question-icon

Used Retin A gel on acne scars. Skin got crusty and started peeling. Safe and effective medicine?

default
Posted on Thu, 18 Apr 2013
Question: Hi,
I am a 29 year old indian female. I used retinA gel(0.1percent) on some acne scars 3 weeks back. I was stupid and used it way too much like all day for 2-3 days. My skin started peeling and got crusty and blistered. I stopped immedietely. Most of the areas have resolved but some spots are extremely hyperpigmented now and I think its permanant. Is there a treatment for my skin or have i ruined my face permanantly?
doctor
Answered by Dr. Kalpana Pathak (49 minutes later)
Hi,
Thanks for sharing your concern with us.
Due to over zealous and injudicious application of tretinoin you developed an irritant reaction which healed with post inflammatory hyperpigmentation.
Do not worry these hyperpigmented spots will resolve with Medication. You might follow these suggestions
1) use a salicylic acid based face wash( neutrogena)
2) use a sunscreen with SPF 30 even if indoors. Use it every three hourly in between 10 am to 4 pm esp when going outdoors
3) take oral vitamin c supplements
4) apply Kojic acid based cream once in a day and hydroquinone based cream in night. If in case you develop any redness or irritation, stop the use immediately.
5) if possible consult a doctor nearby to discuss the option of takin chemical peel sessions as it will help in better resolution of pigmentation.

Hopefully in a month or two, you will notice good response.

Hope that helps.. Should there be any other doubt, feel free to write back.


PS Should there be no query, we may close the discussion.


Regards,
DR KALPANA PATHAK

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kalpana Pathak (10 hours later)
Thankyou very much Dr. Kalpana,
But could you suggest any specific brand of kojic acid cream and hydroquinone cream.

Thanks
doctor
Answered by Dr. Kalpana Pathak (8 hours later)
Hi,

Thanks for writing back.

In India Kojic acid cream like Kojivit can be used while hydroquinone based cream like melalite can be tried. AS you are in USA, I would not be able to recommend the brand names for these as I am not aware of the brands available over there. You may consult a doctor to get a prescription of these medicines.


Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Used Retin A gel on acne scars. Skin got crusty and started peeling. Safe and effective medicine?

Hi,
Thanks for sharing your concern with us.
Due to over zealous and injudicious application of tretinoin you developed an irritant reaction which healed with post inflammatory hyperpigmentation.
Do not worry these hyperpigmented spots will resolve with Medication. You might follow these suggestions
1) use a salicylic acid based face wash( neutrogena)
2) use a sunscreen with SPF 30 even if indoors. Use it every three hourly in between 10 am to 4 pm esp when going outdoors
3) take oral vitamin c supplements
4) apply Kojic acid based cream once in a day and hydroquinone based cream in night. If in case you develop any redness or irritation, stop the use immediately.
5) if possible consult a doctor nearby to discuss the option of takin chemical peel sessions as it will help in better resolution of pigmentation.

Hopefully in a month or two, you will notice good response.

Hope that helps.. Should there be any other doubt, feel free to write back.


PS Should there be no query, we may close the discussion.


Regards,
DR KALPANA PATHAK