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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
I recommend that you avoid overzealous sun exposure and use high quality, high SPF sunscreen when you leave the house as well as use Melarase creams, Melarase AM and Melarase PM, which you can buy OTC.
Post inflammatory hyperpigmentation can be quite refractory to treatment because of the deeper level of the increased pigmentation. One of the most effective (and least expensive) ways to reverse hyperpigmentation in your skin is by using a combination of two prescription strength medications: 4% hydroquinone and tretinoin cream. Prescription strength 4% hydroquinone is better than any OTC product for lightening dark spots in the skin. Combining prescription-only tretinoin cream with hydroquinone will make it even more effective. Daily use of sunscreen is essential in your treatment as well. I recommend the Obagi Nu-Derm System which uses both tretinoin cream and hydroquinone and has the best chance of reducing hyperpigmentation. Meladerm contains Kojic acid which is not nearly as effective as hydroquinone.
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.
Rosacea has many causes. The deeper Blue Peels may actually exacerbate the redness associated with Rosacea, as will many laser and chemical peel treatments. In rosacea patients, I combine peels with pulsed dye laser afterwards. Raffy Karamanoukian, Los Angeles
It is best to post a picture to see how this eye vein can be treated. Meanwhile, take a hiatus and give your skin a chance to heal. I agree with the Opti-Ceramide Cream Elevase. H Karamanoukian MD FACS
