I recently did Cosmelan in November and had some left over pigment. What should I do?
Doctor Answers 2
Melasma and Hydroquinone
One of the issues with the treatment of Melasma is not having too much irritation with whatever product you are using to treat the condition. Too much irritation means that you can get worsening of the Melasma. Some hydroquinone formulations contain high strength Retin A in addition to the hydroquinone and Retin A can sometimes cause significant irritation. To avoid this at our practice, we use 8% hydroquionone that does not contain Retin A and will thus not have that potential for irritation.
If you do off hydroquinone completely, your Melasma will likely return the same as it was before. See photos below for examples of patients that are using our HQ program without Retin A.