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Question
Hello. I would like to know what treatments/products you would suggest using for my skin problems. I have a pigmentation problem on the right side of my face that has worsened progressively over the past five years. It started as a small spot on my cheek and has increased to most of the right side and has moved to my forehead. I have had numerous glycolic peels, used Renova, RetinA and other bleaching cream. I think all of these things have just worsened my skin condition and made it extremely sensitive to any sunlight and resulted in more acne type problems. I do take birth control pills, but the pigmentation problem started and progressed long before I started taking them. Your recommendations would be greatly appreciated. Thank you. Laura
(submitted by alias: laura)

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Answer
Hi Laura, with your current condition, the first thing you must avoid is exposure to the sun. Use a good sunscreen with SPF 8 to 15 is sufficient. Do not use one that's higher. Sunscreens with higher SPF can cause lots of other complications to the skin. Artificial peels often caused more harm than good. After a fresh peel, the skin temporarily appears soft and fair, but actually, it is due to the disappearance of some of the epidermal sub-layers which have been peeled off.   With the loss of some sub-layers, naturally the skin has a much thinner epidermal skin, thus less protective capability against the sun's harmful UV rays. I advice that you stop receiving such treatment altogether. Birth control pills can also cause a hormonal imbalance in your body over time, and leading to some melanin cells to over-multiply themselves. Although your pigmentation problem started and progressed long before you started taking them, it does not necessarily mean that it is not one of the current additional causes to your pigmentation problem. If, after having avoided the sun and having used a good sunscreen for some time, there's still no improvement, then the primary cause of your pigmentation now is due to the pills. Of course your skin peels and past exposure to the sun are most likely the early causes to your pigmentation problem, but your pills could have become a later problem contribution source. Bleaching creams can only work, provided the source of the problem can be controlled. Nevertheless, all other daily/nightly skincare products used also play a role to some extent in your resulting skin condition. I urge you to try our samples.
Best Regards: Pierre

Question I have used a tanning bed 3 times for 10 minutes each time; I am beginning to see white spots on my legs; Is this being caused by the tanning bed and is there anything I can do to get rid of them. Thanks
(submitted by alias: waterbaby)

Answer
Hi Waterbaby, the answer is yes and no. The white spots are melanin cells that have been depigmented, and cannot multiply themselves when stimulated by UV rays. This is of course not natural, but it happens to most people. All other normal melanin cells when exposed to the UV rays will automatically multiply themselves, thus becoming more in numbers and more concentrated, and appearing darker in shade (i.e. Tan) so as to shield and protect the skin better against UV penetration. This is a natural physiological phenoma (a great creation of our good God) to protect our skin from further damage by the harmful effects of UV rays. So when cells that are normal and when exposed to UV rays became darker, the remaining abnormal cells that do not multiply and remain the same obviously appear as if they are white spots in the darker cells surrounding area. So these white spots were not caused by the UV rays to become white, but were caused by the surrounding cells which became darker through UV exposure, and highlighting them as if they are white spots. I don't encourage this kind of treatment. Tanning beds emit artificial UV-A rays which possess deep penetration ability, upto the dermis layer, causing both layers of melanin cells to multiply. Although UV-A rays energy is lower than that of UV-Bs, we are all already exposed daily to the sun's natural UV-A and B rays as well. So everyone of us have enough absorbtion of UV-B rays every day. UV-B rays that accumulated on our skin can be highly activated by additional UV-A rays to cause serious harmful effects on skin, leading to skin cancer in the long run. Stop this treatment for a while and let the tanned cells get back to their normal concentration level, and the white spots will disappear gradually. Regards: Pierre

Question
i've had a problem with cystic acne since seventh grade. i believe it may be genetic because both my sister and my mother have the same problem. i've been on numerous oral antibiotics and have used many different topical medications. recently, i was on accutane, 80mg, up to 3 times a day. unfortunately, i was unable to finish the treatment (i was on it for about 4 months). my face is incredibly clear now, except for one trouble area. my left cheek, in the same spot, tends to develop cysts right before my periods. this past week, i had another reoccurence. i went to my dermatologist, and i got injections on two separate occasions. finally, when it didn't get any better, i squeezed it. i have done this before so i used extreme caution. i poked the apparent point with a steralized needle and then squeezed out all the puss. now, i have a very dark mark in that area. i was wondering if this could possibly be just a bruise from ruptured blood vessels under the skin, or ! is it a discoloration at this point??? it has been about 4 days, and it seems to be getting a little better every day. i have lustra to use of my scars, but it irritates my skin, and turns the whole area red. so now, i don't know what i can use on these dark areas. i still have marks from previous cysts in the very same area, so it covers more of my cheek than it would if it were just that one cyst. so, how soon can i expect this mark to disappear? is it a bruise or a discoloration at this point? and what products can i use on it which will help fade the marks without irriating my skin? thank you, kat
(submitted by alias: kat)

Answer
Hi Kat, antibiotics should not be taken on a long term basis, because your body will become immune and your dosage will have to be increased over time. Your own body's defense system will also become less and less active, since an outside defense force (that is antibiotics) is doing the defense for the body. Try changing your pillow case daily. Often bacteria from your hair and acne get onto the pillow and multiply. When your clean part of the face rested on it from night to the next morning, trillions of bacteria could have transferred from the pillow case onto your skin, and sensitize it, leading to outbreak. Check if you often sleep with your left cheek on the pillow. Squeezing is bad practice. It will inevitably leave scars. Scars from squeezing are ruptured capillaries, not depigmentation or hyper-pigmentation of your melanin cells. It can heal over time. It can also be speeded up with our product : #99 Herbal SR Cream. However, for fast amazing results, it is best to use our complete set of skincare without mixing with any other product not from our line. I recommend the following products for your current condition- 10/F Anti-Acne Refreshening Fluid, 14D Ginseng DeepCleanse Lotion,  31-O Sage Purifying Scrub, 317 Ginseng Comedo-Remover Gel [Sensitive], 59 Herbal SR Mask,  69 Collagen Toner, 99 Herbal SR Cream,  90-O Herbal AC-Cream (Anti-Acne) 0
Best Regards: Pierre

Question
Hi, I generally have good skin except for my nose. About 8 months ago I developed a really bad cyst on my nose. It was very large and by the time I got to a dermatologist it ruptured. Needless to say it left a a scar. I'm not concerned witht the scar. I'm concerned about the pigment- ation. I'm black and have medium brown complexion. The scar on my nose is very dark and visible. My doc gave me a lightening gel with AHA in it. SO far it is not working. It is lighter than it was intitially but overall it hasn't really worked. What do you suggest I do? I just want to lighten the surrooundin skin, thats's all. Is there a different preocedure for treatment when a person has a darker complexion to begin with? Thank you for your time. Arthur
(submitted by alias: )

Answer Hi Arthur, post-acneic pigmented scar is actually different from Melasma kind of pigmentation. Post-acneic scar is more like wound scar caused by clogged capilaries. On the other hand, Melasma kind of Pigmentation is caused by an increase in production of melanin cells within an area of the skin that causes that area to appear darker. Lightening works by bleaching melanin cells, and it's not the correct treatment method for post-acneic scars (which are clogged capillaries). The following product in our line is indicated for post-acneic scars. #99 Herbal SR Cream . However, for fast amazing results it is best that you use the complete set of our skincare products without mixing with any other product(s) not from our line, and stop using soap on your face altogether. You may purchase only the #99 first and request a trial kit as well for the other items, so that you'll have the complete set for your daily/nightly routine.  Best Regards: Pierre

Question
(submitted by alias: )
Answer
Hi, do you mean you have it only on the right cheek, and not on your left at all? Frankly, have you ever gone through any abrasive or chemical skin peeling treatment before? Many people who have gone through such treatment process ended up with a thinner, more sensitized skin because the 'mother' cell layer (i.e. the basal layer) of the epidermis is damaged by such treatment. With a thinner epidermal layer, it has lesser protection against UV rays, and heat. As a result, the skin reacts easily to heat and slightest presence of UV rays, and physiologically multiplies its melanin cells production. Increased melanin cells production in an uneven manner gives rise to pigmented spots and patches. If you have not gone through any skin peeling treatment as mentioned above, then it can likely be the cause of the body's hormonal imbalance. Hormonal imbalance can happen at least on 5 occasions to a woman. During puberty; having an active sex life; during pregnancy; during a period of emotional stress; and during menopause. The worse condition of hyper-pigmentation is during menopause. However, not every woman will result in having hyper-pigmentation during menopause. Try to recall, if you had used a certain product, or having undergone some form of treatment just shortly before the severe pigmentation arises. Whichever cause it was, however, what you need now is to keep your skin well moisturized(so stop using any soap altogether), protected against the UV rays, and use a good lightening cream. Not every sunscreen is safe. The higher the SPF value, the more sensitizing it is. So do be very careful.  I would recommend you the following items in our line, if you are interested to order:  17/F DeepCleanse Refreshening Fluid, 311 Blackhead Remover,  31-D Sage Purifying, 59 Herbal SR Mask 67 Licorice Toner, 98 Herbal Fair Cream, 99 Herbal SR Cream
Best Regards: Pierre

Question
(submitted by alias: )
Answer Hi Mary, If your hyperpigmentation is not due to any internal imbalance of your hormonal system, then faster positive results cab be easier realized. Firstly, you must avoid the harmful effects of the sun as much as possible. UVA and UVB rays will cause your condition to deteriorate. Although AHA product does effectively cause cell revitalizing action, you need more than just AHA. However, just a word of caution. AHA products if not well formulated can cause skin irritation and inflammation, and develop skin sensitivity. For your condition, I would recommend the following products: 14D, 211, 31-D, 68, 76-P, 99, 98  Regards: Pierre

Question
Hi. I just like to know what's the difference between pigmentation and "White spots".How can I to diffenciate them and prevent & get rid of them. I'm currently using a scrub containing AHA, hoping to peel them off. Will that be effective? Thanks.
(submitted by alias: Adrian)

Answer
Hi Adrian, Pigmentation is often referred to by layman and by beauticians to mean unsightly visible brown patches on the skin (usually the face). They are mostly on the forehead, cheeks, upper cheek bone areas, nose, upper lip, chin. They are melanocytes (melanin or black cells) from the basal layer (lowest layer) of the epidrmis, and/or melanocytes from the upper-most dermis. These two melanocyte layers determine an individual's skin color. The concentration of melanocytes vary from different ethnic races - being most concentrated in Negroes, and in descending order, to Indians, Malays, Chinese and the least concentrated amongst caucasians. Albinos have almost no melanocytes, and thus their skin is hyper-sensitive to the sun. Melanocyte concentration also vary between individuals from the same ethnic race. These cells will multiply out of proportion, and appearing in unsightly uneven brown patches on the face, due to hormonal imbalances triggered during pregnancies (for women), consumption of oral contraceptives (for women), post-pregnancy traumas (for women), menopause (for women), sicknesses (eg: insomnia, depression, and most other emotional problems). However, the most common cause of pigmentation problem is from the sun's harmful UV rays. Sun-bathers have the highest risk, as well as people living in the tropical region, and people who have to make their living under the open sun or people who love outdoor sports - eg. traffic police, sportsmen, taxi-drivers, odd job labourers. This can be largely prevented by avoiding the sun, and by applying a good day cream with good adequate sunscreen properties daily. White Spots can mean different things to different people. Some people refer to Milia seeds (i.e. white heads in laymen terms) as white spots. Milia seeds are not blackheads in its white form, as often errorneously thought so, even by beauticians/aestheticians. They are very different. You may read more on whiteheads at www.drpierreusa.com/whiteheads.html  Some refer to vitiligo as white spots. Vitiligo is the exact opposite to 'pigmentation'. While pigmentation refers to over-production of melanocytes, causing ugly uneven brown patches that are darker than a person's skin tone, vitiligo refers to the absence of melanocytes, causing unsightly white spots or patches that are lighter than the skin tone. Mild exposure to some sunlight may help darken vitiligo and make it appear closer to the skin tone, thus making it less obvious visibly. However, over-exposure may have other detrimental effects. See a doctor for advice. A scrub with AHA will do you more harm than good. Most scrubs contain coarse grains that work like sand-papers in an abrasive manner. The scrub base is usually soap which is also bad for your skin. AHA (Alpha Hydroxy Acid) will also cause skin peeling. With these three actions combined in the AHA scrub, it will be too harsh to the skin, and will cause sensitivity. I'd suggest you stop before it's too late. Regards: Pierre

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