Also keep in mind....some professional skin care lines, sold through physicians, have ingredients that can cause mild irritation (i.e., irritation, peeling, itchiness, etc.) Hence, why it is important to communicate any reactions to your physician. Some mild forms of irritation are not always a contraindication. Often, the end user tries a product for a few days, has a "normal" reaction of redness, for example, panics and ceases using the product. If you buy a product from your physician, the first few days are critical to communicate what you're experiencing, if you are concerned or dissatisfied, allowing your doctor to evaluate what is normal vs. what may be a true allergy. Secondly, hydroquinone is still widely used in the US to treat hyperpigmentation and melasma, however, many other countries have banned the use, preferring alternatives that are considered safer and as effective. Pure L-ascorbic acid (in stable form), kojic acid, azelaic acid, Arbutins, have been used since the bans, with much success in disrupting melanocyte activity (sun spots, photo damage). Full disclosure, I am citing various peer reviewed articles and I am in the industry, representing, MODUS, a professional skin care line developed and made in Italy. This message is intended to allow for some thoughtful dialogue on various options for skin tone balancing and to make end users more aware to discovering what a true allergy symptom "is" when introducing a new ingredient to any skin care regimen. Best wishes in seeking the best products for true anti-aging! Read, read, read. Pubmed is a great resource!
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