Hyperpigmentation: Q&A
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Hyperpigmentation Not Going Away After 14 Months of Treatment
This has been an emotional roller coaster for me. At first I was very hopeful, but now after trying everything possible I feel so hopeless. I know why I have this problem -- a combo of ipl treatments & perhaps birth control.
I have tried every lighting cream possible including hydroquinone 4% & NO RESULTS. Now I am trying peels so far 3 glycolic 30% & 3 tca 24% peels and NOT even and a bit of improvement. I have no more hope and all tears. I now avoid the sun as much as possible and wear sunblock religiously. Please advice.
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3 Doctor Answers |
Asked by
Liquid Balance
in Miami, FL
+1
Compunded Hydroquinone
I agree with Dr. Placik, you might ask your physician to prescribe a stronger compound than what is available from a tube.
Many physicians are reluctant to do so, but Hydroquinone can be compounded up to 10%. I know many dermatologists, including myself, are scared to prescribe hydroquinone of this strength for fear of a reaction. To assuage this fear, you might suggest to your physician that you are so troubled by your pigmentation that you are willing to sign an agreement not to...
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+1
Hyperpigmentation
You may want to try a brief course of more potent Hydroquinone. This can be compounded at specialized pharmacies and mya include the use of Retin-A and a steroid preparation.
+1
Hyperpigmentation after skin treatments
The combination of Retin-A, a steroid and hydroquinone, has been documented to even create white patches in afro-americans. The combination can be specially formulated by a pharmacist. This can't be done by any pharmacist because the mix can be unstable, causing to turn a caramel color. You can also try Triluma which is a standardized premixed version available by prescription. You do not say how long out you are from the causative treatments and what type of baseline skin you have. These...
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Los Angeles Plastic Surgeon
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