Thomas W. Bender, III MD

Retin A will help moderate the way your skin sloughs and can help with acne in 2-4 weeks. It also has been proven to increase collagen production therefore helping with fine lines and wrinkles. It also helps moderate sun damage therefore it helps with reducing the risk of skin cancer. Keep using it!

The glabellar region is not an ideal place for filler. The risk of necrosis and other complications are much higher in this area. I do not inject filler of any type in the glabella.

I would not recommend having an aesthetician remove a "mole" with electrocautery.  the more prudent thing to do would be to have a dermatologist evaluate the skin lesion, let you know exactly what it is, and then tell you the best method to remove it if it is cosmetically undesirable. If is has enlarged, changed color, become asymmetric or has started looking a bit different than other skin lesions on your face, then it should be removed and be evaluated by a fellowship trained skin pathologist (dermatopathologist).

Apply the moisturizer first, then apply the topical retinoid; this should minimize any irritation with the retinoid without affecting the results.

The first recommendation I would offer is to increase the strength of the Retin A first, it is offered in .025, .05 and .1 Cream.  You can add other supplements to the Retin A regimen such as Vitamin C (an antioxidant) for healthy skin, hydroquinone for dark spots and blotchy skin, and other collagen/growth factor ( SkinMedica) creams for yet another approach to healthy skin.