What are the treatment options for hyperpigmentation from Tretinoin around the inner thigh and bikini line? (Photos)

Question

I was prescribed Tretinoin 0.5% daily or maybe twice a day by my dermatologist to treat stretch marks that were beginning to form in areas showed in the picture. I experienced a bad rash and my skin kept flaking for a many, many months. New skin would form but it would be super thin. Doc covered up it as fungal infection. Anyway, now 2 years later I'm stuck with these patches. I would like to know my options and how much improvement I can expect from the treatments. South asian-- brown skin

Laura Riehm, MD · Answer

Thank you for your question. We have been very successful lightening the pigment and scar tissue in personal areas including areolas, bikini area, knees & elbows using the PicoSure laser with the FOCUS and / or Flat Lenses with a series of treatments. We would encourage you to find an experienced provider with excellent reviews that can competently handle this. We prefer the PicoSure's 755nm for pigment & scar correction in patients with darker skin. FOCUS lens treatments have the extra benefit of reducing any texture issues. PicoSure has almost no downtime. This is one of our go to treatments for patients older than 40 and worried about the signs of aging. This laser is safe for all skin types. We also send some hyperpigmentation patients home with prescription strength 4% Hydroquinone (HQ). Do not buy it over the counter or off the internet. Laws vary by state. In Texas, physicians can prescribe and dispense in office. Start with sunscreen every day! Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photographs. It's difficult to evaluate your skin through this type of forum, but from what I can see, it looks like you have post-inflammatory hyperpigmentation. There are various treatments that are effective such as topical prescriptions, laser tx, etc. I highly recommend you consult with a board certified dermatologist to have your skin evaluated and to discuss appropriate treatment options. Take care and good luck.

What are the treatment options for hyperpigmentation from Tretinoin around the inner thigh and bikini line? (Photos)

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What are the treatment options for hyperpigmentation from Tretinoin around the inner thigh and bikini line? (Photos)

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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.