Hyperpigmentation, Dark Spots
Hyperpigmentation is darkness either noted at sites of previous inflammation (bug bites, acne, trauma, surgery, etc.) or as a result of a primary skin process (melasma, sun damage). The main treatment for most hyperpigmentation includes the use of bleaching creams. The most common bleaching agent is hydroquinone in a concentration between 2-6%. Other topical agents with lightening effects include kojic acid, glycolic acid, and azeleic acid. In fact, glycolic acid peels have been widely employed in physician offices for the treatment of melasma.
Most recently, combinations of glycolic acid, retinoids, steroids, and hydroquinone have been developed to treat hyperpigmentation. Most of these combinations are prescription-only, however, use of low concentration hydroquinone and glycolic acid may be done with over-the-counter products. All patients undergoing treatment must be advised to avoid sun-exposure for risk of longer treatment times and higher probability of treatment failure.
Don Mehrabi MD, FAAD
Dermatologist, Certified by the American Board of Dermatology
Los Angeles, California
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Exuviance: Intense Lightening Complex $52.00 | |
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