How best to treat melasma and active acne at age 45? (photos)

Question

I have active acne since 9 years of age. In my 20's, I did one round of Accutane. It did decrease the cystic acne. My skin is an oily combo. There is scarring from acne. I do Retina daily on my skin. Do hydroquinine over the counter 2% (did 4% with dermatologist two years ago). Priority is to reduce active acne, then melasma and finally improve my skin texture. Medical advice? Thanks in advance!

Nissan Pilest, MD · Answer

Thank you for your questions and the associated pictures. There is a treatment called Cosmelan that can help with both the Melasma and Acne, however, with a history of acne going back since you were nine, you will most likely need something stronger to clear that up. We like Photo Dynamic Therapy and Aviclear to clear up acne.

Best of luck.

Nissan Pilest, M.D.

Best of luck.

Nissan Pilest, M.D.

How best to treat melasma and active acne at age 45? (photos)

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