Should I Prep with Retin-A and Bleaching Cream Before Mixto Laser?

Pre-op prep prior to laser resurfacing is critical and should be customized by a board-certified dermatologist with the experience to minimize post-treatment complication such as post-inflammatory hyperpigmentation. For ethnic skin, I have found pre-op prep using prescription-strength topical retinoid and hydroquinone based bleaching cream to be instrumental for overall treatment satisfaction.

Using retinols and bleaching creams is often advised prior to and subsequent to MIXTO procedures to minimize pigmentation issues. Both medications can also irritate and sensitize the skin.  If you experience significant irritation, you should contact your doctor as they would be unable to perform the procedure on broken skin.

Our patients are put on a highly customized skin care regimen before Microfractuinal Laser Resurfacing. We  start with an antioxidant with vitamin C and Greentea. All patients are put on an exfoliator such as 10% Glycolic acid Lotion to thin the topmost layer of the skin. (Stratum Cornium) We do this so that a 6% solution of Hydroquinone can easily penatrate to the pigment producing cells (Melanocytes). This Medicine slows down extra pigment production. This prevents dark streaking and/or hyper pigmentation after surgery.