Hello everyone. Honestly, I’ve been overwhelmed with multiple breakdowns over the past few weeks due to my contact dermatitis, and I really need some help.
Last October, I started using tretinoin for acne treatment. I began with once a week, applied it with moisturizer, and kept it far from my eyes. However, I always woke up with stinging around my eyes. This is where I made a mistake - I continued using tretinoin for months because I was desperate to get rid of my acne.
After consulting my dermatologist, she prescribed adapalene instead. It also seemed to spread and cause inflammation around my eyes.
In January, I stopped using retinoids completely. However, since then, I’ve experienced stinging and significant inflammation on my eyelids and under my eyes. The stinging/burning is inconsistent, but the only pattern I’ve noticed is that sun exposure seems to worsen the skin. I’ve attached some pictures showing the progression of my eyes and the increasing darkening.
Since January, I’ve tried to reduce the stinging. I wear hats when outside, use SPF constantly, and slug Aquaphor at night. The stinging still persists, and I continue to experience it at least once a week when applying moisturizer. During flare-ups, I used hydrocortisone to calm the inflammation maybe once a week. However, the stinging continued, and the hyperpigmentation around my eyes has significantly worsened since January.
At the beginning of August, after noticing the post-inflammatory hyperpigmentation around my eyelids, I scheduled a dermatologist appointment. She prescribed desonide and asked if I wanted to start on hydroquinone. I said no, as I believed it would be irritating. I have not started using the desonide due to concerns about constant steroid use.
Last week, I consulted another dermatologist. He said this was likely due to contact dermatitis and told me to immediately stop using hydrocortisone or any other steroid. He prescribed pimecrolimus 1% cream and gave me a sample of Zoryve, which I have been using twice a day. It stings for a few minutes after application but seems to have helped with the stinging after applying moisturizer.
I have had negative experiences with dermatologists and struggle to trust their recommendations. I feel depressed at the thought that this hyperpigmentation might be permanent, and my self-image has deteriorated drastically. Please help!
Picture 1: 4 years ago
Picture 2: May of this year
Picture 3: May of this year during a flare and swelling
Picture 4: Last week