Why can't I use Tretinoin if I have eczema? How can I treat my hyperpigmentation?

Question

I am super confused about how to treat my hyperpigmentation. My skin was flawless a little over a years ago. I do have suffer from Eczema, my dermatologist give me, 0.01 tretinoin gel to help even out darken skin around my mouth area. But the infomation pamphlet and the internet, all say DO NOT USE IF YOU HAVE ECZEMA. Huh, what, why? Why is tretinoin gel bad for eczema skin. What is the worse thing that could happen? Why is there so much misinformation out there.

Jason Emer, MD · Answer

I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Hypopigmentation can typically be improved with a combination of lasers and microneedling with platelet-rich plasma (PRP). See an expert. Best, Dr. Emer

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  Take the recommendations on the medication package insert with a certain amount of common sense.  Retin-a is a very useful medication for hyperpigmentation when used in a conservative, logical way.  If you wash the face with a gentle cleanser, use the retin-a only a few times a week at bedtime to start, and use a good quality moisturizer with sunscreen in the morning, you will likely have no problem using retin-a on a slow schedule.  Please consult your dermatologist for specific advice based on your skin type.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello and thank you for your question. Side effects of tretinoin includes redness, irritation, burning, and dryness. When you have eczema, your skin tends to be sensitive to topicals, especially on the face. There are other medications and procedures that can help with hyperpigmentation that can be used for sensitive skin types. I recommend consultation with a board certified dermatologist for evaluation and discussion of appropriate treatment. Best of luck.

Why can't I use Tretinoin if I have eczema? How can I treat my hyperpigmentation?

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Why can't I use Tretinoin if I have eczema? How can I treat my hyperpigmentation?

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Everything you need to know about Retin-A

Our mission is to create a world where every investment in modern beauty is Worth It.