Let’s Get Intimate: Tranexamic Acid | Dr. Shereene Idriss

[@lli_loue]

Shereene, I really want to thank you for speaking up about the effects of facial insecurity on mental health. After going through a heart transplant and tons of prednisone, my face has become horrendous. Everybody says “don’t worry about your face, what matters is that you’re alive” and no, I can’t accept it and be happy, so I am getting a facelift, because my mental health depends on it. You comment made me cry, I finally feel like someone understands my struggle. Bisous de Paris ! 🇫🇷

[@mariapriscilagonzales4538]

I know how do you feel. I have been having 21 years of extra time because a medicine, it produce lipodistrophia…my beautiful legs are No beautiful but I still can walk over the wall my big chicks were looking like a mummy and of course it makes me look older. I found out how to improve my legs and bud appearance and lately found out that my insurance cover a medication that can refill my face, it works slowly but it works! So all this things took a while fighting with my feel that I was the ugliest and unattractive women. In the mean time I have psychological help. Keep focus in the main thing: you are alive and believe me and love you as a survivor! You still have a mission to accomplish!

[@infullbloom3246]

Your chances that you didn't need a heart transplant are 90%. It was done for profit. $1.2 million per organ per 5 years. Usually b complex does the job.

[@annleeallard219]

I fully understand you too Laurence, you are not the only one ❤️

[@pingu3984]

Christ I was given prednisolone to help with severe lung inflammation. Girl, I feel you. I was only on it for a few weeks but I look like the moon from the mighty boosh. Good for you for taking control and taking your life back. You're strong x

[@lli_loue]

@@pingu3984 thank you for this, I did get my facelift a year ago, and I am so incredibly happy and proud I went through with it, despite my whole medical team being horrified.

[@ummesalmatahir6745]

I take tranexamic acid on a monthly basis for my extremely heavy periods due an inherited bleeding disorder (severe factor 7 deficiency). I also have to have it for any procedure I have that involves blood. Before I was diagnosed and put on tranexamic acid, my period blood loss was beyond ridiculous, I lost soooo much blood every month and went anaemic every time. After I went on tranexamic acid, it cut my blood loss in literal half and half again, and I was able to function and live daily life like normal. It's honestly a life-saving drug. Coincidentally, I've never had melasma.. 🎉

[@donkelvino1521]

What was your dose?

[@mariemcgrath8681]

Once again. your knowledge & how you present a subject is fantastic. You really help so many people who cannot afford to go see a Dermatologist or live in areas where they are unavailable.

[@stephaniemaynard8450]

I love that I saw my dermatologist today and she recommended adding TXA to my routine, so of course I run straight to your channel to hear your thoughts- LOVE that they align together!! She said the same about Topicals Faded- smelly but good. Thank you for being amazing, informative and straight with us ❤

[@nicholjohn3850]

Thank you so much for continuously talking about melasma! I have melasma that comes and goes, and I just woke up with yet another flare up 2 days ago (after a few weeks of clear skin). It really can get discouraging at times, but your channel is my go-to for some words of encouragement!

[@SkintitaApril]

@Herpes goddess stop with the promotions please.. This is so annoying!

[@nessieinvt5875]

Love your pillow talk! I have been nanoneedling, not microneedling, with a very inexpensive product from Cos de Baha. It is a 5% Tranexamic acid and 5% niacinamide hyaluronic acid. Those are the only three ingredients in it. I do add a couple of drops of glycerin for some extra hydration. It has done wonders for my hyperpigmentation, melasma and rosacea. I feel like I'm just getting a better absorption when I nano needle it in. Tranexamic acid is really amazing stuff!

[@odettesmith5761]

Can you please tell us your opinion about castor oil? Thank you.

[@pchsndcrmfrvr]

I mean, absolutely. I am an aesthetician and suffer from melisma on my cheeks since 2013, I’ve cycled products. My own body heat and my own health issues contribute, no matter how healthy or anti inflammatory. So I appreciate your honesty surrounding the nature of this disorder.

[@barnstable1269]

Can you talk about copper peptides in topical skin care, and what we should not be mixing with it. Thank you for all you do!!

[@vickyvratti6652]

Excellent question 👏🏻

[@ehw1917]

Yes!

[@melindagenitempo2359]

easy answer NEVER MIX COPPER PEPTIDES WITH VIT C I use it after microneedling. GKU is the brand I use but ordinary has a less expensive one. since I use vit C inbthe morning I use copper at night. about 2 nights a week ibdont use tret or my maelove retinaldyhyde and do pretty much 6bdiffwrent K essences and my serums

[@davidle3567]

Vitamin C is about the only one that’s a no no because the copper accelerated the degradation of vitamin C!

[@shreeya1113]

Yes yes

[@brainstorm.in.a.teacup]

Thanks for the educational review. I've been a TXA fan for a while and tried a few. Skin1004 Madagascar Centella Tone Brightening Capsule ampoule is my favourite so far. TXA is high up on the ingredient list and no HA (I'm a beta-glucan convertee)! Plus the bottle is HUGE and super affordable. I mix with Beauty of Joseon Glow Deep serum (rice bran and alpha-arbutin, and again no HA!) and love the results from the combination

[@debbie7566]

I have found Tranex Dear Serum: It has really helped to start shift my melasma. I have finished one bottle and have definitely seen an improvement. The ingredient list is : Tranexamic Acid (5%), Kojic Acid (5%), Niacinamide, Glycolic Acid and Licorice.

[@dananatale501]

Thanks, I just ordered on Amazon! Definitely worth a try for me after many other Vit C serums, and no help with retinol etc.

[@gabrielacortez4893]

I use that serum too and noticed a big difference

[@lucyegan5025]

Can you tell me which part of your routine do you use this serum?

[@gabrielacortez4893]

@@lucyegan5025 You can use this serum right after you wash your face at night. I wash my face, use a watery hyaluronic acid serum (I use The Ordinary) for hydration and after that I put the DearSkin. You can finish with moisturizer and be done or continue to add other actives like azeliac acid and alpha arbutin from The Ordinary.

[@lucyegan5025]

@@gabrielacortez4893 can you also use retinol with this serum?

[@Patti-1962]

I have melasma from Addison's disease. This is the first time I've heard that tranexamic acid could be taken orally. Thank you SO much for being a breath of fresh air on KZbin! I don't need to watch other channels, because I have the expert doctor to watch!!❤❤

[@Cheyenne0228]

I have tons of hyperpigmentation from Addisons myself. I have been watching her melasma/hyperpigmentation videos for any product recs to help me tackle it. I hate getting any wound on my skin because I know it's going to go dark. Just wanted to leave a comment to say you're not alone, and if you've found something that works I'd love a couple of recommendations.

[@Patti-1962]

@@Cheyenne0228 Oh I feel your pain! My latest patches showed up during the winter months when I was not even going outside much.🙄 Dr. Idriss is the only influencer that has mentioned this disease and this issue. I live in the US, where I have been able to still find OTC products with 2% hydroquinoe in them. Nothing else works on my dark spots, and I have tried EVERYTHING!! I can get 4% hydroquinone from the dermatologist, but the prescription is usually very expensive. I have been thrilled with the product I'm using, Ambi cream. The most important thing is to take a break from it every three months or so!

[@nlc43]

I love hearing about the history of skincare ingredients, including tranexamic acid. The Faded serum from Topicals is one of the most effective products I’ve ever used to address my PIH and tendency to get hyperpigmentation on my arms/legs with any little cut or mark on my arm (which is super noticeable because I’m pale). It’s also been really helpful as a preventative when I get a new cut on my leg (like when my cat scratches me) because it helps speed up healing time and prevents hyperpigmentation. It’s a pretty great price for how effective it’s been for me and the amount you get. I haven’t had great reactions to retinol/retinoids, but my skin loves tranexamic acid and I’m so happy to have discovered it.

[@rachelfishbein1478]

Two products worth considering that both have 3% tranexamic acid: Good Molecules Discoloration Correcting Serum (30 mL for $12 or 75 mL for $25) and Regimen Lab Level Serum (30 mL for $42, $36 on subscription). The Good Molecules one is actually marketed in part for melasma. The Regimen Lab one is I think a good alternative to the Topicals Faded product if you want to throw the kitchen sink at your hyperpigmentation but don't like the smell. I've used and loved them both. The Regimen Lab serum has been a staple in my routine for the last year and has made a huge difference in how my skin recovers from an acne flair, and one bottle lasts more than 3 months.

[@puffballs2404]

Have you guys tried cos de baha tranexamic acid? I'm interested in getting it

[@SG-wq4rm]

@rachelfishbein1478 Do you have melasma?

[@Suha_Chakravorty]

Yayy! My favourite dermatologist dropped a video and I hopped right in!! 💕😀

[@aliuy8184]

Hi Dr. Shereene! I am from the Philippines. The vast majority of people's skin tone here is on the darker side. Unfortunately, we still have the mentality that white skin is more beautiful. Hence, a lot of local brands come up with glutathione products. Would love to know the science behind it, if it is safe and effective. If so, please let us know your recommendations. I know that this isn't a major concern for most of your followers but it'd be great if you could enlighten us about this. Thank you!

[@s_shaleh]

Glutathione is a powerful antioxidant that is naturally occurring in the human body. There are studies showing that when applied topically, it works as a tyrosinase inhibitor, much like Vitamin C and Tranexamic acid. However, I believe the dangerous trend here in South East Asia (which I'm not sure if Dr Shereene is aware of) is to have it taken internally into the body - either by injection or oral means without it being regulated or administered by a licensed medical practitioner. This has been shown to cause liver damage, among other side effects. I might have gotten caught up in that trend myself a couple of years ago. 🙈 Luckily a friend warned me against it and I stopped taking it.

[@julieme7927]

I'd also like to know even though I'm pale but I have dark underarms and thighs from being overweight.

[@JVCPmadness]

I also like this topic, but not for whitening. I already have fair skin, but I have atopic dermatitis, and I once bought a package of gluta drip with Vit. C. They said it can help because of its a powerful antioxidant. I can't say if it worked because I was also using a few moisturizing and sealing products.

[@jessie9671]

Murad just came out with a glutathione supplement

[@julieme7927]

@@teegee633 you're very sweet to comment, but its definitely just plain old fat problems because my thighs rub together and my underarms is because I get ingrown hairs - probably because there's not a lot of air there. I do a medical every year. I am going to try limit carbs and sugar anyway because I'm tired of being overweight. It's not as fun as people make it out to be lol

[@ILoveHydrangeas18]

Perfect timing, just ordered an Asian moisturizer with this ingredient for overall tone brightening! SO excited!

[@orozcoaj69]

Thank you for talking about the emotional stress about melasma. I am in my early 40s and have melasma. I spent over $10k in treatments: cosmelan peel, VI peels, clear and brillance laser, microneedling with PRP and nothing helped. I stopped taking birth control pill because the dermatologist I was seeing said that might be the cause of it but no, that didn't clear it either. I have used thr Topicals cream, yes it does smell weird but it does not bother me. It is very smooth, emollient and does not pill. In my 20s I suffered from acne and that was embarrassing also. I guess the skin gods don't like me 😔😢😭

[@dananatale501]

My latest was a CO2 last year for hyperpigmentation and patchy melisma. Looked promising, but it was just time for resurfacing. Also, did the same with Prp micrneeding and other peels. Not to mention all the money on high priced skin products. I am going to give the transexamic acid a try now!

[@orozcoaj69]

@@dananatale501 I hope it works for you 🙏 😃 I completely understand the frustration 😔

[@MaheenA1295]

I’m in my 20s and got melasma it’s so depressing at times 🥹

[@catnip4587]

I have melas a and rosacea so you can imagine my emotional stress is high which probably makes my symptoms worse so I understand

[@shirinrezaie9352]

Please do a video on different acne scars and the best treatment!🙏🙏🙏🙏 You are awesome by the way♥️♥️♥️

[@swolfhopeful]

The brand Naturium has 2 Tranexamic acid 5% products that are both great and are $20 and $22. They’ve helped with my melasma so much! Thanks for all this great information :)

[@kaylaperez7970]

I got this one in the mail and used it for the first time today. Love Naturium 😍

[@covecarrington3332]

how long did you use it to see a difference ?

[@swolfhopeful]

@@covecarrington3332 I‘ve been using the the alpha arbutin and tranexamic acid serums for 6 months now. I began to see a difference within 2 months using them combined. I think using the multi bright product that already combined to two might be easier and will be my next purchase!

[@jessicasegarraruiz5942]

How did it go with the gray one? (Not the yellow multibright)

[@janetfalconer2341]

How many times per week are you applying the Tranexamic acid? I used this along with Azelaic acid.

[@natsl3049]

LOVE your let's get intimate series🧡 You cover everything in one video instead of doing 10000 videos on the same subject like those hanky panky youtubers.

[@bieberfan6300]

Your my new favourite skin expert ! Yes how it was discovered is amazing. Thank you for your amazing expert advice 😊xxxxx

[@smushface3999]

The Chemist Confessions Gold Standard is awesome while also being gentle… Gloria from CC specialized in acid peel development when they were working at L’Oréal, and I’m always floored at how it gives amazing fast results without irritating my skin… IMO it is masterfully formulated and gentler on my skin than products I’ve used with much smaller acid percentages. Unless you’re over-exfoliating, failing to follow the usage instructions, or need a better moisturizer/sunscreen, I can't imagine the average person having any issues with it.

[@QueenIsabella777]

The Murad serum really helped my melasma when I was super depressed about it. It acted quickly within 3 months I could see my face again. I couldn’t believe it when it happened, but I’m a professional surfer so I thought it was sun related! I still have some and haven’t been able to afford another bottle at $80. I might try the Faded serum as it’s more affordable.

[@mindybrown-haugen3115]

hi dr. another helpful video so thank you. i have been using naturiums TXA 5% with kojic acid, niacinamide and licorice root for a year now and l've had great success. however, my melasama was mild in light (HA!) of how ghastly it can be. also, i noticed your 'happy' bracelet and my dog, whom i love absolutely, is named happy! so yay! have a wonderful weekend!

[@kleptomelly]

Thank you for continuing to talk about this. Melasma is so frustrating. I tried many products recommended by my Dr and some not before they finally put me on oral Tranexamic acid. Since using it I am seeing a difference. It's not completely clear but so much better. I still use spf daily as well as retinol and am currently also using hq. Having used hq before with no big change I know it was the Tranexamic acid that really helped this time.

[@NidalIbourkOfficial]

DR idriss, can you talk about skin cancer please, especially black spots in the back and ways of treatment/ early detection. Merci beaucoup

[@hannahlaney5762]

Recently came across your channel, and so thankful I did! You are so pleasant to watch!!! Thank you, for all of the awesome info!❤

[@happydesign1756]

It is good to see you without heavy make-up, you look fabulous this morning. I would love to hear your comments on how to incorporate various ingredients together to avoid over-correction or skin damage, in the meantime, the ingredients can help each other to achieve our goal - fighting malasma. For example, my dermatologist proscribed me Hydroquinone 4% and Tretinoin Cream, USP 0.05%, they can be used together at night. In the morning, I use SkinCeuticals CE Ferulic + Paula's choice 10% Azelaic Acid (hopefully Azelaic acid can help the expensive SkinCeuticlas product maximize its efficacy). I really want to incorporate Tranexamic Acid to my routine, but do not want to over-do it to cause skin damage.

[@claudtastic]

In case it's helpful, this is what I do. FYI I have rosacea, acne-prone skin and melasma. Morning - Vit C (SkinCeuticals) and Tranexemic Acid serum (Currently using the Aspect Dr Pigment one). At night I do a Vit B serum, then azaelic acid and a retinoid (I use differin). I am currently taking a break from Hydroquinone (which I do every 3 months) but I would use that in the morning after the Tranexemic Acid serum and before moisturiser/sunscreen. However, your hydroquinone is prescription so it would be stronger than the one I was using (which you can buy OTC here in Australia). You could do the same as me and use the Tranexemic Acid when you take a break from hydroquinone if you find introducing it too strong. I take a break one or two nights a week from the retinoid and I also use a thick cream like la roche posay Cicaplast Baume B5 to finish my night time skin care. I always watch how my skin is reacting and if I notice too much redness or dryness I back off - usually the drying products like retinoid or AHA/BHA (which I only use 1-2 times a week at most). But your derm would be a good person to ask these questions of!

[@user-jy7mc2gp2y]

She never has heavy makeup on and people should never comment on other people's appearances. Its rude

[@janenicholson4056]

@@claudtastic Hi, I'm in Australia and was wondering which cream with hydroquinone you can buy over the counter here. Cheers

[@cherylmyers5095]

Thank you for all of these informative videos, presented in such an entertaining way. I have only found an extremely short video of yours mentioning the Sculptra product (injectable), but there is a whole line of products called Sculplla supposedly based on this same basic principal. For home use by us ordinary folks. There is a Sculplla 'mask' that is for licensed estheticians only, but these other products in that line can be purchased for use by anyone. The company has recently changed their name to House of PLLA. These products (supposedly) use facial hair as a means of absorbing below the skin to help build collagen.

[@SarahColledge]

Facetheory's Exaglow serum has 5% tranexamic acid (plus some other supporting ingredients) for £18.99 :)

[@kelsey9002]

Thank you for always posting amazing content! I was wondering if you could do a video on body hyperpigmentation and the ways to treat it? I have hyperpigmentation on my shoulders caused by friction and I can’t seem to get rid of it. Any advice would be greatly appreciated.

[@claudtastic]

I would love a video on anti-aging body care, including hyperpigmentation and sunspots!

[@Anasuya87]

Thank you so much for posting this! I used to drink tranexamic acid for my periods, but at the moment I'm having mefenamic acid. Looking forward to learn lots!

[@masterculturedunkerque7918]

What do you mean by 'drink'?

[@Anasuya87]

@@masterculturedunkerque7918 As in take the tablets with water :)

[@JustVee-]

Does the Mefenamic Acid give you diarrhea?

[@hazelcurran7143]

Yeah it take it for my heavy periods too! I wonder if you get the benefits for your skin if you take it orally?

[@lavayuki]

I love TXA, I lived in Japan and used a lot of the bihaku products designed for pigmentation there, and tranexamic acid was a big ingredient in a lot of their bihaku products, and also arbutin. I remember a lot of Hada labo, Kose and Kanebo products used these

[@genesis650]

Dr Shereene is so right about melasma, its seriously debilitating ❤

[@I-vy]

Japanese beauty brand Hada Labo carries products with Tranexamic Acid, their Hydrating Lotion and Water cream from the Premium Whitening range. Some may find this brand familiar for their range of hydrating lotions.

[@nabeelah12345]

Hi Dr. Idriss! Love the video :). Could you do a video on ceramides and the types, benefits, drawbacks, misconceptions. Thank you!

[@momagurrr1490]

love it when you call me nerdling 💕

[@cinderelladevil1687]

It has saved women and men's lives. It is used for a wide range of situations. For politrauma, for scheduled surgery when clinical conditions allow and the surgery is to be a bleeding one. I am an anesthesiologist, and I give it to my patients every day. It is cheap and ubiquotous

[@valeriemarie1985]

Topicals Faded actually recently reformulated. It does not have a horrible sulfur smell anymore. I was pleasantly surprised. I’m on my fourth tube and this latest one was the reformulation. I am much happier with the smell now. 💕 Love you and your channel. Maybe one day I can come visit you in your office for some treatments ❤️

[@mumof4132]

Hi , how is your experience with Faded cream ? I used one tube haven’t seen much improvement but my melasma is really stubborn so don’t know to buy another one or not !

[@valeriemarie1985]

@mumof4132 Skin cell turnover takes at least 28 days and will increase as you age. I totally think you should get another tube. You may not see results for a couple of months. I think I really started to see a difference on my 3rd tube.

[@mariamhusain5857]

Hi when do u use topical in ur skincare routine? At what step? Thanks

[@valeriemarie1985]

@mariamhusain5857 I use it in my nightly routine. They suggest not using it with retinol or acids in the beginning. I am able to use it with both now. I also don't have sensitive skin. I suggest using it on the nights you are taking a break from retinol, though.

[@MichelleLyn84]

I am interested in the La-roche posay glycolic serum, my face tends to love that brand and I’ve been using Paula’s choice 10% glycolic acid gel that I like. I also have been using Peter Thomas Roth discoloration cream and it has such good ingredients but is so expensive. But if I could find an all in one product or better yet, if I could find a couple that are still cheaper but have all of the ingredients I’ve been using and they don’t pill, that’d be wonderful!! The PTR one has the TXA, Kojic acid, alpha-Arbutin which thanks to you I know what that is lol, and I think niacinamide. I have a very expensive vitamin c serum I use recommended by my own dermatologist I’d like to continue using, it’s the most stable kind and between all of the ingredients I see such a huge difference in my skin! I’ve also been loving Skinfix!!! They’re cleanser in the teal colored bottle has exceptional ingredients too! I leave it on like a mask. 😁👍🏻

[@iateyursandwiches]

15:02 How do you feel about good molecules transexamic acid? It's also formualted with 4% niacinamide

[@aliciat2532]

I'm a respiratory therapist and I regularly give nebulized TXA for people having pulmonary hemorrhage. Quite a versatile medication

[@Milan-Pilar]

Love this video! Hyperpigmentation is so tough to manage so THANK YOU for your insight! I’d also love to hear your thoughts on Stretch Marks. I have been struggling with them and while I know they’re permanent, i’d love to know how to prevent them in the future!

[@AltruisticBea]

came accross this while researching, Tranexamic acid goes well with my skin and other ingredients like Azelaic, I'm using unspotted night serum by Lion Pose and its so effective!

[@Wanderlust.428]

Good morning Dr Idriss! Thanks for posting. Have a fantastic weekend!☀️💛

[@joycelinelopes7128]

The faded serum is magical I’ve been using it for 3 months and my skin is glowing ✨ I also use the lightening wand on post acne marks.

[@Joannabanana1989]

I used Peace Out Dark Spots Serum and while it has helped my back acne scars, the smell is horrendous. I actually cant use it on my face at all because it makes me nauseous and gives me a headache. Definitely hope they reformulate it so I can use it and not stink. I always add a scented lotion to my back afterwards to mask the smell.

[@JB-qh3dn]

Rosacea, could you please explain what to do about it. Thank you!! Your energy is very inspiring

[@mirinaxo1663]

Do an in depth video on your favorite lasers/treatments in general for scars/texture for different types of skin! ❤️

[@europeancat4902]

Good morning Dr. Shereene, Can you do an episode on natural skincare brands such as Tata Harper, Mahalo, May Lindstrom, etc. Looking forward to next Saturday as you have become the “morning news” to watch while having my morning coffee.

[@emiliocalcines4479]

Will your skincare line be available to ship to Canada in the future? We can't wait over here!! Lots of love ❤️

[@PinCushionQueen]

I’d like to know that as well.

[@sooovann8908]

When will her skincare line be released?

[@andreavargas963]

In europe?

[@ranveiglie5768]

Yes, europe🙏🙏

[@rannveignesse2896]

Please ship to Europe (Norway). 🙏Many of the products you mention are’nt available in Europe, and the site of «shop my shelf» don’t ship to Europe (we also have to pay taxes…) REALLY looking forward to your skincare line! 👏👏👏 Also wondering if you need Alpha Arbutin in addition to tranexamic acid and the other ingredients to tackle melasma? I have azelaic acid 15%, retinol, aha, and vit C with tranexamic acid and want to buy Discloration.

[@abbeylamb9770]

Topicals Faded is great. I haven't had any issues with it spilling. Chefs kiss😉

[@abbeylamb9770]

* pilling,

[@mimistar1427]

I'm a Topical Faded fan girl 🥰 It really does work. A little goes a long way and it reasonably priced... I've been using it since January morning and night and it has truly helped to transform my hyperpigmentation along with my vitamin c serum and consistent chemical exfoliation. Faded has been reformulated so the new version doesn't have the sulfur smell, but honestly it didn't bother me because I've used sulfur soap before for my acne. Honestly give Faded a go, it's not as expensive as other products, it has a powerhouse of ingredients and it actually works!!!

[@jenniferlee9029]

Have you tried the reformulated formula because good lord I couldn't stomach the smell of the original formula. Just curious if the new smell is any better.

[@davidle3567]

@@jenniferlee9029 I never used the original but the new one definitely still has a smell, though tbh I got used to it and dont notice it anymore.

[@k_b298]

Can you talk more often about the frequency of using certain ingredients? For example Azelaic acid and TXE: like every other day or every night

[@vickyvratti6652]

Yes,that would be great 👍

[@claudtastic]

I use them both every day with no irritation and I have rosacea. I have found Azaleic Acid (i use 20%) to not be irritating and has helped my rosacea so much.

[@prabjot2832]

I use Tranxemic acid inkey list one twice in a day without any issues and have seen a huge improvement in my melasma! I also used higher percentage of Tranxemic acid (the facetheory) and it made my melams dark so I think higher percentage irritated my skin where as lower percentage suit my skin! Hope this helps I’m not a fan of Azelaic acid, used a few different products and it made my skin irritated and melasma dark

[@boienglishbulldog3092]

I use this 🙋🏽‍♀️ topically & orally for pigmentation caused by mask wearing 🙄. I have seen great improvement 👍🏽 I’m tan , it works for me

[@MadAboutSkin]

You are such an inspiration and I love you channel and content so so much.. keep being fabulous and love your content x

[@dananatale501]

Thank you so much for this video. I have been fighting hyperpigmentation and patches of melisma most of my life. I am freckled fair skin and have always felt out of place and therefore very self conscious. I had a CO 2 laser treatment last year and was so happy until that healed and everything came back. The only thing I was using was Vitamin C , Lytera and the like, but just not enough. I saw your other video on malasma regarding transexamic acid and am waiting on my Paula’s choice order! Need to retry SC Skin discoloration again, as it was bf I knew anything about how to really treat it. Derm’s where I live here have always just said to get SC feurlic and Vit E since it’s the gold standard. Irritates my skin! Thanks again.

[@cv7958]

CO2 is not ideal for melasma patient as high trauma and heat can lead to rebound hyperpigmentation (resolves then comes back with a vengeance). Seek a board certified dermatologist who specializes in this condition.

[@SkintitaApril]

I also love Hada Labo Shirojyun Premium Lotion (toner actually) with tranexamic. Been using it for over a year and it helps with any hyperpigmentation.. Plus it's very hydrating/moisturizing! ❤️

[@SkintitaApril]

Also helped me during my retinization process by calming the redness I've had.. ❤️ Another great product with tranexamic that's also affordable is the Good Molecules Discoloration Serum. 🙂

[@TheSteamedBird]

I use the IPSA time reset aqua, it’s a glycerin based brightening toner with tranexamic acid, i swear by it, it’s marketed to decongest and brighten for sensitive skin, it has truly reduced my clogged pores and it works really well for PIP, if you guys can get your hands on J-beauty, give it a shot, it’s super gentle.

[@Purplenpinkk]

I really loved your explanation on how a healthy amount of vanity can be helpful. Spot on! You have the best content - you are funny, but no nonsense...I learn so much from you!

[@loriwicker1095]

Good Morning, Thanks for the video. Can you talk about Mature Skin at 60 and the best way to combat Dry Skin? Thanking you in Advance.

[@shellymondavi5472]

Is there anything I can do to lessen the appearance, redness of broken capillaries on my face? It happened when I gave birth many years ago, but really bothers me.

[@bellenesatan]

IPL (intense pulsed light) at a professional clinic or from an at-home device (make sure it's from a trusted producer!), other than that, azelaic acid is good for reducing redness all-over.

[@aestheticnorms]

Faded serum or kojic which is better Victim c, niacinamide or alpha abutin

[@hazreenrazali6760]

Hi Dr Shereene Idriss, love your videos. Can you please do one on lip discoloration and uneven tone. How do we go about treating it?

[@Kaijenomark127]

Can you pls have a deep dive on glutathione? It is a trend nowadays and very curious!

[@hanliegeldenhuys6755]

Hi Dr Shereen can you pls maybe explain sculptra. Thank you very much. Regards Hanlie

[@KasiaZ]

I have a Hada Labo Glow lotion and glow cream, which both have it high up on the ingredients list - my skin loves it! ❤️

[@LauraLVTGW]

Thank you!!! My melasma has improved by taking your advice and recommendations!! Could you talk about melatonin in skincare?? Thanks again!!💖💖💖

[@monkey92ag]

can you do a video on beauty supplements and whether or not we should be taking any/if some are better than others/gimmicks/etc? love your vids as always and look forward to every Saturday!!

[@doreenfiumara9835]

Love your piece on this Dr. Shereene!

[@karenmason4912]

Thank you so much for all this wonderful amazing info , just came across it now for the first time 🙏🏻💖

[@lindsaysaurus]

Can you provide some routine steps for melasma? I will follow it! I never know if it’s okay to use more than one active per night so I feel like I’m slowing down potential benefits

[@lauralovesbeauty397]

Loooooove Tranexamic acid!!!! I have my inkey list one my Good Molecules discoloration correcting treatment serum! Hanskin moisturizer with it.. And I want MORE! Love it!

[@sharonscott1776]

Can you use Tretinoin, Alpha Arbutin, Tranexamic acid in the same routine at night please?

[@AnaCortel]

Hello, Can tranexamic acid and retinol be used together? Or for example, tranexamic acid in the morning and retinol at night? Thank You😊

[@CarrCab]

They can even be formulated together in the same product. Agency's Future Formula, a prescription product, will formulate four ingredients together, and mine had tretinoin 0.05%, tranexamic acid 5%, niacinamide 4%, and dexpanthenol but I can't remember the percentage of that.

[@AnaCortel]

@@CarrCab Thank You

[@stefs7507]

@@CarrCab I use Curology- sister company of Agency. I am prescribed the same first 3 ingredients as you. It has done wonders for my skin!!

[@cynthialopez2084]

@@CarrCab the future formula has worked amazing for me and their dark spot formula has completely changed my skin and helped with redness!!

[@dorakouri8562]

About oral tranexamic acid, it has certainly the best results, but when stopped melasma comes back. The prescription is for two months, but how often is it safe repeat that?

[@JenHomesteadingRN]

I give this to my patients for post partum hemorrhaging. Maybe I should smuggle some home!! ;) Great info as always, thank you!!!!

[@01316556]

Hi! Was wondering if you can do sample skin care routines for different skin types and issues? Dry skin with hyperpigmentation , maybe ? I think that would be so helpful ! You are amazing !

[@LisaBaker-bb2qw]

In the agency their dark spot treatment has Kojic acid 4% azaliac acid 3% hydrocortisone 2.5% and hydroquinone 8% this is my start formula will raise certain actives as I go

[@tuneouttonite]

What do you think about hydrofacvials? Also, could you do a video on what acids/vitamins/peptides etc. we should not mix in the same face routine? Thanx :) Your videos are golden :)

[@wellstyled]

To confirm, TXA would be used along with OR instead of hydroquinone? Current night routine is double cleanse, GA, hydroquinone, tretinoin, moisturizer. As always, thanks for taking my skin back to fetus status!

[@NotesNNotes]

I love GA but I hear time and time again not to use it right before a retinoid/retinol; I have probably built up enough tolerance at this point (but I'm not really sure). I'm curious, do you space out your application of GA and tretinoin? Did you consciously build a tolerance? Do you use them together without any issue? And also, do you know if GA breaks down tretinoin (is tretinoin encapsulated retinoid???) thank you in advance if you can offer advice! 🥰

[@wellstyled]

@@NotesNNotes Hello! I've been following this night routine, per Dr. Idriss' reco, for two years. Every step, without fail. My face, neck and tits? Spectacular as a result! Guess what? Yours can too! I definitely built up tolerance by applying 2x/week but I've found that GA, 3x/week is more than enough. Tretinoin, every day. I don't add time/wait between product application. A thin layer of Vaseline around the eyes as a barrier between skin and Tretinoin has been helpful. Should go without saying, SPF always in all ways - my personal preference is Elta MD, BS 46.

[@ivonasusak]

Merci pour la vidéo et de partager ton savoir avec nous. J’apprécie bcp le fait que tu intègres les femmes enceintes dans ton discours en expliquant ce qu’on a le droit de prendre et ce qu’on n’a pas le droit. 🤗 Grand merci!

[@stefs7507]

What do you think of Curology? I have a prescription of Tretinoin 5%, niacinamide 5%, and tranexamic acid 4%. My skin has been looking great so far.

[@prabjot2832]

Do you use this treatment for melasma?

[@drprasanthipuru]

I would love for you to talk about hydroquinone in depth given the fear mongering around it! I personally think it is an important ingredient. What your thoughts as a dermatologist are, I know you like it. But talking about its history, its utility, how it plays differently if so in skin of colour (big movement on it 'bleaching' the skin and playing into the colorism story). Thanks! Love you and your videos xx

[@explorenature3926]

Hi, Good Molecules' Discoloration Correcting serum contains 4% niacinimide and 3% tranexamic acid. This serum is too good as it faded out my acne marks and also prevent acne breakouts. And its very cheap also. Recommended 💯

[@davidle3567]

I love Topicals Faded! I use it every night with my tretinoin. You only need a little, and the smell dissipates. After a few weeks of use, I don't even notice the smell anymore.

[@midlifemom5829]

Glad to know it worked for u with tret in same routine. The Faded website states do not use with tret or other acids in same routine

[@davidle3567]

@@midlifemom5829 yes I saw that! I think they are being careful with their reccs. But I didn’t see anything on the ingredients list that wouldn’t work with tret. :)

[@EdenBeutler]

Dr. Idriss: not all ______ Me alone in my room: are 👏created👏equal👏

[@iqrakhalidzakariah4842]

I had my second baby and I nearly died due to haemorraging. My post-partum blood loss was so severe I looked like a zombie and I could literally taste metal in my mouth. And this is literally the first time I'm hearing about this ingredient. I can only imagine the relief I would have had from the trauma I faced had I asked my doctor about tranexamic acid.

[@samirgondhali]

Want more information please kzbin.info/www/bejne/gZfXqmB8j8utes0

[@maevaattrait]

Can you please do a video on treating breast reduction scars (3 months post op)

[@atefoueslati7330]

next time a video about microneedling for scars please

[@skingoddess94]

A series of VI peels and the VI Pigment Correcting Kit would be the best treatment for melasma.

[@JessieDubois8]

While I love Tranexamic Acid, I’d love to learn more about Kojic Acid. 10 + years ago, I used to use a Kojic Acid soap to help get rid of some PIH.

[@cformosa]

Peptides-? I’d love to know about Copper Peptides versus the Viktoria DeAnn peptides… which is better? Can the two be layered? Many Thanks, Cici

[@taniad2873]

Faded is good it works slow but it works.. and you get over the smell after a few use

[@elenaxyc9779]

finally we need almost all the ingrients dear!

[@CodiAnne]

Hi! I’d love to see a video on what you think about Spironolactone to treat hormonal acne. I currently have hormonal acne that will not leave me alone! So I’ve been thinking about trying Spironolactone as I’ve heard it can help it. But would love for you to take a deep dive and hear all your thoughts on it!

[@sandra37cooks]

Would you please do a video on ear lobes and infections from pierced ears/reactions to earrings/how to care for?

[@aror6480]

Is it possible to use skinCeuticals Discoloration Defense serum on the mornings? Could it be possible to be used together with vitamin c?

[@lucyegan5025]

Yes I want to know too Which part of the routine to use this serum and can use after vitamin c in the mornings

[@rohmazubair6135]

Can you please also review naturium’s tranexamic acids… Thanks a-lot for your in depth dive in to this acid.

[@chimera2146]

I’d love to hear about TCA peels. What they do, can they be used on the neck, chest, and arms, how many peels are required to achieve results. Are more lighter peels as effective as a deeper peel? Thank you!

[@corrinneeasy2500]

Can you discuss skincare for feet? Rough skin, dry skin, how to exfoliate?