Is it good to apply Hydroquinone during micro-needling? (Photo)

Hyperpigmentation from any type needs a combination approach of peels like cosmelan,  lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection.  Bimontly facials with silk peel dermalinfusion is essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin.  If you have acne you can do additional treatments and peels to get more improvement.  I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.

Hello G.  If you had a concern about the texture of the skin, there may be some value in using a microneedling pen.  But if you are concerned about the dark color associated with Melasma, microneedling is likely to do nothing or even make it worse.  Hydroquinone, on the other hand, is your best option for Melasma.  Use it alone for best results.  Best of luck.

Hello there,
      At our practice, we regularly apply hydroquinone before, during, and after our micro needling procedures for patients with hyperpigmentation issues. We have seen fantastic results with this combination. I would take care to make sure you are using a hydroquinone that is not going to irritate or aggravate tissue that is treated with micro needling. The more additives in a product, the more risk of irritation. This can lead to increased risk of granuloma, infection, as well as other concerns. I would seek the help of an expert in your area. Hope this helps. 
Sarah RN BSN 

Micro-needling helps with collagen production and skin turn over so it can be helpful in treating Melasma.  Melasma in general is challenging to treat and control hence often, combination treatment utilizing different modalities is can help.  Hydroquinone one of the best treatment available for pigmentation issues however, care must be taking to avoid unwanted side effects such as PIH (post inflammatory hyper-pigmentation).  Hydroquinone can be applied before and after micro-needling.  It’s important to use a formulation or brand that will not irritate your skin.  Generally you want to use hydroquinone for a short period of time 6-12 weeks and then switch to other products that contain vitamin C, Arbutin, Azelaic acid,  to maintain and prevent recurrence.  Most important with problems like Melasma is sunscreen and avoiding excessive sun exposure to the area.  It’s best to see a specialist in the field for evaluation and treatment and get recommendations for maintenance  tailored toward your skin type and needs.  All the best.