These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
Thank you for asking your questions regarding Keratosis Pilaris.
I would recommend a combination treatment of a Retinoid at night such as Tazorac or Retin A and Lac-Hydrin 12 or AmLActin cream in the morning.
can you recommend a product which is available in the uk?
Regarding Tazorac at night. I would begin with Tazorac cream 0.05 along with Cerave Renewing Cream. The latter, not only is a very good moisturizer, but contains Salicyclic acid. As you may have read, Sal acid is effective for KP, so not only are you getting a moisturizer but one that will give a little additional punch. Use Tazorac for two weeks very other night and then go to nightly. Then increase the strength to the Tazorac cream 0.1.
i have been using salicylic acid body washes and lotions which have helped soften my skin but does not minimise the bumps much.
I am quite sure Tazorac is available there, but if not Retin A should work just as well ( Tretinoin). I am not as sure regarding Cerave, but any good moisturizer can be used. As far as Lac-Hydrin. I think that is available.
The Retinoid should work better in minimizing the bumps so I would add that. Plus they help rid the skin of pigmentation.
Pumpkin peels help get rid of bumps. Sal acid, which is a Beta Hydroxy acid is more effective than glycolic acid, although the latter is better for pigmentation problems.
If any of these cause irritation, a low potency, over the counter topical corticosteroid such as Cortizone 10 helps.
I have seen good results with Bionect too, but I am not sure whether this is available in the UK.
i should have also mentioned that i had dark asian skin, will these products be suitable for me
Bionect contains Hyaluronic acid.
Yes, as long as you are careful to prevent irritation. That is why I would start the Retinoid slowly.
Work your way up.
If you have used Lactic acid in the past, the 12% strength is more effective than what you have probably been using. In the US, Lac-Hydrin 12% is a prescription product while Lac-Hydrin 5 is OTC. However, AmLactin which is 12% is over the counter.
ive never used lactic acid, only sal
what is bionect
That is a hyaluronic acid product that is micronized...which means hyaluonic acid is broken into tiny pieces to allow better penetration. Hyaluronic acid is part of the dermis.
Eucerin Intensive Plus Intensive Repair Body creme is also good. However, I like the Cerave product better since it not only contains Sal Acid but Cermides that help repair the skin barrier.
seeing as most of the products you are recommending are not available to me in the UK, i'd much rather you told me what ingredients and strengths I can look out for in OTC products, what they will do for me and how to use them.
eg. my salicylic acid 2% wash that softens the skin
Tretinoin cream 0.05
Tazarotene cream 0.05
Lactic Acid 12%
The Eucerin product should be easily found since it is an international company ased in Germany.
based in Germany.
Sal Acid washes are not that helpful since they are only on the skin for brief periods of time.
Orally, Vitamin A supplementation 2500-5000 I.U. a day and Vitamin D3 2000 I.U. will help if you are not taking those.
is Retinaldehyde the same as retin a?>
Somewhat similar. Retin A is the acid form of Vitamin A and Retinaldehyde is the aldehyde form. The aldehyde has to b transformed into the acid form to penetrate the skin so it does not work as well, but tends to be milder. Roc ( a French company) makes Retinol which is a better form. There is some debate about Retinaldehyde causing skin cancer, so it is not used as much in the last few years.
thank. sorry but it is just so hard to find products with these ingredients as most have been discontinued or banned over here even on prescription. i may have a few more questions for u
Feel free to ask them, though I have to leave soon.