What does fibrocystic change with usual type hyperplasia mean and does it mean I need to take Tamoxifen?

Hi,It is likely that you have developed irritant contact dermatitis to the tretinoin. This is common if higher concentrations are used or application has been too excessive or too frequent. Strategies to manage this include:1. Stop application tretinoin for the next 1-2 weeks2. Apply a bland moisturizer at least twice daily to the affected area. 3. Avoid use of abrasive cleanser. 4. Avoid usual cosmetics for next 1-2 weeks. 5. Avoid other potential aggravating factors such as sun-exposure, heat and sweating.

Thank you for the question. It is important to get a proper diagnosis of the type of pigmentation as there are many causes of pigmentation. Some may be responsive to topical lightening agents while others may not. For pigmented naevi or moles, they do not respond to topical or oral medication treatment. They will require surgical excision or laser treatment for removal. For acne treatment, in milder cases, topical treatments with tretinoin cream, benzoyl peroxide or topical clindamycin creams may be sufficient to control it.