I have mild PIH after a VI peel. Can I use Tret .05% all over face, then spot treat with Triluma after?

Question

After a VI peel, which is supposed to treat brown pigmentation, I got more! I called my dermatologist, (who didn't perform the peel), and she suggested Triluma. I already use Tret .05% almost every night on my face. Will spot treating with Triluma, after reg application of Tret cause too much irritation? I know Triluma has same % tret as my reg Tret, but I didn't know how the combo of corto,tret,&hydroc (Triluma) would react with regular Tret. Thank you!!

Raffy Karamanoukian, MD, FACS · Answer

Dark scars can be problematic as they can be visible far longer than one might expect. The fundamental problem with dark scars is a process known as post-inflammatory hyperpigmentation in which the pigment cells near the scar are stimulated. In clinical practice, we always begin with application of Melarase AM and Melarase PM creams (coupled with Melapads) to help smooth out the color and pigmentation. Once the creams are started, lasers can be used to further reduce the scarring. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

I have mild PIH after a VI peel. Can I use Tret .05% all over face, then spot treat with Triluma after?

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