Does hyperpigmentation get worse before it gets better with tretinoin?

No, melasma should not get worse BEFORE getting better. In your situation it maybe some PIH or irritation, try using less, and less often. The mainstay of treatment is with sun protection first.
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Does hyperpigmentation get worse before it gets better with retinol?

Yes. Active treatment accelerates cell turnover, pulling pigmented cells to the surface at a faster rate. This increases the concentration of melanin in the epidermis, which can create a temporary darkening of the spots. The darkening means the pigment is coming up and is ready to be shed away.
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Can tretinoin make hyperpigmentation worse?

While tretinoin can even out patches of hyperpigmentation and cause a mild change in your skin tone, it doesn't affect melanin synthesis. This means that your body will still produce melanin as usual, even while you use topical tretinoin to treat acne or the signs of aging.
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How long does it take for hyperpigmentation to go away with tretinoin?

If you're using topical tretinoin to reduce wrinkles, discoloration, age spots, and/or rough feeling skin, it can take 3–4 months or up to six months before you see results. If you stop using the medication or are inconsistent with your treatment, any improvements you see may disappear over time.
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Does hyperpigmentation get darker before it gets lighter?

There's no quick fix for hyperpigmentation: it can take at least 30 days of skin care treatment (with sunscreen use) before you see any progress. Additionally, some spots may look darker before they lighten; this is because they gradually rise to the skin's surface as you continue to exfoliate.
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HOW LONG IT TAKES TO SEE RESULTS FROM YOUR RETINOID @DrDrayzday



Why is my hyperpigmentation getting darker?

What causes hyperpigmentation? Skin gets its color from a substance called melanin, which is made by skin cells. When those skin cells are damaged or unhealthy, they can produce too much melanin. The melanin can clump, causing that area to appear darker.
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Does tretinoin bring out dark spots?

Tretinoin evens skin pigmentation by dispersing melanin granules 5. Melanin is a natural pigment that contributes to skin, hair, and eye color. When overproduced, it creates flat brown spots or patches on your skin that are darker than your usual complexion.
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How do you know if tretinoin is working?

During the first 3 weeks of using tretinoin, your skin might get irritated, worsening the appearance of your acne, but this should only last a short while. After 12 weeks of continuous use, you should see your acne improve. Rarely does it take more than 12 weeks to show results.
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What percentage of tretinoin is best for hyperpigmentation?

Tretinoin Hyperpigmentation Cream 0.1% contains the highest available concentration of tretinoin, the active ingredient most prescribed by dermatologists to treat hyperpigmentation, fine lines, wrinkles, and signs of premature aging.
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What fades hyperpigmentation the fastest?

Dermatologists consider products with hydroquinone, alone or combined with other lighteners, to be the gold standard for fading dark spots because it slows the production of pigment. These are available by prescription, per the U.S. Food and Drug Administration (FDA).
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Does tretinoin make your skin look worse before it gets better?

During the first 3 weeks you are using tretinoin, your skin may become irritated. Also, your acne may seem to get worse before it gets better. It may take longer than 12 weeks before you notice full improvement of your acne, even if you use the medicine every day.
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Why does my skin look worse with tretinoin?

Tretinoin purging is when the skin gets worse before it gets better. Tretinoin speeds up the skin cell turnover process, causing some initial breakouts, drying, and peeling.
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How many days does it take for hyperpigmentation to fade?

How long does it take for hyperpigmentation to fade? Once what's causing the dark spots or patches is found and stopped, fading can take time. A spot that is a few shades darker than your natural skin color will usually fade within 6 to 12 months. If the color lies deep in your skin, however, fading can take years.
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Why does my hyperpigmentation take so long to fade?

Fading Over Time

The length of time it takes for PIH to fade depends on how dark the spot is compared to the surrounding skin. The bigger the contrast between the dark area and your natural skin tone, the longer it will take to fade. PIH doesn't always fade away on its own.
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Does tretinoin lighten pigmentation?

One of the tretinoin creams is used to treat fine wrinkles, dark spots, or rough skin on the face caused by the damaging rays of the sun. It works by lightening the skin, replacing older skin with newer skin, and slowing down the way the body removes skin cells that may have been harmed by the sun.
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When does tretinoin start working?

Read below to find out how long it takes for tretinoin to work. Most people start to see the benefit of daily derm-grade retinoid use around 6 weeks. If used every 2-3 days, then it would take around 10 weeks to see. If only used once weekly, it may take up to 3 months to start seeing results.
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Is tretinoin better than retinol for hyperpigmentation?

However, because tretinoin is prescription-strength retinoic acid and works at a higher capacity than retinol, it is typically more effective at reducing redness and pigmentation.
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When does tretinoin purge start?

When Does the Purge Start? You can expect the tretinoin purge to start soon after your first application, usually within the first two weeks.
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How do I get the best results from tretinoin?

Wait 20 to 30 minutes before applying this medicine to make sure the skin is completely dry. Applying tretinoin to wet skin can irritate it. To use the cream, gel, or lotion form of this medicine: Apply just enough medicine to very lightly cover the affected areas, and rub in gently but well.
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When does tretinoin get stronger?

It can take weeks, sometimes months, of continuous treatment to see the full benefits of retinoids. At this point, if you're tolerating the medication well but not seeing improvement, your healthcare provider may increase you to a higher strength of tretinoin.
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Can retinol make dark spots worse?

Answer: Retinol made more age spots appear

If you are using a retinol without a sunscreen it may be possible. In addition, if the retinol irriates your skin and you are getting red spots they can then turn brown-this is call post-inflammatory hyperpigmentation.
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Why is retinol making my skin darker?

The reason the skin is darkened when using Retinol is because this substance can make your skin more sensitive to light, if you are regularly exposed to the sun without effective skin protection, it will cause tanning.
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Can tretinoin worsen melasma?

Topical 0.1% tretinoin produces significant clinical improvement of melasma, mainly due to reduction in epidermal pigment, but improvement is slow.
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