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Facial pigment issue worsening. Dark and white spots. Never pregnant, on birth control or spent much time in sun. Fraxel?(Photo)

mipup
Hormone tests normal. What is the best treatment? For years I've used Elta MD Clear spf 46 followed by J Iredale makeup spf 20. Struggled with acne all my life. Accutane worked temporarily 15 yrs ago, but I lost 40% of my hair, and it didn't grow back. For past 8 yrs, my program is sulfer-based cleanser 2x day, duac in am, Tazorac pm. Pigment issues for 3 yrs now. Also use Quantum Healing Laser's Blue light for acne for about a year, but only on my jawline and nose. I eat right and exercise.

Answers (6)

From board-certified doctors and trusted medical professionals
Ron Shelton, MD profile photo
Dr. Ron Shelton, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.8 | 54 Reviews
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William Groff, DO profile photo
Dr. William Groff, DO
Board Certified Dermatologist
4.7 | 77 Reviews
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Dr. Joshua L. Fox, MD
Dermatologic Surgeon, Board Certified in Dermatology
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1 person found this helpful
Dr. Michele S. Green, MD
Board Certified Dermatologist
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Dr. F. Victor Rueckl, MD (in memoriam)
Board Certified Dermatologist
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