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What can be done about this skin texture? (Photo)

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notalis1970Dec 3, 2021
I'm 51, I don't get sun, don't smoke or drink. I've had 2 facelifts, recently had meso botox. I've done several rounds of Accutane over the years and microneedling once. My skin is oily and red and I can't wear foundation. I don't have rosacea, just ugly skin. What the least painful way to help this? My skin is super sensitive.

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Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Jun 26, 2024
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Sarah Shah, MBChB

This does happen often with African american skin types. These dark patches normally peel off after a couple of days. You can start to use clear right away. However do not use exfoderm or tretinoine until you have peeled as it will just make you peel for longer. 

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Davin Lim, MBBS, FACD - Account Suspended

No, not advisable. Best to do in two session, however I can see the logic with the chemistry of peels. This peel is self neutralising so in theory peel can be done, then microneedling. HOWEVER for the best effects, I would split sessions in two, as you would have 2 sessions 8-12 weeks apart to...

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Milan Shah, MD

Depending on the concentration of TCA used and how many layers are applied a good blue peel will generally have you home for 8 days. Usually the peeling starts after day 3 and continues to day 8 +/-. I would avoid sun exposure/ excessive heat during this time. There is also a home routine where...

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