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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.
Our office has altogether switched from Retin A products to the RR Retinoid Repair Cream because of improved tolerance with the latter. We have felt that the RR cream has less side effects when compared with the retin A products while the results are equivalent. Raffy Karamanoukian MD FACS
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.
We offer a milder form of Retin-A , called Retinal from SkinTx. Check with your physicians office on what medical grade skin care products they carry. Always make sure you are using "medical" grade to insure you are getting your money's worth in product.
The only barrier to the use of retinol on just about any skin is the price. I would focus the product on the most sun damaged areas which are generally the face and hands followed by the upper chest and neck.
Retin-A is only available by prescription in the USA, I would not recommend buying it any where but a physicians office as you can not guarantee what you are actually getting.
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