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Hyperpigmentation on hands treatment

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Lastly, under certain circumstances, laser energy may be used successfully to treat hyperpigmentation, Wells adds. This is slightly more risky, however, since the laser itself can stimulate pigment cells not effectively destroyed by the treatment. Make sure your doctor is very experienced Types of hyperpigmentation include age spots, melasma, and post-inflammatory hyperpigmentation. Hyperpigmentation is a harmless skin condition that people can get rid of using removal techniques.. Improvement of otherwise unresponsive skin hyperpigmentation, or hyperpigmentation of unknown cause, with systemic therapy is less predictable. Based on existing research, the most promising remedies appear to be glutathione, tranexamic acid, and proanthocyanidin. Additional studies to better establish safety and efficacy are necessary To try your own version of this hyperpigmentation treatment at home: Add a tablespoon of fresh black tea leaves to a cup of boiling distilled water. Steep for two hours and strain to remove the..

Hyperpigmentation Treatment - Correct Fade And Prevent Spot

Physical treatments for postinflammatory hyperpigmentation Chemical peels, laser treatments and intense pulsed light therapies (IPL) may be helpful for epidermal pigmentation, but physical treatments may also aggravate it by injuring the epidermis. These treatments are not effective in dermal hypermelanosis. See smartphone apps to check your skin In some cases, a skin biopsy can narrow down the cause. Topical prescription medication can treat some cases of hyperpigmentation. This medication usually contains hydroquinone, which lightens the..

Learn which Melasma Skin Treatments actually work

Although most pigmentation disorders are benign or nonspecific, some disorders of skin pigmentation present cosmetic or psychological challenges to the patient, necessitating evaluation and treatment Suggested treatments: Dr. Jeanniton offers some in-office hyperpigmentation treatments including lower energy lasers, gentle chemical peels and microneedling. The laser treatment I prefer is The.. After that, many forms of hyperpigmentation can be treated with therapies such as topical medications like hydroquinone cream, chemical peels, dermabrasion, light or laser therapy, or cryotherapy. However, it's important to note that some therapies are not suitable for very dark skin types, such as laser resurfacing. 5 

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Soy is a natural lightener, so this is a good base for any hyperpigmentation treatment. Bhanusali also encourages patients to use physical/mineral sunscreen if discoloration is a concern, noting.. Hyperpigmentation occurs when the pigment producing polymer in the skin is overactive causing a number of side effects including uneven skin tone and dark spots and blotchy skin. While hyperpigmentation is generally harmless and is one of the least concerning skin conditions on the spectrum, it still is a pain point for many people A laser peel (resurfacing) treatment uses targeted beams of light to reduce hyperpigmentation. There are two types of lasers: ablative and non-ablative. Ablative lasers are the most intense, and..

Top 3 Hyperpigmentation Creams - See which one Ranked #

  1. Microdermabrasion is another well-known exfoliating treatment for hyperpigmentation that uses tiny particles to sand away dead skin. Cook-Bolden describes microdermabrasion as a nonchemical..
  2. The most commonly prescribed treatment is the Kligman Formula, which combines several of the ingredients above to treat hyperpigmentation; however, due to the high concentration of hydroquinone in most Kligman Formula variations, it is often not suitable for black skin
  3. What is hyperpigmentation? Okay, so let me back up for a sec: Most of the time when we say hyperpigmentation, we're actually referring to post-inflammatory hyperpigmentation, or PIH, says Dr.
  4. Treatment of drug-induced hyperpigmentation involves stopping the causative drug; the hyperpigmentation fades very slowly in some if not all cases. Because many drugs that cause skin pigmentation also cause photosensitivity reactions, patients should avoid sun exposure

Topical creams are the first line of treatment for hyperpigmentation [ 5 ]. Be consistent with the use of creams or serums and expect visible results only after weeks or months of usage To effectively treat hyperpigmentation, start a brightening skincare routine to help boost skin clarity. While hyperpigmentation will not go away overnight, using targeted serums and treatments can help speed up the process. Does exfoliating skin help visibly reduce hyperpigmentation PIH is found more often and more severely in dark skin than in fair skin. Best Treatments to get rid of Hyperpigmentation on Black Skin . Any treatment for dark spots can be used on black skin, and it is possible to eliminate dark spots entirely depending upon their severity and the treatments used Laser treatment - Laser treatment can be used to treat hyperpigmentation but is usually reserved for when topical application has failed. Camouflage makeup - This is a practical option for those who wish to conceal areas of hyperpigmentation, for example, on the face, neck and hands The Only Hyperpigmentation Treatment for Ethnic Skin Classic hyperpigmentation treatments such as Laser, Hydroquinone, Glycolic and TCA peels were designed for lighter pigmentation in Caucasian skin. These treatments can burn the skin and worsen pigmentation in darker skin tones

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  1. Categories: Skin Pigmentation. Article Summary X. To treat hyperpigmentation, try lightening dark areas of your skin with rose hip oil, lemon juice, or aloe vera. Alternatively, look for over-the-counter options, like skin lightening creams or topical treatments that contain Retin-A or alpha-hydroxy acids
  2. Hypopigmentation refers to patches of skin that are lighter than your overall skin tone. Your skin's pigmentation, or color, is based on the production of a substance called melanin. If your.
  3. Hydroquinone, often a favorite topical treatment for hyperpigmentation, should be used with extreme caution
  4. This treatment lotion contains 2 hyperpigmentation-reducing ingredients: hydroquinone and alpha-hydroxy acids. They work together to create one of the skin lightening creams for hyperpigmentation. The hydroquinone works to lighten the skin, while AHAs (including glycolic and lactic acid) work by exfoliating the skin to reveal fresh skin underneath

Ask a Dermatologist: 7 Easy Ways to Treat Hyperpigmentatio

  1. ation. Bleaching agents with phenolic compounds with non-phenolic agens as follow-up therapy appears to be the most beneficial treatment options for the hyperpigmentation
  2. However, despite the myriad of ineffective skin treatment products out there, there are a few potent ones you should try. It is important to note that these treatments may take a while before the effects can be visually noticed. This section will cover the best products for hyperpigmentation in black skin. 1
  3. The Most Advanced All-In-One Smart Skincare Solution for Hyperpigmentation. Learn More! Combines the Best of Both Makeup And Skincare to Camouflage Hyperpigmentation On Contac

Hyperpigmentation: Treatment, types, and cause

Other hyperpigmentation treatment options A number of brightening and exfoliating ingredients in topical skin care products can also improve the appearance of hyperpigmentation, with diligent use. One of the most common effective ingredients is niacinamide, a vitamin B3 derivative commonly available in serums and moisturizers that blocks. This phenomenon of the skin seeing blue light and it, in turn, causing hyperpigmentation, is strongly associated with darker skin types specifically, notes Williams There are many treatment options available for hyperpigmentation, but women of color must be careful and rely on qualified healthcare professionals who are experienced in treating dark skin tones Hyperpigmentation and Skin. Hyperpigmentation in skin is caused by an increase in melanin, the substance in the body that is responsible for color (pigment). but there are several treatments.

Oral Therapies For Treating Skin Hyperpigmentation

The challenge for clinicians is to establish correct diagnoses along with consistently successful treatments to meet the needs of the increasingly diverse population served. This review focuses on facial hyperpigmentation and outlines the most common skin disorders and treatment options About Hyperpigmentation and treatments at Dermatology Associates of Atlanta. Hyperpigmentation is a harmless skin condition in which the body over-produces the pigment melanin causing the appearance of dark, blotchy patches of skin. Hyperpigmentation occurs most commonly on areas of the face including the forehead, cheeks, upper lip and chin So you've got hyperpigmentation. Now what? According to Ronald Moy, MD, FAAD, of Moy, Fincher, Chipps in Beverly Hills, identifying the type of hyperpigmentation you're dealing with will help you better hone in on a treatment plan. The main types of hyperpigmentation include melasma, post-inflammatory hyperpigmentation, and sun-induced hyperpigmentation, he explains Unlike other treatment methods designed to alleviate skin pigmentation, laser therapy penetrates below the skin's surface to disintegrate the pigmented skin cells that are causing hyperpigmentation or hypopigmentation. Additionally, both the Elite+ and eMatrix lasers stimulate collagen production in the skin, which is a healing carbohydrate.

Home Remedies for Pigmentation: How to Remove Dark Spot

  1. Hyperpigmentation Treatment. Fades the appearance of dark spots and future discoloration to reveal a more even skin tone. A fast absorbing gel featuring Hydroquinone that helps fade the appearance of dark spots, discoloration, and age spots to reveal a clearer, brighter, Using finger tips, apply a thin layer over clean and dry treatment.
  2. This treatment combines the beta skin peel with spot treatments of TCA - the strongest type of chemical skin peel available from Lamelle. It's designed for treatment-resistant pigmented and is especially popular in the treatment of solar pigmentation in more aged skin. Augmented Professional Beta Peel. This treatment incorporates all 3.
  3. Topical applications are the mainstay of treatment and include phenols, retinoids, corticosteroids, and their combinations. Key Words: hyperpigmentation, melasma, postinflammatory hyperpigmentation, PIH. Hyperpigmentation of the skin is a very common problem, with many patients seeking therapies to improve their cosmetic appearance
  4. Deborah Kilgore, director of skin care knowledge development programs at Paula's Choice, agrees. If hyperpigmentation is a concern, tranexamic acid is an ingredient you'll want to consider, she says. This exciting ingredient helps to visibly fade the look of multiple forms of discolorations including post- acne marks and melasma.
  5. At Skin Deep Laser Services, we offer a safe, non-invasive treatment for hyperpigmentation using state-of-the-art laser technology. If you'd like to schedule an appointment for hyperpigmentation removal at our skin care clinic in Burke, call us today at (703) 639-4446
  6. Hyperpigmentation Overview Hyperpigmentation is an area of the skin that is darker than the surrounding tissue. It can take on many forms and worsen over time if left untreated. Hyperpigmentation is benign (non-cancerous) and does not have any health risks. What Causes Hyperpigmentation? Sun damage is the primary cause of hyperpigmentation. Other causes can be inflammation

Whether addressing post-inflammatory hyperpigmentation (PIH) in black and brown skin or sun-fueled spots on lighter complexions, treating discoloration is a delicate balance of obtaining effective results without irritating the skin, as many brightening ingredients can be mildly irritating, says Dr. Elyse Love, a board-certified. Cosmelan peels for treatment of post laser hyperpigmentation. Cosmelan is a two-part system of chemical peels to treat melasma, discoloration, PIH, and hyperpigmentation of the face. Depending on both the degree of sun damage and your skin type, the Cosmelan MD peel is left on the skin from 4 to 10 hours Hyperpigmentation Treatments Hyperpigmentation is the result of an overproduction of melanin which results in flat, darker patches on the skin. While this condition is generally harmless and affects all skin types, genders, ethnicities and ages, treating hyperpigmentation takes time, especially if it covers a large area or is much darker in. Dermatologists on the differences between melasma and hyperpigmentation and the best creams, treatments, and cures to get rid of skin discoloration on the face

Treatment efficacy can vary due to several factors including variability in clinical presentation and response to treatment amongst different genders, skin phototype and ethnicities. To prevent hyperpigmentation, or to stop it becoming more prominent is crucial to: Use clinically proven specific treatment Uneven skin pigmentation is a common skin condition in which dark spots and dark patches appear on the face, hands and other parts of the body that are regularly exposed to the sun. Learn about the different types of hyperpigmentation, what causes them and how to prevent brown patches in the first place

Postinflammatory hyperpigmentation DermNet N

This item: LightenUp, Skin Lightening Serum | 1 Fl oz / 30 ml | Hyperpigmentation Treatment, Dark Spots Corrector | for Face, Armpits, Hands, Knees and Body | with Argan Oil and Shea Butter $15.99 ($15.99/Fl Oz Hyperpigmentation can be diffuse or focal, affecting such areas as the face and the back of the hands. Melanin is produced by melanocytes at the lower layer of the epidermis. Melanin is a class of pigment responsible for producing colour in the body in places such as the eyes, skin, and hair. As the body ages, melanocyte distribution becomes. Inconsistent pigmentation in the facial skin of ethnic patients is a continued concern and successful treatment of disorders of facial hyperpigmentation often proves challenging. Several methods of treatment are available depending on the condition, and a thorough understanding of the underlying aetiologies of facial hyperpigmentation is.

Hyperpigmentation: What Causes Skin to Darken

(The latter can actually help with hyperpigmentation as well because it enhances exfoliation of pigment and cells on the surface of the skin.) The benzoyl peroxide zaps acne-causing bacteria. The hyperpigmentation commonly occurs in Fitzpatrick skin types III to VI and can have a considerable impact on quality of life. Material & methods: In this article we will give an overview of normal variations of pigmentation and the most often common pigment abnormalities. It also reviews diagnostics and the current targeted treatment options.

Common Pigmentation Disorders - American Family Physicia

In this video i share the hyperpigmentation routine that's finally been working for me! If you follow my channel for a while you probably saw my original vid.. Laser Treatment of Melasma, Hyperpigmentation and Dark Spots - Medical Dermatology - Treatment of Hair Loss - Rash - Skin Cancer - Mole Removal - Eczema - a revolutionary laser system for Melasma. iBright™ is a composed of several state-of-the art lasers and innovative skin treatments for successful treatment of Melasma Treatments for Hyperpigmentation. Post prescription creams. They lighten the skin and fade the dark spots by helping to match the normal skin tone. But it provides slow results. Hence, advanced dermatological treatments are often recommended along with topical creams to achieve a brighter, lighter and improved pigmentation free skin. Laser.

Post -inflammatory hyperpigmentation (PIH) - When the increased skin pigmentation is caused due to botched skin treatment, acne or any other cause of inflammatory skin condition. In most of the cases, hyperpigmentation is a harmless skin condition; however presence of moles or any signs of cancer should be scrutinized by a Plastic Surgeon Skin pigmentation treatment in Dubai & Abu Dhabi delivers excellent and long-lasting results to the patients. 3-6 sessions will be required to get complete results of the treatment. Lightening Creams: Topical medications can be used to decrease pigmentation. They contain special ingredients that are responsible for reducing the appearance of. The way we deal with marks and acne overall is typically the same for all skin tones, but for hyperpigmentation, certain types of scarring affect certain skin tones more than others. So, when we talk about acne scars and lump them all together under one umbrella this makes treatment difficult since there are several different types Hyperpigmentation on Legs Causes and Treatment The darkening of the skin or appearance of dark colored spots on the face, legs or neck is called hyperpigmentation. Hyperpigmentation is controlled by melanin pigment which is responsible for providing color to the skin' Melanin is produced by the cells called melanocytes present in the lower. Tri-Luma cream is the only FDA approved treatment method for skin hyperpigmentation which gives positive results within a short period of time like 8 weeks. Skin hyperpigmentation mainly melasma is the main health problem worldwide. Tri-Luma cream has proven its effectiveness by several scientific studies for hyperpigmentation

Post Inflammatory Hyperpigmentation – Pictures, TreatmentHyperpigmentation - The University of NottinghamGeneralized Skin Hyperpigmentation and Longitudinal

The Best Products and Treatments For Hyperpigmentatio

Customised treatment is designed to help achieve pigmentation lightening, bringing you one step closer to crystal clear skin. What is Cyspera? Cyspera is a skin pigment-correcting and melasma cream that harnesses a natural antioxidant found in the body, that helps reduce pigmentation and lighten the skin Treatment is of the primary disorder - the patient will develop less postinflammatory hyperpigmentation if the skin condition is treated promptly and effectively As with other causes of facial hyperpigmentation it is important to consider the possibility of contact allergic dermatitis or a photocontact allergic dermatitis, referred to as Riehl.

Hyperpigmentation can occur in people of all races and there are various treatment options for those wishing to return their skin to its natural, flawless state. What Are My Options? Hyperpigmentation is treated through a laser procedure that targets the melanin pigments in these darkened areas, thus clearing all layers of the pigmentation and. Hyperpigmentation affects all skin types. There are various types of hyperpigmentation; such as melasma, age spots, and post-inflammatory hyperpigmentation. This skin issue can happen in different forms like acne, burns, skin inflammation, sunspots, lupus, and so on

Skin pigmentation treatment in Hyderabad is one of the most popular services offered. This is due to climate, pollution and other factors too. Although while choosing the best pigmentation treatment in Hyderabad could be a concern, we play as the blessing in disguise for you. Our approach is scientific, simple, and effective At Advanced Dermatology, patients frequently seek treatment to remove brown spots or excessive pigmentation of the skin. Such spots commonly occur on the face, hands, arms, and legs. For brown spots that prove to be medically benign, the providers at Advanced Dermatology offer several options for their removal or reduction

Treatments containing ingredients like vitamin C, licorice root, and kojic acid help reduce hyperpigmentation by inhibiting tyrosinase, an enzyme responsible for the formation of skin-darkening. Complete skin care system specially formulated for normal to oily skin to correct hyperpigmentation, such as dark spots and melasma, and transform the appearance of aging skin. Prescription required. Contact your healthcare provider to purchase, or find a nearby physician who offers this product Hyperpigmentation is commonly caused by an excess of melanin—the pigment that gives skin its color and is produced by skin cells called melanocytes—production in the body

Hyperpigmentation can cause certain areas of the skin to become darker than the surrounding tissues. In most cases, hyperpigmentation appears as age spots that have occured due to sun damage, acne and other skin injuries. New U offer a unique skin pigmentation treatment if you have the following conditions: Freckles, Moles, Age Spot, Sun Spot. Hyperpigmentation is basically an overproduction of melanin (the pigment naturally found in skin, hair, and eye color) that can cause areas of skin to appear darker in color. It can be congenital (aka something you're born with) but can also develop over time, says Daniel Belkin, M.D., a board-certified dermatologist at the Laser & Skin Surgery. Skin pigmentation disorders. Albinism. Albinism, an inherited disorder, is caused by the absence of the pigment melanin, and results in no pigmentation in the skin, hair, or eyes. Albinos have an abnormal gene that restricts the production of melanin. There is no cure for albinism Best Treatments for Pigmentation for the Asian Skin Pigmentation is defined as the darkening of patches of skin as compared to normal surrounding areas. The darkening occurs when an excess of melanin, the pigment that produces normal skin colour, forms deposits in the skin Patchy skin and darks spots are hardly the kind of skincare concerns that go away with a weekly face mask. And when left untreated for a long time, they simply get worse. Hyperpigmentation is today one of the biggest skincare concerns of Indian women, and often those who have it, don't fully understand what its treatment should be so that it disappears for good

Skin Pigmentation Treatment Cost in Pune. Pigmentation treatment in Pune is an inexpensive affair and easily accessible. The charges are solely based on the nature and seriousness of the hyperpigmentation problem. If the pigmentation is over a larger patch of skin, the costs incurred will be higher. The costs also depend on the kind of. Melasma is a skin condition characterized by brown or blue-gray patches or freckle-like spots. It's often called the mask of pregnancy. Melasma happens because of overproduction of the cells that make the color of your skin. It is common, harmless and some treatments may help. Melasma usually fades after a few months The treatment of hyperpigmentation is based on removing pigment from skin's outer layers, increasing cell turnover, and decreasing the production of melanin. This is done with the help of skin lighteners, skin brighteners and resurfacing procedures like chemical peels , microdermabrasion, microneedling and lasers Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar.

Hyperpigmentation | Virginia, Washington D

Skin Pigmentation: Genetics, Discoloration, and Treatmen

  1. Beloved by dermatologists, PCA Skin is one of the best expert-approved brands for addressing any kind of skin issue. For hyperpigmentation concerns relating to damage, aging, or hormones, this comparably affordable pigmentation gel is the ultimate antidote. An expert-approved collaboration of pigmentation-fading hydroquinone and exfoliating acids (think a strategic kitchen sink of lactic acid.
  2. Quick Summary: Hyperpigmentation (skin color irregularities) is caused through sun spots, post-inflammatory hyperpigmentation, or melasma. Fortunately there are many great treatment options for hyperpigmentation including topical skin care products, chemical peels, laser or light therapy and Cosmelan Skin Lightening System
  3. Hyperpigmentation, or darkened patches of skin, goes along with discoloration and uneven skin tone as nagging skin conditions that may make you grab for high coverage makeup and foundations. Luckily, there are ways to treat hyperpigmentation, dark spots and uneven skin tone by using skincare products and treatments
  4. IMiDs, particularly lenalidomide, are associated with adverse skin reactions. These reactions are most commonly rash, xeroderma, and pruritus. 1-3 Although multiple myeloma disproportionately affects Black patients, <2% of patients were Black in a pivotal clinical trial used for registration of these medications. 4,5 The incidence and severity.
  5. In Indian skin the most common forms of pigmentation are Melasma, Tanning, Freckles and PIH. Other lesser common forms being Macular amyloidosis and Lichen planus pigmentosus. Melasma is also known as hormonal pigmentation or pregnancy induced pigmentation. It occurs as dark patches on the cheeks, nose upper lip and sometimes jaw line
  6. Your dermatologist may then suggest any of the following treatments based on your condition and skin type. 1. Laser treatment. Laser treatment may be expensive, but they are the most effective in treating hyperpigmentation. The lasers work by photodamaging the melanocyte cells and consequently destroying them
  7. What it is: An overnight treatment that helps target the appearance of hyperpigmentation and dark spots for a more even skin tone. Skin Type: Normal, Dry, Combination, and Oily Skincare Concerns: Hyperpigmentation, Dark Spots, and Dullness Uneven Texture Formulation: Lightweight Gel Highlighted Ingredients: - Tranexamic Acid 2%: Helps to reduce hyperpigmentation and dark spots
How to treat hyperpigmentation | Hyperpigmentation treatment

13 Best Dark Spot Correctors and Serums for 2020 Allur

***ONLINE PROFESSIONAL SKIN ANALYSIS AND CONSULTATION***https://goseechristybeauty.com/products/customized-skin-consultationUPDATED LIST:UPDATED LIST:ANTI AG.. There are a variety of reasons for darkening of an area of the skin, with over exposure to the sun (causing 'sun spots' or 'liver spots') being very common, along with hormonal changes; certain medications, inflammation and acne. Thérapie Clinic offers a variety of pigmentation and sun spots treatments.. As sun exposure worsens hyperpigmentation it is important to protect the skin with sunscreen on a daily basis. Treatment often begins with a skin care regimen composed of a daily sunscreen, moisturizers, and skin care brighteners. Some of the more common skin brighteners include hydroquinone, vitamin C, azelaic acid, tretinoin and kojic acid Hyperpigmentation Skin Treatments. Hyperpigmentation is a skin disorder where an overproduction of melanin (pigment) presents itself as dark spots, age spots, freckles and/or a dark mask on the surface of the skin. The condition becomes really apparent with sun exposure. Hyperpigmentation is caused by many intrinsic (internal) factors.

Post Inflammatory Hyperpigmentation Causes, Treatment

Hyperpigmentation Treatments and Creams - The Dermatology

The Essential Information. Post-inflammatory hyperpigmentation, commonly referred to simply as hyperpigmentation, refers to the dark and/or red spots that stay on the skin after acne lesions heal.. Hyperpigmentation is far more common in non-Caucasian skin, and can last for months, and sometimes even years, leading some people to confuse them with scars Great for all skin types, this advanced treatment targets fine lines, wrinkles, brown spots, acne, roughness, and uneven skin tone. Purpose: Acne, Anti-Aging, General Skin Health, Hyperpigmentation. Treatment Time: 45 minutes. Recommended Time Between Treatments for Optimal Results: 4 weeks

Hyperpigmentation After Laser Resurfacing how to get ridpost inflammatory hyperpigmentation treatment - pictures

Melasma is a common pigmentation disorder that causes dark patches to form on the skin of the face and upper body. It occurs when specialized skin cells, called melanocytes, produce too much pigment The designated lesions of postinflammatory hyperpigmentation and normal skin were assessed with a colorimeter (Chroma Meter CR-200, Minolta Camera, Osaka, Japan) before treatment and after 12, 24. However, since this type of pigmentation is genetic or intrinsic, freckles will return with sun exposure. Post-Inflammatory Hyperpigmentation: PIH is very common in higher Fitzpatrick types. Skin infections, trauma, and other forms of inflammation, including acne, will bring on pigmentation as the skin heals The 3 Major Causes of Hyper Pigmentation and Brown Spots. 1. Sun-induced hyperpigmentation. Source: New Zealand Dermatological Society. One of the primary functions of melanin production in your skin is to protect you from UV rays from the sun. A tan is the prime example of your body's melanin response to the sun Topical tretinoin 0.1% has been effective in treating postinflammatory hyperpigmentation. GA peels, in combination with tretinoin and hydroquinone, are an effective treatment of postinflammatory hyperpigmentation in dark-complexioned individuals. [] All-trans retinoic acid aqueous gel 0.1-0.4% may be applied concomitantly with hydroquinone-lactic acid ointment for bleaching

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