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

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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Will taking breaks from Retin A or other retinoids lessen their effects?
The answer to this is really no – as long as it’s being used most months for sun damage.   For acne, taking 4-8 weeks off changes the way the oil glands function and you may notice an increase in clogged
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Can too much non permanent filler make permanent changes in ones face?
I feel like this might be myth dispelling week!   Really no  - well maybe if a doctor or nurse really overdid it – sort of like overstretching a balloon.    Unevenness can often be fixed not just by hyaluronidase to reduce
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If I’m using a daily light exfoliant product, do I still need the monthly peels?
You’re welcome!!   This really depends on your skin type, age, other products etc.   Unless your skin is very oily, thick and/or acne prone, generally there is no need to do both a light, daily exfoliant like AHAs or retinoids PLUS
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