating ingredients to support hydration, improve fine lines and enhance overall skin quality.
Biostimulator treatments work to stimulate collagen production, helping to improve skin firmness, elasticity and the appearance of fine lines over time.
Microneedling stimulates collagen production and skin renewal, helping to improve fine lines, wrinkles, skin texture and overall skin quality.
16 Bridle Lane, St Margarets, Twickenham, TW13EG
As every patient is unique, treatment results and experiences may vary depending on age, lifestyle, and medical history.