How to fade Linea Nigra? Should I try hydroquinone?

Question

I have PCOS and developed a Linea Nigra 1.5 years ago, although I have never been pregnant. I am very self conscious about it. What can I do to fade it? Should I look into lasers? Would applying hydroquinone to this area help or is that a bad idea?

Anna Chacon, MD, FAAD · Answer

Thank you for your question regarding the treatment of Linea Nigra, especially considering your diagnosis of PCOS.

Linea nigra is a common condition characterized by a dark line running down the center of the abdomen, often triggered by hormonal changes. While it is typically associated with pregnancy, it can also appear in individuals with hormonal imbalances, such as those seen in PCOS.

Treatment Options:
1. Topical Treatments:
Hydroquinone: This skin-lightening agent can be effective in reducing hyperpigmentation. However, it should be used with caution and ideally under the supervision of a dermatologist, as it may cause skin irritation or other side effects, particularly on sensitive skin areas.
Alternative Topicals: Other ingredients such as azelaic acid, glycolic acid, and retinoids can also help lighten pigmentation over time. These can be gentler options and are worth discussing with your dermatologist.

2. Laser Treatments:
Laser Therapy: Lasers like Q-switched lasers or fractional lasers can target and reduce pigmentation. These treatments should be evaluated and administered by a dermatologist to determine the most appropriate and effective option for your skin type and condition.
Important Considerations:

Sun Protection: It's crucial to protect the affected area from sun exposure, as UV rays can worsen pigmentation. Daily use of a broad-spectrum sunscreen is recommended.
Professional Consultation: Given the complexity of skin conditions and treatments, I strongly advise scheduling a consultation with a dermatologist. A professional evaluation will help create a personalized treatment plan that ensures safety and efficacy.

While hydroquinone may be a viable option, it is essential to use it under professional guidance. Additionally, laser treatments can offer significant benefits. Consulting with a dermatologist will provide you with a tailored approach to effectively manage and treat Linea Nigra.

Warm regards,

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

How to fade Linea Nigra? Should I try hydroquinone?

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How to fade Linea Nigra? Should I try hydroquinone?

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Everything you need to know about Skin Lightening

Our mission is to create a world where every investment in modern beauty is Worth It.