Can hypopigmentation from hydroquinone be resolved? (Photo)

Question

Last year, I used hydroquinone on some burn marks on my arm as well as some spots on my face that were left from breaking out. I've noticed areas where the skin is lighter as a result. My concern is that it's been over a year and I used hydroquinone (ambi fade cream) anywhere from 4 to 6 months. Could sun exposure regenerate the melanocytes and if so, should I use sunscreen on the spots or would that lessen the effectiveness of said regeneration?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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