Also want to address minor acne scars? I've been using tretinoin .05% for 5 months now & the effects are starting to plateau so I was considering a peel or microderm, but I'm very scared to do anything that could exacerbate pigmentation problems, because I get PIH very easily. If I want to do a light peel, what is the safest kind? Would a microderm be less risky? I'm 1/2 se asian 1/2 caucasian between a fitzpatrick type 3 & 4 (I tan very easily and get very dark, but face and unexposed skin is quite fair).
What's a good acne/melasma treatment for someone who uses tretinoin and is prone to PIH? (photo)
Doctor Answers 2
Acne and brown spots do well with the Spot Peel, even in patients of asian background
The problem with melasma is that it will come right back if you get even brief sun exposure after clearance, so patients need to using a specifically-formulated vitamin C cream with a low pH, on clean skin, left on for at least an hour, every few days if not daily, to prevent recurrence.
Re: Treatment For Acne/Melasma
I always like to recommend that patients understand how and why certain treatments work. The causal factors of acne and melasma lie beneath the skin’s surface. With acne, this often includes high rates of skin cell turnover within the skin pores which develop into blockages. Melasma is caused by high levels of melanin being produced. This is caused by a combination of sun exposure and hormonal changes.
A laser system like Fraxel Dual is safe for all ethnic skin types. The energy used is targeted and will not be absorbed by the melanin which naturally colors your skin (thereby causing overheating). It will safely destroy cells which produce and store pigment . This clears the complexion.
Spectra is also safe for all skin types. And it will address multiple deep level causes of acne.