At What Point Will Hydroquinone Stop Working on Fading Age Spots?

I have been using hydroquinone for the past 8 months and retin a for the past 4 months to fade sunspots on my shoulders and chest. I have seen some improvement. Is there a time that hydroquinone has done all it can do and using it any longer won't do any additional good?

Doctor Answers (4)

How Long to use Hydroquinone for Age Spots

+2

You did not mention what strength hydroquinone you have been using. Prescription strength 4% hydroquinone is better than any OTC product for lightening dark spots in the skin. These dark spots are typically due to chronic sun damage so daily use of sunscreens is essential in your treatment. Combining prescription-only tretinoin cream with hydroquinone will make it even more effective. Therefore, the most effective way to reverse the effects of chronic sun damage to your skin is by using a combination of these two prescription strength medications: tretinoin cream and 4% hydroquinone. I recommend the Obagi Nu-Derm System which uses both tretinoin cream and hydroquinone to visibly lighten age spots as well as the fine lines and wrinkles that are due to chronic sun exposure. They have found a way to make these creams approximately 3 times more effective than simply applying them to your skin. I typically recommend a 3 to 6 month course to achieve the desired effect and then to switch to maintenance therapy of approximately twice weekly applications.


South Burlington Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Hydroquinone length of treatment for bleaching

+2

I recommend that patients stop using hydroquinone for at least a few months after a 6 month course.  This is the length of time the medication Triluma, a prescription containing hydroquinone, was tested for safety and approved by the FDA.  Since you are from California, the most important thing is protection from the sun.  A hat is imperative to protect your skin from darkening once again.  This in conjunction with a good quality, preferably zinc or titanium based spf 30 or above sunscreen can make a huge difference.  

When you stop hydroquinone, you can continue tretinoin (Retin A), glycolic products, and lightening creams that contain Kojic acid (not HQ) to further help your pigmentation.

Hope that helps!
Madeline Krauss, M.D.

Madeline Krauss, MD
Boston Dermatologic Surgeon
4.0 out of 5 stars 1 review

Hydroquinone doesn't do well for age spots.

+1

Age spots don't clear up well with hydroquinone creams.  I find it a waste of money and time.  Electrofulguration, freezing or lasering the spots do great and is easy to get done quickly and not that expensive.  Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 26 reviews

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How long can I use Hydroquinone?

+1

Hi Misty.  There are definite limitations to what hydroquinone can do and how long it should be used for.  The FDA recommends considering a resting period after 90 days of continued use of hydroquinone.  For our patients that are using between 6% - 8% products, we have a mandatory 30 day washout period after 90 days of continued usage.

As an alternative, you should seriously consider finding a laser practitioner in your are that is capable of offering q-switched Nd:Yg laser treatments.  This is the same laser used for tattoo removal and is an excellent (and permanent) method for sun damage removal.  We like the Palomar Q-Yag V and the Hoya Conbio Medlite C6 lasers.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.