Melasma Treatment Q&A
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How Do I Use Hydroquinone 4% and Tretinoin 0.025% to Treat Melasma?
asked 1 year ago by anastasia1965 in miami
Latest answer by Benjamin Barankin, MD
Question viewed 1,342 times
Tags: face, hydroquinone, skin
I would like to know when do I use both medications: at night? what would I use first? is neutrogena liquid soap a good choice for washing face befor use of medications? Thank you
3 answers to How Do I Use Hydroquinone 4% and Tretinoin 0.025% to Treat Melasma?
+1
Treating Melasma
Ideally for your melasma you will have a proper assessment and management plan by your dermatologist. The soap is fine and won't affect things either way. I would use the hydroquinone in the morning, with sunscreen overtop and the tretinoin at night time after washing. As well, you can obtain a prescription for a combination cream which includes both ingredients along with other fading ingredients to be used simply at night time - see your dermatologist for this "Kligman formulation...
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+1
Follow prescribing doctors recommendation.
HQ and tretinoin are excellent treatments for improving discoloration. These two products at bedtime, along with SPF and antioxidants daytime, are the most recommended precription agents for hyperpigmentation. Triluma has both HQ and tretinoin in ONE product, so many doctors recommend this product for excellent results.
+1
Use of skin bleaching regimen for melasma
Typically you would wash the face and apply the medications at night prior to retiring to bed. You should be religious about the daily use of sunscreen and avoid sun-exposure. You may experience irritation and redness and for this reason most prescribers advise combining this regimen with a topical steroid.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon