Question 1

I've been dealing with heavy hairfall and dandruff for years. My dermatologist suggested Folica hair tincture, but ever since I started using it, my hairs been falling out way more. My tests say I dont have any nutritional deficiencies. Should I stop using this stuff, or is this kind of hair loss normal?

Accepted Answer

- It's common to experience initial hair shedding when starting treatments like Folica, but if the hair loss continues or worsens, it's best to stop using it and consult your dermatologist. They may need to adjust your treatment plan.

Question 2

Doc, I'm 37 and dealing with oily skin that has pits. I've got my acne under control now, thankfully. I've been applying vitamin C serum for about 21 months, and it's helped a lot with the pits. For nine months now, I've also been using Retino A 0.05 as an anti-aging treatment, and it's been going pretty smoothlyno irritation, redness, or peeling.

Here's my routine: 
- Morning: face wash, Cetaphil, vitamin C serum, and then sunscreen.
- Night: Plum aloe vera face wash, pea-sized Retino A 0.05, Olay serum, and ending with Sebamed Q10 cream.

So, could you tell me if my routine's good as is, or if I should change or add anything else? How safe is it to use tretinoin for extended periods? And I'm looking for a good sunscreen recommendation that works for oily skin. Appreciate your insight!

Accepted Answer

Your routine looks good, but consider these adjustments:

1. _Face wash_: Cetaphil is gentle, but you may benefit from a foaming face wash for oily skin, like Neutrogena Hydrating Facial Cleanser.
2. _Sunscreen_: Switch to a lightweight, oil-free sunscreen (see recommendations below).
3. _Nighttime routine_: Consider replacing Olay serum with a niacinamide serum to enhance skin brightness and reduce inflammation.

*Tretinoin Long-Term Use*

Tretinoin (Retino-A 0.05) can be used long-term, but:

1. _Monitor skin_: Regularly assess your skin for signs of irritation, dryness, or sensitivity.
2. _Adjust frequency_: If you experience irritation, reduce the frequency of application or switch to a lower concentration.
3. _Sun protection_: Continue using sunscreen with at least SPF 30 to prevent UV-induced damage.

*Sunscreen Recommendations for Oily Skin*

1. _Neutrogena Sheer Zinc Dry-Touch Sunscreen_: SPF 50, zinc-based, and non-greasy.
2. _La Roche-Posay Anthelios Melt-In Sunscreen Milk_: SPF 60, lightweight, and oil-free.
3. _EltaMD UV Clear Broad-Spectrum SPF 46_: Fragrance-free, oil-free, and suitable for sensitive skin.

Question 3

I've been using androanagen solution at night, redensyl serum in the morning, and taking follihair tablets after breakfast. I'm thinking about adding a derma roller to my routine once a week. Do you think this could lead to any side effects?

Accepted Answer

there are many causes for hairfall rule out the cause of hair fall and treat the cause,visit Dermatologist for evaluation and appropriate management,and maintain healthy life style. it is safe to use dermaroller start with 0.25 -0.5 mm 30 min before using minoxidil androanagen

chemical peeling would definitely work but laser treatment would show better result,follow your doctors advise because treatment modality depends on intensity and area involved for darkness.

More Dermatology Health Queries

I've been using androanagen solution at night, redensyl serum in the morning, and taking follihair tablets after breakfast. I'm thinking about adding a derma roller to my routine once a week. Do you think this could lead to any side effects?

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