I get sleep and use eye cream every night, but I still have dark circles and bags. How can I make them go away or be less noticeable?
--Monican1
Check the ingredients in your eye cream to make sure that it contains caffeine - this ingredient helps constrict blood vessels and reduces the appearance of dark circles. Another option is getting an in-office treatment with a dermatologist experienced with the injection of fillers, such as Restylane, in the under-eye area. I have a Botox question: I'm using it for the beginnings of a horizontal forehead line. I can't raise my eyebrows, but I can still move my hairline down--which is what creates the wrinkle. What can I do about this? My derm knows this and I'm not sure that she knows how to fix the problem.
--Charliegirl08
Horizontal forehead creases can be very easily treated with botulinum toxin treatments. It may require treating the area around the wrinkle, rather than just the wrinkle itself. You may want to speak with another dermatologist for a second opinion.
My dermatologist prescribed minocycline and Ziana gel, but they weren't giving me the results I wanted anymore--I still had some old acne marks and lots of little white bumps on my cheeks and chin. I just started using a glycolic exfoliating wash and toner; I get great results for about a week, but then my skin breaks out horribly on my cheeks and I get even more little white bumps. Should I not use this product, or is it one of those "gets worse before it gets better" sort of things and I just need to stick with it?
Also, my derm is a really nice guy, but I feel like he doesn't even look at my skin anymore and just increases or decreases my dose of antibiotics. Should I find someone new or is there not much more he can do?
--Yatts
First, if you're having trouble communicating with your dermatologist, I would suggest having a discussion with him about this. If you find that your doctor is not responsive to your needs, I would say it's time to find a new dermatologist.
Second, it sounds like the glycolic acid after a week is probably giving you some inflammation of the skin, which in turn, is causing the development of more whiteheads. I would suggest switching to a salicylic acid-based product, as this ingredient has anti-inflammatory effects and cleans the pores out more effectively than glycolic acid.
The acne marks may either be residual pigmentation changes or actual scarring. I think it would be best to consult with your dermatologist to see if topical medication or lasers would be best to treat this problem.
Check Lucky Right Now all week for more answers from Dr. Brandt regarding your most pressing skincare issues.
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