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Various agents can be used for melasma. Topical steroids are often combined within a "Kligman's" or "modified Kligmans" formula, and they can cause some skin thinning. However, hydroquinone does not cause skin thinning, and tretinoin or vitamin A in fact can thicken the skin a little as well as improve its texture and tone.
Studies have shown that Retin A (tretinoin) cream can stimulate collagen to thicken the skin. Hydroquinone does not thin the skin. Cortisone creams can thin the skin if used long-term.
The aftercare for my patients following laser resurfacing with the erbium yag is very straight forward. We use dilute vinegar soaks and petroleum jelly. this allows for gentle exfoliation and moisturizing with a nonalllergenic product. Deeper resurfacing requires longer downtimes and may need...
Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...
A full face CO2 resurfacing will leave your skin very uncomfortable. Many studies have been done which show that healing will occur faster under an occlusive dressing. This is applied after the procedure. With the dressing in place, you will be much more comfortable, and will not have the...
