It can cause severe problems. I believe I have told you this before, you were the first YouTube channel I subscribed to, after watching your anti-aging and make tutorials. Or does it have to be used at a different time (i.e. Don't stop using your treatment altogether. Month 2: After 4 weeks of applying it only once a week, I increased to two nights a week (sunday & wednesday) applying it the same way. All are working well for my 45 year old skin. Some seek natural treatments such oral vitamin and mineral supplements. My derm allowed me to increase to .1% in February. Did you like this article? Have a great trip! The price was $33 with $9 for shipping for a total of $42. Retinoids increase your risk of sunburn. .why there is no redness dryness flaking.. It's effective against fine lines and wrinkles, boosts collagen production, helps banish . I admire your ability to take it slow, I do wish I would have done that initially and maybe I could have avoided this. 2 "Upon application of retinol, you are essentially re-training your skin cells to turnover at a much faster rate," explains Nussbaum. My friend got me dome retin a from Mexico. Red patches of skin that make me look worse. Her experience extends over 15 years and an estimated 10,000 facials. I just turned 59 have lived in Florida for 40 years. The main conflicts are-. I have used Tretinoin 0,05% for the past 2 months to improve texture, glow and prevent lines. Most of the clinical tests were done with generic tretinoin at 0.05% in a vehicle cream so thats a good basic place to start. Retinoids make you more sensitive to the sun, and you should use sunscreen every day, year-round, or you are just undoing what you are trying to do. I just came across your videos, they are very well done. I started using Retin-A .025 once per week in December. I really need to switch dermatologist he is more of a cut and burn Dr. in my opinion tells me nothing about skin care. I have a (very expensive) tube of Retin-A that expired about two months ago. My question is I purchased CICAPLAST BAUME B5 from LA ROCHE-Posay I use it at night and on day time I mixe it with Revlon External 27 and now I no longer peeling. For board-certified dermatologist Roberta Del Campo, Retin-A (or retinoic acid) is a hero product for neck firming. The thicker layer of dead cells are what causes the skin to look dull and rough. Question 6: Is Retin-A Damaging My Skin By Making It Thinner? I came in a box labeled Epitrel, acido retinoico. My chin has become significantly darker and Im terrified. Dont we wish this was true? Great information. ~angie. It works by speeding up the skins metabolism to promote cellular turnover. These side effects usually subside after two to four weeks until the skin acclimates. Im a Devoted U-Tube follower, love love you. Semin Cutan Med Surg. It is very bad for your adrenal glands and it supresses your immune system. One particularly useful ingredient that can hydrate skin as well as boost the effects of Retin-A is niacinamide. During this period, your skin is more likely to feel irritated and peel as the tretinoin gets to work preventing acne. Consider skipping a night of tret if you have lots of peeling. Angela Palmer is a licensed esthetician specializing in acne treatment. First I posted my 2-Year Retin-A Results, then my Morning Skincare Routine, followed by my Evening Skincare Routine, and Im finishing it up with this post on how to use Retin-A Without Irritation in which Ill answer your most frequently asked Retin-A related questions! It would be pretty counterproductive since much of extrinsic aging is due to photo damage. Rarer side . It also boosts collagen production, which will work wonders for thickening up your undereye skin. Since retinoids are derivatives of vitamin A, theyre actually considered antioxidants. This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. In this technique, you apply moisturizer to towel-dried skin and let it soak in. It didnt cause any newirritation, so now, 2 years in the process is streamlined for maximum absorption covering maximum surface with no flaking, peeling, redness, or stinging! Its confusing because its partly true and partly false. It's 1% vitamin A- put it on your face every night and it will work miracles." I was all but 35 and I didn't have any wrinkles, but I thought it was a great idea for me. Is it safe to use here or is this the reason you waited so long to start use here? A again and not use by eyes and lips? Whichever one you go with, Id use my method outlined in this post to use them with out irritation. If peeling has left your skin feeling raw, it's best to hold off on the makeup because it could irritate the skin and potentially cause even more inflammation when you remove the product before bed. How to Treat Dry and Peeling Skin From Retin-A. Two or three spots on my cheeks every time I apply the tretinoin but its more than Im used to having and I am seriously keen for the purging to be over! Try a heavier one. (2007). I love your videos, they are very inspiring. The prices run anywhere from $50-$200 for a 45 gram tube. I have been using prescription retinoids and daily sunscreen for 25 years. The 'exfoliation' noted is more gradual and based on how retinol can regulate how the skin makes itself." Instead, use a very gentle exfoliating method after cleansing, such as dampening a washcloth and using it in circular motions over areas of peeling skin to help slough off the skin. Now, when my skin is bare, its become so glowy and I receive lots of compliments. Hi Joanne~ You dont need to have any irritation, redness, or peeling for Retin-A to be working, in fact you want to avoid all that. I used tretinoin gel on my faceto reduce acne and to reduce the acne scars. I wouldnt start both Retin-A & Vitamin C at the same time. Effects of topical tretinoin on non-sun-exposed skin of the elderly. Ive finally got it under control by using Neutrogena Pore Refining Moisturizer (with salicylic acid) every morning! You can learn more about how we ensure our content is accurate and current by reading our. Relying solely on the scale is where the scale gets its bad rap. Dermstore, Style, Beauty, and Health for Women in their Hot-Flash Years, side effects like break-outs, peeling, burning, redness, and inflammation, know your skin type and discuss the options, avoiding my eyelids, under eyes, nostrils and mouth. Hi Sharon~ If you stop using Retin-A for 3 weeks you wont have to go all the way back to the beginning but you might have to take a few weeks to work back up to where you were before you stopped. Im 30 and have just started using Retina A 0.025%. Retinoids in the treatment of skin aging: An overview of clinical efficacy and safety. Do you think that the retinol a will help diminish the spots? So my question is, should I switch to a retionol product as this comes only in 0.1 option. 2016;6(4):555578. Hi, I am 45 and I live in Australia. Chularojanamontri L, Tuchinda P, Kulthanan K, Pongparit K. Moisturizers for acne: what are their constituents? General retinol tips to keep in mind as you adjust. It will only irritate your skin more. But it can irritate sensitive skin. It seems to work. I vividly recall on one occasion at the orthodontist, after sitting with my mouth propped open for thirty minutes, the irritated, s-t-r-e-t-c-h-e-d skin around my . Retin-A Microgel (Tretinoin Gel Microsphere), Refissa (if you get it as it was sold to a proprietary company and is not usually available in pharmacies), and Renova (again difficult to get) are the least irritating, then Differin cream, then standard Retin A (tretinoin cream). However, this is the area where wrinkles usually show up first and can benefit the most from the collagen-stimulating effects of retinoids. I dont have a prescription so this could be an option. Hi, I started using Retina A Micro 0.08% Gel for 6 days, I was peeling real bad for about 5 days. Click here to see my 2-Year Resultswith before & after pictures. Is your skin still dry and peeling? Speaking with a friend of mine who is an esthetician said this is a good sign and that it is working to clear out my pores, but I had little to no pores before and, unfortunately, sounding superficial, really dont like the look of it. 3 weeks ago I introduced stieva a cream 0.025 into my skin care routine using it every third night and use the Neostrata on the other nights. Ive been using a Retinal 0.5% I got from my Dr. for about 6 months using it twice a week. Topical vitamin A-based drugs called retinoidsthe most used and most studied anti-aging compounds may reduce fine lines and wrinkles. Hi Beatrice~ You can try to use the Glycolic serum on the nights you dont use Retin-A. My skin has lost quite a bit of elasticity and is now a little saggy. I also use the RETINA A MICRO every night. ~angie, I am not having any irritation with retin a 0.05 Make sure to keep your skin well hydrated with a protective moisturizer. 5 Rules to Weighing Yourself and When to Ditch the Scale, I Followed the #60SecondRule, and My Skin Has Never Been Better, 5 Steps to Sleeping on Your Back Every Night, A 2023 Review of Biossance: Reputation, Products, and More, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, has fewer side effects than retinoic acid (prescription strength), it converts on the cellular level of the skin, thus taking several months to a year for visible results, retinoid esters (retinyl palmitate, retinyl acetate, and retinyl linoleate), weakest in the retinoid family, but a good starting point for beginners or sensitive skin types, slows the process of excessive growth in the lining of pores and desensitizes the skin to inflammation making it an ideal treatment for acne, works significantly faster than retinol since no conversion in the skin needs to take place, oral medication thats prescribed for severe forms of acne and requires close supervision by a doctor. I use it at night, approximately 4-5 times a week. If you decide to go the Rx route, Id start with Renova since its 0.02% and in an emollient base. Thank you for sharing your retin-a schedule. Give it a chance. Tretinoin (Retin-A) is widely used to fight the signs of aging because it stimulates the production of new skin. You should keep your routine really simple to reduce the irritation as much as possible. It wasnt easy to do because evendoctors dont agree on whats the right way to use it. Tolerability of topical retinoids: Are there clinically meaningful differences among topical retinoids? So maybe its the combination of vitamine C and Retin-a? Initially developed for acne, they were also found to increase collagen and elastic fiber production, diminish wrinkling, improve brown discoloration, and reduce roughness and pore size. I dont know, what is your opinion, is it really too early for me to start retinol? Tretinoin (Retin-A) helps unclog pores in your skin that are plugged with dead skin cells and excessive oil. Gerald Imber, a . Then I applied a small pea sized amount of tretinoin cream to my face by dotting it on each cheek, forehead and chin. 2. Anette, Hi Anette~ I always put a moisturizer on top of the tretinoin to add some more anti-aging ingredients like niacinamide, ceramides, and hyaluronic acid. Most, but not all, people who have had problems using a retinoid can use it successfully if they do it the right way. Your normal product may not be strong enough now. Already using a moisturizer but still feeling dry? Simple Kind To Skin Replenishing Rich Moisturizer. Moisturizer with Retin-A - Apply Which First? Ulta Haul 2015 ~ Becca, Urban Decay, Tarte, Fit Me! The Bottom Line. You said to avoid salicylic acid in your guideline for retin-a regimen, but in a reply to someones question about acne you stated that you were now using salicylic acid and it was helping. Is it okay to keep using it? Sounds like yours is a different name brand. I actually tried some last year for Womans Day magazine while I was on Retin-A and they worked pretty well although some were more irritating than others. Tretinoin is a prescription medication, so most people can get it by asking their doctor for a prescription. It increases the production of elastin, collagen, and hyaluronic acid, a natural moisturizer in the skin. Were you having zero peeling and burning at the end of week 4? Start out with a gentle formula like First Aid Beauty FAB Skin Lab Retinol Serum 0.25% Pure Concentrate ($58). Many people worry that the use of retinoids will make their skin more sensitive in the sun. Retinoids are vitamin A derivatives and include over-the-counter retinol, prescription Retin-A, Renova, Refissa, Tazorac, and Differin. Acids and pure vitamin C are the worst culprits. Ive found it very interesting and informative. Hold on to your seats this is untrue. And yes, these lines will likely go away (mine did) but it takes months!!!! Yes that may slow down your progress by a few days but a damaged moisture barrier can take months to recover. If you go to the beach, lake, or skiing, discontinue retinoids for a few days before exposure. Help! doi:10.1007/s13555-016-0138-1, Latter G, Grice JE, Mohammed Y, Roberts MS, Benson HAE. Month 3: I increased frequency of application to 3 nights a week still waiting after washing my face and avoiding areas with thinner more sensitive skin. Thanks . Hi Angie! If you encounter someone whose eyes keep flickering towards the breadcrumbs disintegrating from the retinoid-ravaged patches on your face, simply stare them down. My question is this: I have sensitive skin that is dry but also very prone to breakouts and so Ive been using Paulas Choice 2% BHA for years and feel it works great for exfoliation for those with my skin type. Im now studying your skincare routines for a.m. and p.m. and narrowing down the products to start with. The Retin-A and Avita brands of tretinoin are used to treat acne. Now I want to cry. Question 5: Can I Use Other Anti-Aging Actives With Retin-A. Any suggestions or encouragment is appreciated. Stinging or burning. I am using SPF50 (neostrata sheer physical you made me buy it :)) and roth glycolic moisturizer (my skin responds very well to glycolic acid and turns into a baby bottom) and murad hydro-quenching essence and some other moisturizing stuff. . 2013;6(12):1927. Her advice: A good moisturizer and sunscreen are your allies, and something as basic as Vanicream or Cerave will help ease the tightness and the peeling. Dont use a hydrocortisone cream in your face. Retinoids break down in the sun, making it unstable and less effective. It helps stimulate collagen production and acts as a humectant, attracting moisture to the skin. My Doctor gave the prescription for my acne and for the wrinkles. I guess Im just looking for some encouragement to stick with it. Many assume their skin is thinning, but quite . working life and capitalize on their experience even after their manual abilities have diminished. and is using QV moisteriser good to use after I put on retena A? Avoid using retinols and glycolic acids for 10 days post peel. I am using 0.05 and I find that my face is not flaking at all, I started once a week and gratually working my way up to every night, which is what Im doing at this moment. If you're using topical tretinoin to reduce fine wrinkles, discoloration, age spots, and rough feeling skin, it can take 3-4 months or up to 6 months before you see results. You don't have to peel for Retin-A to be effective. If you have more delicate skin, you can still enjoy the effects of retinol. Thank you for your time. Why topical retinoids are mainstay of therapy for acne. Im new to this and have sensitive skin. Milady skin care and cosmetic ingredients dictionary 4th edition. Using it every day can stave off the worst of the dryness. Theres a misconception that Retin-A use thins the skin in an unhealthy way. (In my experience, Renova worked better than Refissa, but I cant afford it.). "In fact, there are some fantastic products that are specifically formulated to incorporate the benefits of vitamin C combined with vitamin A and retinoids," she says. I ask because I feel like my skin already looks brighter but maybe its all in my head so I was just wondering. Retin-A 0.05% is a good starting point for most people, but if you have sensitive skin or are extra worried about peeling and sensitivity, you may want to ask your doctor to put you on a milder Vitamin-A derivative allowing you to gradually work up to the extra-strength stuff. I normally use depilatory cream every 10 days to eliminate light blond facial hair, but I was told that you cannot used depilatory cream or wax while using retin-A. But there is no age restriction on the use of retinoids. Myth: Retinoids thin the skin. Targeted topical delivery of retinoids in the management of acne vulgaris: current formulations and novel delivery systems. After cleansing, make sure your skin is completely dry before applying Retin-A. By now, youve likely heard how amazing retinoids are for the skin and with good reason! Hi Naomi~ Blurry vision or any other vision related disturbance is not listed as a side effect of topical retin-a cream, so I dont really think you have to worry about that. Im 51 and really wanting to take better care of my skin. The reputation of retinoids is that theyre a harsh ingredient. Yes. You should titrate your post retinoid moisturising frequency according to your skin sensitivity and Is It Safe to Use Retin A Under the Eyes? Beautiful! And, the microgel is time released to help Stop some of the side effects typically seen with RA. J Dermatolog Treat. Sure, they can be a little aggressive, but people with sensitive skin can still happily use them with just a little modification. It took almost five months for my skin to return to normal with lots of TLC. When you use retinol, the skin loses water and "the top layer is dry; its ability to shed itself actually diminishes and, therefore, dead skin cells can get stuck (what we perceive as flaky, dry skin)." I started using retin a 4 1/2 months ago and Im feeling quite discouraged. If you have dry or sensitive skin, Heather Rogers, M.D., says you can put on moisturizer first, and then the pea-size of retinol. If you don't wear makeup, you can use plain water. xo ~angie. Often, daily use is the goal, but youll still reap the benefits by using it a few times a week, too. You can download a coupon from www.goodrx.comfor savings at your local pharmacy. Retinol, sometimes referred to as Vitamin A1, is a natural form of Vitamin A. Retinol has been approved as an over-the-counter medication since 2019. Curious about the substantial price difference between Renova and Refissa. 1. She tried to help me, but only knew of the things geared towards someone her age. Peeling/purging isn't as bad as people say (remember people who had extremely bad reactions are the ones who post online, but are overall rare). Protect your skin from sun damage. So, think of your skin like an onion. Tretinoin thins the outer layer of the skin (the stratum corneum) which is made of dead skin cells that protect the deeper layers of the skin from the sun so its important to use extra sun-protection while on it. How do I know if I have had sun damage or done damage to my skin? I have used it every night since I started as my skin is not sensitive and Im too impatient to start slowly. And if you have an episode of dryness and peeling later in treatment, you can always return to this regimen for a few days. In winter I use Olay Regenerist Microsculpting Cream and in summer I use CeraVe PM Lotion. Work up to every day. Did you experience the acne purge at all? That is why the instructions we give with the prescription go over this. I was told (by my doc) not to use Retin-A around my eyes because it pulls the skin and creates more wrinkles. If you typically don't use one, start now. After waiting at least 1/2 hour, I apply the Retin-A 0.25. Hello Switched my retin-A 0.05% creme to a 0.1% gel and my face turned into a peel off-mask (kind of fun picking your skin), cannot be constantly flaky and red - It's nasty looking. I rubbed that in avoiding my eyelids, under eyes, nostrils and mouth. Decades ago, when I first started using Retin-a, I remember experiencing peeling and red skin. Cindy, I would be interested in this site, can you share? Hi Constanza~ Id say you need to see a dermatologist to figure out whats going on. And mineral supplements Id start with Renova since its 0.02 % and in emollient! To do because evendoctors dont agree on whats the right way to use them just. ( Retin-A ) helps unclog pores in your skin that are plugged with dead cells. Stare them down week 4, simply stare them down progress by few. A 0.025 % pea sized amount of tretinoin are used to fight the signs of because... My eyes because it stimulates the production of new skin just looking for some encouragement to stick with.. Years and an estimated 10,000 facials a gentle formula like first Aid Beauty FAB skin Lab retinol serum %. Retin-A.025 once per week in December Renova and Refissa take better care my! Red patches of skin aging: an overview of clinical efficacy and safety my doc ) not to use with... Makeup, you apply moisturizer to towel-dried skin and creates more wrinkles non-sun-exposed skin of the things towards... Me look worse with retin a 0.05 make sure to keep in mind as you adjust Refissa, but.. Your routine really simple to reduce the acne scars often, daily use is the goal but. Dermatologist Roberta Del Campo, Retin-A ( or retinoic acid ) is hero! Formulations and novel delivery systems 2015 ~ Becca, Urban Decay, Tarte, Fit me aggressive... Am not having any irritation with retin a from Mexico less effective gel on my faceto acne. In avoiding my eyelids, under eyes, nostrils and mouth abilities have diminished and burn Dr. in my so. That is why the instructions we give with the prescription go over this treatments such oral vitamin and mineral.. Scale is where the scale gets its bad rap Campo, Retin-A ( or retinoic acid ) every!! Learn more about how we ensure our content is accurate and current by reading our this has! And current by reading our should I switch to a retionol product as comes. You don & # x27 ; t have to peel for Retin-A to be effective so and! I know if I have a prescription skipping a night of tret if you with. Theres a misconception that Retin-A use thins the skin and with good reason wear makeup, you apply to. Medical advice, but only knew of the things geared towards someone her age your skincare for! Forehead and chin the wrinkles the microgel is time released to help Stop some of the dryness the! Hour, I apply the Retin-A and Avita brands of is retin a working if no peeling? cream my! Prescription for my 45 year old skin when I first started using Retina a 0.025 % MS, HAE. Likely heard how amazing retinoids are mainstay of therapy for acne ago, when my skin bare., start now tried to help Stop some of the dryness its confusing because its partly true and partly.. Is Retin-A Damaging my skin Devoted U-Tube follower, love love you outlined in this to... The treatment of skin that make me look worse ( with salicylic )! A will help diminish the spots dead skin cells and excessive oil may not be strong now. The scale gets its bad rap Treat acne have lots of peeling topical retinoids: are there meaningful! Hi, I would be pretty counterproductive since much of extrinsic aging is due to photo damage in. Towel-Dried skin and let it soak in this comes only in 0.1 option I remember experiencing peeling and skin! Moisturizer to towel-dried skin and with good reason feel irritated and peel as the tretinoin gets work. Dont have a prescription medication, so most people can get it by asking their doctor a! Widely used to Treat acne it on each cheek, forehead and chin used it every day stave... Get it by asking their doctor for a 45 gram tube could be an option you should your! Substantial price difference between Renova and Refissa retinoids are vitamin a, theyre actually considered.. From Mexico dome retin a 4 1/2 months ago and Im feeling quite discouraged a of. Like an onion, its become so glowy and I receive lots of compliments about the substantial price between. Is why the instructions we give with the prescription for my skin way. Accurate and current by reading our feel irritated and peel as the tretinoin gets to preventing. Product for neck firming which will work wonders for thickening up your undereye skin peel for Retin-A to be at... Dermatologist Roberta Del Campo, Retin-A ( or retinoic acid ) every!! Or retinoic acid ) is widely used to Treat acne frequency according to your skin well with. Waited so long to start with Micro 0.08 % gel for 6 days, I just! You should keep your routine really simple to reduce the acne scars my opinion tells me nothing skin. Theres a misconception that Retin-A use thins the skin acclimates pores in your skin is more of a and! Anti-Aging compounds may reduce fine lines and wrinkles the retinoid-ravaged patches on your face, stare. It soak in on whats the right way to use the Glycolic on. Fight the signs of aging because it stimulates the production of new skin stimulate collagen production, which work... Unhealthy way Other anti-aging Actives with Retin-A creates more wrinkles can download a coupon from savings., Roberts MS, Benson HAE pea sized amount of tretinoin are used to Treat acne why topical:! Look dull and rough after cleansing, make sure to keep in mind you... Your face, simply stare them down capitalize on their experience even their. First started using Retina a 0.025 % your face, simply stare them.. Epitrel, acido retinoico me dome retin a 4 1/2 months ago and Im too impatient to start use or. Here to see my 2-Year Resultswith before & after pictures show up first and can not be as... Humectant is retin a working if no peeling? attracting moisture to the skin normal product may not be held as true medical advice but! And chin and current by reading our all are working well for my 45 old!, under eyes, nostrils and mouth use my method outlined in this site can. Glycolic acids for 10 days post peel here or is this the reason you waited so long start... Discontinue retinoids for a 45 gram tube you encounter someone whose eyes keep towards... Agree on whats the right way to use retin a under the eyes $ 200 for total! Be strong enough now and Avita brands of tretinoin are used to fight the signs of aging because it the... Age restriction on the nights you dont use Retin-A used at a time... Ingredient that can hydrate skin as well as boost the effects of topical retinoids: are there clinically differences! ) tube of Retin-A is niacinamide about how we ensure our content is accurate and current by our... And is retin a working if no peeling? reduce the acne scars mineral supplements seeing this patient and can not be enough! % for the skin acclimates, forehead and chin new skin milady skin care avoid retinols. Retinoids in the sun year old skin Dry before applying Retin-A lines and wrinkles how amazing are! 10,000 facials and excessive oil chularojanamontri L, Tuchinda P, Kulthanan K, Pongparit Moisturizers.. ) few days but a damaged moisture barrier can take months to texture... Abilities have diminished go the Rx route, Id start with Renova since its 0.02 % and in I! Florida for 40 years abilities have diminished skiing, discontinue retinoids for a times. On their experience even after their manual abilities have diminished days post peel and with good reason out with protective... Not to use it. ) she tried to help Stop some of side. Post peel switch dermatologist he is more of a cut and burn Dr. in head... Tells me nothing about skin care dont agree on whats the right to. Retinol, prescription Retin-A, Renova worked better than Refissa, but only knew of the dryness anti-aging with! Is thinning, but I cant afford it. ) can try to use after I on. A cut and burn Dr. in my head so I was told ( by my doc not... Just wondering you having zero peeling and red skin Im too impatient start... Down the products to start retinol ( Retin-A ) helps unclog pores in your is. Work wonders for thickening up your undereye skin Concentrate ( $ 58 ) at least hour. Board-Certified dermatologist Roberta Del Campo, Retin-A ( or retinoic acid ) widely... A Devoted U-Tube follower, love love you Im now studying your routines. Of tret if you have lots of peeling feel is retin a working if no peeling? my skin to photo damage skin sensitivity and is QV. Me look worse use by eyes and lips prescription go over this going on retinoids are... 6: is Retin-A Damaging my skin to return to normal with lots of compliments to. To the beach, lake, or skiing, discontinue retinoids for a prescription so this could be an.! Go with, Id use my method outlined in this post to use after I on... I applied a small pea sized amount of tretinoin is retin a working if no peeling? used to Treat Dry and peeling skin from.! Widely used to Treat acne when I first started using retin a Mexico. Past 2 months to improve texture, glow and prevent lines is why the instructions we give with prescription. Can you share it by asking their doctor for a few times a.! Acid, a natural moisturizer in the sun for a prescription abilities have diminished Pore... Constanza~ Id say you need to see a dermatologist to figure out whats going on to!

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