I have been prescribed by my dermatologist a week ago to use Hydroquinone 4% with 0.025% Tretinoin for my Melasma problem, but after using the combination my skin turned red, bit swelled, very dry even some of my skin peeled off with burning effect.When I spotted my skin turned black I have stopped the treatment.Is it normal to have these effects. My Dermatologist in out of country right now what should I do?
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp, Cosmelan I recommend getting a formal evaluation with a cosmetic dermatologist. Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, Cosmelan, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
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Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp, Cosmelan I recommend getting a formal evaluation with a cosmetic dermatologist. Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, Cosmelan, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
Helpful 2 people found this helpful
March 1, 2018
Answer: Side Effects from Melasma Creams There are some patients who have the opposite effects from these creams and are unable to tolerate them. You should discontinue these creams for now and possibly use a hydrocortisone cream twice a day to help ameliorate the condition. Please consult an expert in Melasma to help treat your condition. Best, Dr. Green
Helpful 2 people found this helpful
March 1, 2018
Answer: Side Effects from Melasma Creams There are some patients who have the opposite effects from these creams and are unable to tolerate them. You should discontinue these creams for now and possibly use a hydrocortisone cream twice a day to help ameliorate the condition. Please consult an expert in Melasma to help treat your condition. Best, Dr. Green
Helpful 2 people found this helpful
March 1, 2018
Answer: How are you using these products? It makes a big difference.. Hello Mj Shaikh, it is not uncommon to have these side effects from your regimen. How are you using the combination? Normally whenever we recommend the combination of hydroquinone and tretinoin creams we urge patients to alternate them at night. It is best if you apply the hydroquinone only on the melasma and then wash your hands, apply tretinoin cream all over your face. if you are not having issues then you can increase treatment at night and also begin to use hydroquinone in the AM.
Helpful 1 person found this helpful
March 1, 2018
Answer: How are you using these products? It makes a big difference.. Hello Mj Shaikh, it is not uncommon to have these side effects from your regimen. How are you using the combination? Normally whenever we recommend the combination of hydroquinone and tretinoin creams we urge patients to alternate them at night. It is best if you apply the hydroquinone only on the melasma and then wash your hands, apply tretinoin cream all over your face. if you are not having issues then you can increase treatment at night and also begin to use hydroquinone in the AM.
Helpful 1 person found this helpful
March 1, 2018
Answer: Side-effects with hydroquinone and tretinoin Side-effects of redness, dryness, flaking and sometimes soreness and cracking will occur and are to be expected on a regime like this. Melasma is a difficult condition to treat and usually requires more aggressive regime like this. It will not harm your skin to continue, but if you are experiencing any cracking of the skin it is best to back off. You will get better results and more rapid improvement if you can persevere. The side-effects will usually subside after about 6 weeks of use. If you have an important event in the meantime you can reduce or stop applying the creams for a few days and things will settle.Good luck.
Helpful 2 people found this helpful
March 1, 2018
Answer: Side-effects with hydroquinone and tretinoin Side-effects of redness, dryness, flaking and sometimes soreness and cracking will occur and are to be expected on a regime like this. Melasma is a difficult condition to treat and usually requires more aggressive regime like this. It will not harm your skin to continue, but if you are experiencing any cracking of the skin it is best to back off. You will get better results and more rapid improvement if you can persevere. The side-effects will usually subside after about 6 weeks of use. If you have an important event in the meantime you can reduce or stop applying the creams for a few days and things will settle.Good luck.
Helpful 2 people found this helpful
Answer: I would let everything settle down and then consider using the Picosure laser If you have skin types 1-4, you should consider the Picosure laser. You should plan at least 3 treatments, spaced a month apart. I would not start these treatments until you rest your skin and the irritation and inflammation resolve. You may also benefit from pre-treatment with HQ. The Picosure laser has little to no downtime since it fires 1,000 faster than other lasers.david berman md
Helpful 1 person found this helpful
Answer: I would let everything settle down and then consider using the Picosure laser If you have skin types 1-4, you should consider the Picosure laser. You should plan at least 3 treatments, spaced a month apart. I would not start these treatments until you rest your skin and the irritation and inflammation resolve. You may also benefit from pre-treatment with HQ. The Picosure laser has little to no downtime since it fires 1,000 faster than other lasers.david berman md
Helpful 1 person found this helpful
