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Post inflammatory hyperpigmentation and PIH with discoloration can resolve over time. Our office treats these hyperpigmentation issues conservatively with topical cream depigmentation protocols. In addition, light chemical peels and fractional ablation can help expedite the process. Best, Dr. KaramanoukianRealself100 Surgeon
Tretinoin can do some pretty amazing things but scar removal is not one of them. Steroids would help more. If you are a female and these "pimples" occur in the same place every month. I would strongly consider herpes simplex. In the female there is a nerve that hooks up into the buttock which is a branch off of the nerve that supplies sensation to the vulva. Occasionally, this nerve is affected by herpes and the recurrent rash so typical of this entity results. This is often missed for years. If this picture fits your symptoms, I would consult your dermatologist.
Tretinoin cream is used for skin rejuvenation. The gel is too drying for mature skin unless it is very oily. Continue with the .05% cream, you do not need to have continued irritation for it to be effective. Studies have shown that the .1% cream will not offer any...
The generic version of Retin-A (tretinoin) is the best value. Tretinoin comes in three concentrations; 0.025%, 0.05%, and 0.1%. A 45g tube of 0.025% is approximately $60, the 0.05% is approximately $75, and the 0.1% is approximately $100. I usually start people with 0.025% as it causes less...
That is an outstanding question and one that I have wondered about myself. I don't know if there is an answer. I have pondered if we should limit the use on retinoids based on the Hayflick's ceiling on cellular division but I am not sure where I could find a reference.
