Is there anyway I can treat a 5 o’clock shadow/hyperpigmentation? (Photo)

Question

Is there anyway I can treat a 5 o’clock shadow without makeup or laser. It’s not super bad but it really bothers me

Nelson Lee Novick, MD · Answer

For what appears to be melasma, at least from the photo provided, you would be wise to consult with a board certified cosmetic dermatologist. The daily use of at-home, Rx topical medications, such as azelaic acid, tretinoin, hydroquinone, tranexamic acid, to name a few, combined with the inoffice use of a series of superficial peels, which may include high concentrations of salicylic or glycolic acid, Jessner's Solution, or low concentrations of TCA, can be extremely helpful for this kind of problem. I totally agree with your hesitancy to under laser treatments, as these, especially in SOC, run the risk of resulting in post-inflammatory hyperpigmentation, which could actually worsen the pigmentaty issue. Hope this helps and best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Treating a 5 o'clock shadow or hyperpigmentation without makeup or laser can be challenging, but there are several non-invasive options you might consider:

Topical Treatments: Look for over-the-counter creams or serums containing ingredients like niacinamide, vitamin C, or azelaic acid. These can help to brighten the skin and reduce hyperpigmentation over time.

Exfoliation: Regular exfoliation can help to remove dead skin cells and encourage the regeneration of new skin, potentially reducing the appearance of hyperpigmentation. Consider using gentle exfoliants such as alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs).

Hydroquinone: This is a skin-lightening agent available in both prescription and over-the-counter formulations. It can be effective in reducing hyperpigmentation, but should be used under the guidance of a dermatologist to avoid potential side effects.

Sun Protection: Protecting your skin from the sun is crucial, as UV exposure can worsen hyperpigmentation. Use a broad-spectrum sunscreen with at least SPF 30 daily.

Consult a Dermatologist: If over-the-counter options do not provide the desired results, consider consulting with a dermatologist. They can offer personalized advice and may suggest prescription treatments or alternative therapies.

Consistency is key with any skincare regimen, so be patient and give the treatments time to work.

Is there anyway I can treat a 5 o’clock shadow/hyperpigmentation? (Photo)

Answers (3)

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