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Can I continue to use the Retin A .1% and hydroquinone in summer? My melasma gets pretty bad.

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spt1094May 25, 2015
Hi, I've been using Obagi Nuderm since last August. It's wonderful of course. My melasm gets pretty bad - I am 47 and even with strong sunscreen (50 - mineral sunscreen) I literally get a full facial mask of melasma. It is now creeping up and down my neck. ugh We have a boat and a beach house so I wear a hat and sunscreen but I love being outside. thanks for any input.

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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Answered on May 26, 2015
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Dr. Joshua L. Fox, MD
Dr. Joshua L. Fox, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Jun 11, 2015
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Jason Emer, MD

A combination approach is needed to give you improvement.  My suggestion is to see a cosmetic dermatologist who does a lot of off face / body treatments with lasers and radiofrequency, fillers, and peels.  Best, Dr. Emer.

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Jason Emer, MD

Topical creams help but the best long term options are lasers and radiofrequency treatments for textural improvements and skin tightening.  I suggest you make an appointment with an expert in lasers and skin care.  Best, Dr. Emer.

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Jennifer Greer, MD

Retin A does even skin pigmentation a little bit. But there are more effective treatments for pigmented birthmarks such as BBL or profractional. I would recommend seeing a board certified Plastic Surgeon in your area who specializes in laser treatment of the skin. They will be able to offer you...

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Jason Emer, MD

There shouldn't be any restriction on using topical vitamin A like Retin A after ultherapy.  Best, Dr. Emer.

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Brian C. Reuben, MD

Medical clinics who carry Obagi skin care will have Tretinoin which they dispense from the office. This is still prescribed by a physician but is dispensed at the clinic for a much lower cost. It will run anywhere from $90-$110 depending on the strength prescribed. 

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