Retin-A causing darkening of skin. Is there anything I can do to exfoliate and fade these marks? (Photo)

Question

I am an African- American patient on retin-a treatment. I am using 0.05% and it has been 2 weeks since I have started and I am now experiencing darkening of the skin coming in patches along my forehead. Is there anything I can do to exfoliate and fade these marks as they are very visual.

Shehla Ebrahim, MD · Answer

Did you have recent sun exposure?
are you using sunblock?
This pigmentation is unusual with Retin A but possible if the skin is exfoliated and then exposed to the sun.
I would stop the Retin A immediately, start using prescription  hydroquinone( needs to be prescribed by  a dermatologist), and wear an SPF of at least 30 every 2 hours 
It could upto 8 weeks to resolve.
Good luck

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photograph. If the dark spots appeared after starting Retin-A, then I recommend stopping the treatment at this time. A common side effect of Retin-A is redness, irritation, peeling, dryness, etc., and if severe reactions occur, then dark spots can appear. There are various treatment options to lighten dark spots, but your skin needs to evaluated prior to therapy. 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.

Retin-A causing darkening of skin. Is there anything I can do to exfoliate and fade these marks? (Photo)

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Retin-A causing darkening of skin. Is there anything I can do to exfoliate and fade these marks? (Photo)

Answers (2)

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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.