Home all day long, do I still need to wear sunscreen? I currently use tretinoin micro gel.

I recommend that you hold the Tretinoin for one week prior to your vacation and during your vacation.  Tretinoin can make you very photosensitive and burn easily.  You don't want to burned and sitting in your hotel room while everyone else is out having fun.  I would recommend...

You can apply them both at the same time and there is no reason to put on one before the other, however we have a philosophy of doing serums before creams in our office.  Best, Dr. Emer.

Unfortunately is not recommended to use Tretinion while trying to conceive. An alternative would be to try Azelaic Acid. Azelaic Acid is a brightening component found in grains like wheat, rye and barley. It leaves your normal skin alone while targeting abnormal melanocytes, helps brighten the...

HiThanks for your question.Unfortunately what you have described as the skin laxity, loss of elastin ect will need further treatment that produces more drastic results to achieve the desired outcome. I would recommend seeking a consultation with a surgeon to discuss your options. Using a Retin A...

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...

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