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A combination approach is needed to give you improvement. My suggestion is to see a cosmetic dermatologist who does a lot of off face / body treatments with lasers and radiofrequency, fillers, and peels. Best, Dr. Emer.
Topical creams help but the best long term options are lasers and radiofrequency treatments for textural improvements and skin tightening. I suggest you make an appointment with an expert in lasers and skin care. Best, Dr. Emer.
Retin A does even skin pigmentation a little bit. But there are more effective treatments for pigmented birthmarks such as BBL or profractional. I would recommend seeing a board certified Plastic Surgeon in your area who specializes in laser treatment of the skin. They will be able to offer you...
A prescription tube of .04% Retin-A Micro may be expensive, but it also works better and should last you about a year. Going to an OTC product with a 1% Retinol will be less effective AND you're going to have to buy it several times a year because the packaging is much smaller. Meaning you...