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You may want to consider prescription strength hydroquinone and topical retinoid at this point given you haven't seen the results you are looking for with the over-the-counter strength products. I typically recommend the Obagi Nu-Derm hydroquinone products combined with tretinoin to address concerns such as yours. When treating hyperpigmentation, it's also critically important to be diligent with your sunscreen use. I would suggest scheduling a consultation with a dermatologist in your area to discuss your concerns and these possible solutions.
If you are using retinoid creams, you may experience dryness and irritation that is commonly referred to as the ‘retinoid reaction.’ In our office, we recommend Elevase Moisture Booster to help reduce the dryness and to improve the skin’s natural moisture barrier function. Elevase contains ceram...
Thank you for your photos. Unfortunately tretinoin gel or cream is not indicated to treat festoons. Festoons are a combination of fat, ligaments, and fluid retention in those areas. Tretinoin affects skin turnover and dermal thickness and therefore would not adequately address the issues...
Thank you for your question. I'm sorry to hear about your skin and sunburn. Unfortunately, one cannot tell you if the red marks will go away because it depends on the severity of the sunburn. The earlier treatment is started, then the better cosmetic outcomes may be. I highly recommend you ...