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Thank you for your question. I would recommend consulting with a Board Certified Dermatologist to give you the best treatment plan. I hope this helps!
In my experience, you don't need to get the Obagi Blue peel every 4-5 weeks. I typically perform it onceor twice a year. The results depend on how many passes are used and the underlying condition. Watch the videos provided on the link below.
There are different strategies to reduce the size of enlarged pores and the Obagi Blue peel is certainly one of them and also time tested to be a clinically efficacious treatment for this problem. In addition to exfoliating skin, it reduces the size of pores by stimulating collagen growth...
I recommend that you use 2 products, Melarase AM and Melarase PM creams in the morning and evening respectively and this should help clear the hyperpigmentation. They are available from Kare Skin.
I would not use any topical creams without a discussion with your OB. I certainly would not use hydroquinone or any such prescription product.
The stronger the concentration of TCA that is used during the Blue Peel, the deeper it will penetrate. Sometimes more than one coat is needed, as well as a series of peels a month or six weeks apart. Prior to proceeding with a Blue Peel, I would recommend getting involved with a good skin care...
I use the Melarase AM and Melarase PM protocol for my patients with PIH and hyperpigmentation that is either hormonal or sun related. Patients who need deeper penetration can add the RR Retinoid Repair creams to enhance action. Surgery90210
There are different protocols for either method. Some perform facial fillers at the same setting as the Obagi Blue peel.I perform them on different visits, spaced at least 3 days apart.