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The pigment in a nevus of Ota is very deep and there is no cream or topical therapy to reduce the pigmentation. Multiple Q-switched laser treatments will be required to fade this lesion.
Hydroquinone is not a recommended treatment for your problem. Laser treatments such as Ruby, nd:YAG and PicoSure™ lasers are some of the best options.
NO, this is because Ota lies deep in the skin. HQ is only used to help fade superficial skin conditions such as melasma and PIH. The use of QSL or q switch lasers, especially in the picosecond range is the best. You will need several treatments, but this lesion responds well. All the best, Dr Davin Lim. Brisbane. Australia.