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Skin and me? Tretinoin and hyperpigmentation?

7 replies

Anyadvice463 · 15/02/2021 20:05

I don't have 'true acne' but I did dermaplane at home last year. I knew nothing about skin care and was very much of the scrub everyday, barely moisturised and never used spf. I broke out terribly and scarred my skin.

I have been using skin and me for 6 weeks and I know tretinoin takes ages to work but just wondered if anyone had any great success treating post inflammatory hyperpigmentation with tretinoin? I'm just wondering if it will actually make a difference as I'm really struggling with my scars and it's getting me down.

OP posts:
Nearlytherenext · 16/02/2021 06:54

Tret certainly will help your scarring. It's vital you are wearing SPF during the day though or you could be making your PIH worse.

You could also incorporate a good quality vitamin C to increase cell turnover.

Also a Melanocyte supressor/Pigmentation lightener would help too

Tret does take time, but it does work

Anyadvice463 · 16/02/2021 08:03

Thank you for your reply. I just bought medik8 vitamin c which I use in the morning and I'm definitely religiously applying spf too! What's a pigmentation lightener?

OP posts:
Tightwad2020 · 16/02/2021 16:28

Hi OP, my son uses GP prescribed tretinoin (used to have acne, now has PIH) and it is definitely helping the marks fade. You need to be careful about combining other things with it though, so if you are not under GP supervision for the tret, better check on the vit C. Yes to SPF - he uses Eucerin factor 50 and a nice Korean one. Both non-comodogenic so not to make the acne flare up again (although tret should keep that under control too).

Every source says the same - time and SPF50.

Anyadvice463 · 16/02/2021 18:59

I use the skin and me prescription service. I wasn't sure if my gp could prescribe so went with the online prescription service I do also have azeliac acid and niacinamide in the one from skin and me.

I'm definitely better with spf50 I'm just worried about how long it will take to start to see results for the PIH. Can I ask how long your son has been using it for? And how the marks are fading? I have congested skin so feel like there's so much purging 😥

OP posts:
Anyadvice463 · 16/02/2021 18:59

@Tightwad2020

OP posts:
Tightwad2020 · 17/02/2021 11:07

Hello again. He's been using tretinoin (actually, Treclin, which combines tretinoin and clinomycin, a topical antibiotic) for six months and it's the most effective treatment so far for the acne, which is pretty much gone apart from the odd spot. The PIH marks are fading, and he's good about using SPF.

You're right, there are other treatments recommended for PIH - vit C being one of them, also lactic acid. I've been cautious about him using more than the tret (apart from moisturiser and SPF) but provided you're not layering them i.e. tret at night, wash your face, vit C, SPF in the morning, perhaps it's fine.

Tret is available from your GP, as is azelaic acid. Both are listed on the NICE guidelines for NHS treatments for acne - google Nice guidelines, acne, and you'll find them. Azelaic acid is used as an alternative for those who can't use tret or adapalene e.g. pregnant. Even if you don't have active acne, if you ask on the grounds that you have scarring/PIH from previous acne, you'd probably get a prescription. It would be cheaper for you than using the online prescription service, I think?

I know the current situation is exerting enormous pressure on GP services, but don't assume that the NHS doesn't want to know about skin conditions. I wasted a lot of time and money trying to help my son with his acne with OTC products, before I came across the NHS guidelines and realised that there was medical help available even for quite mild (but persistent) conditions.

Good luck, OP, and just remember that time is your friend here - I've read it takes up to 18 months for all those melanin saturated cells to turn over and fade. But your efforts with skincare, especially the SPF will pay longterm dividends - no sunspots or wrinkles for you! And, in the meantime, you can use make-up tricks to camoflauge whatever you dislike.

Nearlytherenext · 17/02/2021 22:13

Anyadvice463
A pigment lightener. So ingredients like Glutathione, Alpha Arbutin, Kojic acid, liquorice.
These switch off the Melanocyte cells and lighten existing pigment.

Alumier have one called IntelliBright which is very good in combination with tretinoin.

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