Welcome to SkinTour!

I built this site to provide expert, unbiased information to you (the consumer) about skin care products, lasers, injectibles and other devices. I wrote all the content, and I have no financial ties to any pharma, device or cosmetic companies. I'm board-certified in Dermatology and Internal Medicine, have published two books and been a guest expert on The Oprah Show.

Thank you for visiting SkinTour! - Dr. I

Welcome video ›More about Dr. Irwin ›

Ask/Blog with Dr. Irwin

I truly wish I could answer every question and try to pick those that will help the most readers. Giving your age helps and the exact product or technology used. Please check back frequently because questions may be answered up to 2 months later.

Thank you for reading!  Dr. I

Complications of microneedling - what should I do?
Thank you for writing.   Microneedling is new enough that complications are only recently being reported in medical journals and the lay press.   A radiofrequency microneedling system is different from and more aggressive than a hand held simple roller microneedling system.  
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I’m male with brown blotches on my face. Can men get melasma and is it treated differently?
It’s quite rare to see true melasma in men because it’s mostly a estrogen level driven process but I would never say never. J    Here are some things to think about because other things can look like melasma.  Please see
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I have a lump in the skin inside my nose!
Lumps inside the nose are fairly common and………….I hate to repeat myself, but although cancer inside the nose is rare, it can occur.   If this doesn’t go away in 2-4 weeks, it should be checked by your doctor. About 10-20% of
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Is There a Cure for Melasma? Is it self-limiting? What about pregnancy?
Great questions since there are many myths about melasma!   Also, it’s one of the most frustrating skin problems for patients and doctors because there is no true cure ….yet!   There’s just great control.    In answer to the above: Remember it’s a
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Botox and Fillers in Active Women 60-90 Years of Age
Dear Sunny -   I love that you are trying to help your mom and keep her safe.   Surgical risks (mostly from the anesthesia and slower healing) really go up after 70, so we are seeing a trend in women in
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I have a moustache line on my upper lip!
Please see the first answer in this blog sequence since a lot of it applies.  Also, the information here on products.  Some special things for upper lips though.  No hormones except your own -  see your Gynecologist if you are on
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Are lasers or other devices safe with a pacemaker?
So lasers (so far at least) are safe with a pacemakers because they are light based devices and don’t interfere with the pacemaker signals or batteries. All sound wave based devices which includes radiofrequency, ultrasound devices used in dermatology, hyfercators/cautery devices
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Is there a way to get rid of sun damage spots (lentigoes, etc.) on the body that works?
Yes - that tan that we all thought looked so great in our 20s and 30s – now looks blotchy and wrinkled later! In my opinion, trying to spot treat when there are more than about 10 of these doesn’t make
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