A member asked:

I finally got my adult acne under control using epiduo gel but now i have dark spots on my face from breaking out before. will the retin a (tretinoin) help?

3 doctors weighed in across 2 answers
Dr. Natalie Hodge answered

Specializes in Pediatrics

Probably not.: Retin A (tretinoin) is helpful for the acne, but can actually contribute to "post-inflammatory hyper-pigmentation" ( dark spots following acne) to some degree. You can add in topical 4% hydroquinone cream as a mild bleaching agent to be used nightly on the hyper-pigmented areas to gradually lighten them up.

Answered 9/29/2016

3.8k views

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Dr. Glynis Ablon answered

Specializes in Dermatology

Actually it may.: Post inflammatory hyperpigmentation is improved with topicals that turnover the top layer of skin like all retinoids do. I like to combine Retinoic acid with lightening agents to get the most power and improvement. Beta hydroxy acid peels help a lot too.

Answered 11/21/2014

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