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Pigmentation can be permanent if not treated correctly. In our office, we use a carefully curated protocol that includes Melarase creams, laser therapy, fractional ablation, and Covalent peels. The combination is quite effective. In terms of what to start with, I would recommend a 4 to 6 week course of Melarase creams: AM: Melaclenz, Melapads, Melarase AMPM: Melaclenz, Melapads, Melarase PMBest, Dr. KaramanoukianRealself100 Surgeon
We have found that ceramide moisturizers are ideal for use with Retinoids and Retin A. In our office, we recommend the Elevase Moisture Booster with Opti-ceramides. Best, Dr. Karamanoukian Los Angeles
Yes topical retinoids are safe for teenage patients! Retinoids come in different strengths and vehicles. They help to clean out and unclog pores, which is a major contributing factor in the development of acne.
Retin-A does firm up skin by stimulating collagen remodeling and thickening the epidermis which strengthens skin and improves wrinkles wherever you use it – face, neck, chest, hands….. It also treats acne and improves actinic keratosis or precancerous lesions caused by sun exposure.