Houston Dermatologists

Can I Use a Moisturizer During the Day with Retinol While on Retin A?

I am 38, have acne scars and large pores, I have been using Retin A for 45 days. I use a moisturizer with spf 30 daily but want to know if using a moisturizer, spf 30 with retinol will be too much for my skin?

I counsel my patients using a prescription topical retinoid to avoid moisturizers with retinol as this may increase the susceptibility to an irritant dermatitis.

Anthony Perri, MD

Houston Dermatologist

Can Retin-A Clear Dark Marks and Even out Discoloration?

Can Retin-A Clear Dark Marks and Even out Discoloration?

Topical retinoids do provide some efficacy in treating hyperpigmentation of the skin.  Triluma is a cream that incorporates a retinoid with hydroquinone, a bleaching agent, and a topical steroid for the synergistic effect on treating melasma.

Anthony Perri, MD

Houston Dermatologist

Am I a Candidate for Ulthera in my Lower Face?

When I look at photos from a year and a half ago, I did not have those tiny little jowls, but I have them now. I would like to know if I look like a candidate for Ulthera for the Jawline. I do have some laxity on my neck, too. Are passes made directly on the throat? (Mine is sensitive.) I do not want to use numbing agents, as I can't stand that strange feeling. Have high tolerance for pain, just don't want to gag. Thanks.

You would appear to be a very good candidate for ulthera.  I think ulthera works best in people that have relatively good skin elasticity, but are beginning to see signs of aging. 

Melissa Chiang, MD

Houston Dermatologist