Topical Retinoids

Cream, ointments, and gels that contain Retinoids, which is a medicine derived from Vitamin A, is called topical retinoids. The commonly prescribed retinoids include Tretinoin, Adapalene, and Isotretinoin. Topical retinoids are used in the treatment of acne, acne scars, fine lines and wrinkles, melasma, and actinic keratoses.

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Can I use retinol to clear my cystic acne and comedones?

Query: Hello doctor, I have acne vulgaris. I get cystic acne and have a lot of comedones. I have applied Clindamycin gel and other topical creams on my acne. But after I waxed my face, the acne reappeared and not going away. What should I do? I even started using the Aztec clay mask a few days ago, but I f...  Read Full »

Dr. Shanza Ikram

Answer: Hello, Welcome to I went through your query and understood your concern. Acne is a going process, and frequent exacerbations are seen due to hormonal changes, periods, stress, fast food, and certain cosmetics. Yes, your lesion at this time may require Isotretinoin (retinoid). Still, ...  Read Full »

Please suggest effective anti-aging treatment.

Query: Hi doctor, I am a 31 year old female. Height is 5'3" and weight 71 kg. I have normal skin. I have started developing fine lines on my face. Just recently I have developed a slight depression in the form of a line starting from under the inner side of the eye running down the cheek (photo attached)....  Read Full »

Dr. Vinay Kumar

Answer: Hi,Welcome to have read your details and examined your picture (attachment removed to protect patient identity) carefully. I have the following suggestions for you which I am sure will specifically help you significantly in the long run. Avoid sun exposure as best as you can. Make it ...  Read Full »

What is the treatment for ichthyosis hystrix?

Query: Hello doctor, Please, I need help. My daughter is 10 years old. And she has ichthyosis hystrix in her body's left section, many doctors said that creams are the only treatment for whole life. Please help.  Read Full »

Dr. Rabia Anjum

Answer: Hello, Welcome to Yes, it is ichthyosis hystrix. It is inherited condition and it is in her genes. Unfortunately, it cannot be reversed by any cream or oral medication. However, it can be improved with oral Retinoids and topical Emollients. The drug of choice is oral Acitretin. Apply...  Read Full »

What is penile melanosis, and what is its management?

Query: Hi doctor, I have a black spot on the pink skin of my penis opening but not on the penis head. I noticed it today, and there is no pain or irritation, but still, I am terrified. Can you please let me know what the issue is? I have no previous history of the same problem or have taken any tests or me...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thank you for the query. I can understand your concern. According to your statement, you have been suffering from a black spot on the penis. According to the picture provided (attachment removed to protect the patient's identity), you suffer from penile melanosis. It ...  Read Full »

How to prevent small pus-filled pimples from scarring?

Query: Hello doctor, I have had small pimples filled with white pus. These tend to develop into bigger keloids, which are hard and sometimes itchy. These are now making me feel very uncomfortable, and I would like any treatment to get rid of them. Some are small, some are large, as in the pictures. Please...  Read Full »

Dr. Dhepe Snehal Madhav

Answer: Hello, Welcome to It is a keloidal scar due to the overgrowth of granulation tissue, collagen at the healed skin injury site. Keloids are an excessive fibroblastic response to mechanical and or chemical injury. Genetic predisposition/keloidal tendency to develop keloid may be contribu...  Read Full »

Kindly suggest a treatment for acne breakouts.

Query: Hi doctor, I have had good skin for all my life. People would even compliment me on it at times. This changed a while ago. I have been involved in bodybuilding for the last year and decided to start taking creatine roughly three months ago. Before that, I did not notice any effect of exercise on my ...  Read Full »

Dr. Jyotisterna Mittal

Answer: Hi, Welcome to Body building supplements more often cause acne on face and body. This will gradually improve as you have stopped using the supplements. Chin lesions do take longer to heal, may take two to three months. Continue taking natural protein supplements and doing work out. Cli...  Read Full »

Kindly recommend a skin routine to get rid of acne.

Query: Hi doctor, I an 28 years old and I have a skin problem on my face such as acne, blackheads, big pores, etc. It is usually not that bad but once my spot is gone, I have a red mark that could stay on my skin very long. As a result, all my skin looks a bit reddish due to spots marks. I would say my s...  Read Full »

Dr. Vikash Paudel

Answer: Hi, Welcome to Skin in adolescent and young adult are covered with sebum secreting glands mostly over face and trunk. They increase during the summer and varies according to menstrual cycle. Besides oily cosmetics can hamper the acne formation process and aggravte the problems. You ...  Read Full »

How to treat acne?

Query: Hi doctor, I am having something like acne. They are superficial spots and a lot of them are mainly on my forehead, jaw and chin area. I am suffering with this problem for over a year now. Also, I have clogged pores and blackheads. I visited a doctor before and he said that he would not do anything ...  Read Full »

Dr. Suvash Sahu

Answer: Hi, Welcome to I have seen the picture (attachment removed to protect patient identity) and read the query in detail. Your problem seems to be acne vulgaris. Acne vulgaris is a common skin concern in adolescents and may sometimes persist in adulthood too. It is a skin disorder involvin...  Read Full »

My daughter got pimples all over her forehead after using Differin. Is this due to use of retinoid?

Query: Hello doctor, My daughter has been using Differin for five weeks now every other night and now has pimples all over her forehead. Is this the acne purge that happens using a retinoid?  Read Full »

Dr. Albana Greca

Answer: Hello, Welcome to Please send a picture of the pimpels over your forehead. Could be acne purge but should have a look at the pimples myself.  Read Full »

My skin is lifeless after using Retinol cream for a year. Will it ever become normal?

Query: Hello doctor, I am a 26 year old female. My skin is in a terrible condition, and I do not understand what is going on. I am extremely scared. When I was 24, I took Accutane to clear up cystic acne. This was my second round of Accutane. I had also taken it when I was 16, but the acne came back. This...  Read Full »

Dr. Thakare Sampada Avinash

Answer: Hello, Welcome to You are right. You should not have used a topical retinoids-based cream for such a long period as you are aware it makes the skin photosensitive. It will take time for the skin to heal. Along with the broad-spectrum sunscreen which you are using, consider applying...  Read Full »

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