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Thank you for your question and posting a picture. It looks and sounds like you have Post Inflammatory Hyperpigmentation (PIH). You can start by looking for prescription strength 4% Hydroquinone (HQ) to reduce the pigment. Do not buy it over the counter or off the internet. Laws vary by state. In Texas, physicians can prescribe and dispense in office. We have been very successful using the PicoSure laser with the FOCUS and / or Flat Lenses eliminating hyperpigmentation with a series of treatments. FOCUS lens treatments have the extra benefit of reducing the underlying scar tissue. This is one of our go to treatments for patients older than 40 and worried about the signs of aging. This laser is safe for all skin types. Start with sunscreen every day! Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck.
Great question! In essence they are both the same chemical. TretinoinThe only real difference is that Retin-A is formulated in microspheres which allows for a more controlled and slower release meaning more chance of less irritation. However many patients tolerate both quite well so if you’re t...
Tretinoin is not only used for acne. It is very well known for the use of anti-aging, improvement in skin texture, pigmentation and correction of sun damage. In our practice we encourage almost every patient to use a retinol cream. To specifically treat hyperpigmentation, we recommend...
Hi! In my experience, using Retin-A and Niacinamide together is fine! Everyones skin is different, so be cautious when mixing skincare products, but with my patients I haven't seen any adverse reaction when using Retin-A and Nicainamide in combination..