Question 1

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 2

I have multiple lipomas and want to avoid surgery. I read about a treatment where they inject medicine to make them disappear in 9 months. Is this method safe with no side effects? Also, can exercise help get rid of lipomas?

Accepted Answer

Lipoma treatments include:
 
  Surgical removal. Most lipomas are removed surgically by cutting them out. Lipomas typically don't return once they're removed. Possible side effects are scarring and bruising. ...
  Liposuction. This treatment uses a needle and a large syringe to remove the fatty lump.

Question 3

I've been struggling with these ugly dark spots on my legs for over a decade now. They're from allergic reactions to insect bites and I've also had a habit of picking at the swellings. I'm really frustrated and am wondering if Mederma might be the solution. I've heard about glycolic peeling too, but lasers are just way out of my budget. What do you think I should do?

Accepted Answer

That could be keratosis pilaris ,maintain personal hygiene,apply moisturizer twice a day,it takes time to hela but will be cured no need to worry.

I'm using Glocin gel, isotretinoin gel 0.05, isotretinoin capsule Tretiva 20, and Azirich, and my skin has become really dry. However, the redness on my face hasn't improved at all. Is there something I can do about the redness on my skin?

Visit your Physician for appropriate management

More Dermatology Health Queries

I have multiple lipomas and want to avoid surgery. I read about a treatment where they inject medicine to make them disappear in 9 months. Is this method safe with no side effects? Also, can exercise help get rid of lipomas?

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