Should I use tretinoin at night?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...

After 6 months, I recommend a non hydroquinone based product solely or alternating with a hydroquinone based product. Sclerovase is a product that contains pine bark extract and phytic acid. It is used extensively in the hyperpigmented skin after sclerotherapy and we use it extensively for...

You can. However, it is important to use some products that are specifically developed to reduce hyperpigmentation in the legs: Scleroquin plus and Sclerovase. Scleroquin is hydroquinone based and Sclerovase is non-hydroquinone based. Apply Scleroquin plus in the evening and Sclerovase in the...

Since you are sensitive, try a gentle retinoid product called Replenish, see link below for Retinoids 101.Best H Karamanoukian MD FACS

Irritation from topical retinoids is normal when you first start using the product. That being said, there are things you can do to minimize these side effects. Wait 10-15 minutes after washing before applying your tretinoin, use only a pea-sized amount, and perhaps try using the product every...

I prefer more gentle retinoid creams like Retinoid Repair RR cream and its use with Elevase Moisture Booster, an Opti-Ceramide cream for deep moisturization and hydration and Spectrase, which is a wide spectrum sun block (SPF 50+) to prevent sun damage and irritation. See link below.  C...