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Don't Use With: While it does have a synergetic effect when used with these other brightening/ exfoliating ingredients, pairing it with these also increases the likelihood of experiencing excessive dryness or irritation. Proceed with caution and start using any products containing kojic acid and other actives gradually, giving your skin time to acclimate. What is Kojic Acid?
Callender VD, St Surin-Lord S, Davis EC, Maclin M. Postinflammatory hyperpigmentation: etiologic and therapeutic considerations. Am J Clin Dermatol. 2011 Apr 1;12(2):87-99. doi:10.2165/11536930-000000000-00000 With this in mind, it is important to consult with your care provider before using hydroquinone and to follow all instructions carefully.Typically, it is the combination of treatments that offer the best results such as hydroquinone or azelaic acid and microdermabrasion. Length of treatment will depend on the cause and severity, as well as individual response. With that being said, it can take from 3–12 months to see significant improvements. Products to Treat Hyperpigmentation Singh A, Yadav S. Microneedling: Advances and widening horizons. Indian Dermatol Online J. 2016;7(4):244-254. doi:10.4103/2229-5178.185468 Your doctor may also suggest laser treatment or chemical peels to reduce hyperpigmentation, depending on the cause of your hyperpigmentation.
Of all the presenting complaints to dermatologists, PIH has been shown to be one of the most common among darker-skinned individuals. I am using it 30 seconds each time, and in the evening after rinsing I am leaving it on my hyperpigmentation areas for another 30 seconds. Soy extract has demonstrated strong depigmenting activity as well as the ability to prevent sun-induced pigmentation Wu IB, Lambert C, Lotti TM, Hercogová J, Sintim-Damoa A, Schwartz RA. Melasma. G Ital Dermatol Venereol. 2012 Aug;147(4):413-8. https://pubmed.ncbi.nlm.nih.gov/23007216/ Niacinamide is a derivative of B 3 and is a proven treatment to reduce hyperpigmentation; it has anti-inflammatory and antioxidant properties and promotes skin cell turnover. It can effectively lighten skin by inhibiting melanosome transfer to induce skin lightening.Owolabi JO, Fabiyi OS, Adelakin LA, Ekwerike MC. Effects of skin Lightening cream agents—Hydroquinone and kojic acid, on the skin of adult female experimental rats. Clin Cosmet Investig Dermatol. 2020;13:283-289. doi:10.2147/CCID.S233185 However, prolonged use of topical hydroquinone (without any breaks in use) can cause darkening of the skin, known as ochronosis. So it’s best to use topical hydroquinone only under the care of a dermatologist so that they can properly guide you on how to use the medication without any adverse effects. Home care also includes using sunscreen. Sunscreen is the single most important factor in improving most causes of hyperpigmentation. Look for: Vitamin C is also a tyrosinase inhibitor, and can lighten dark patches and neutralize free radicals to prevent dark spots from forming
Hakozaki T, Minwalla L, Zhuang J, Chhoa M, Matsubara A, Miyamoto K, Greatens A, Hillebrand GG, Bissett DL, Boissy RE. The effect of niacinamide on reducing cutaneous pigmentation and suppression of melanosome transfer. Br J Dermatol. 2002 Jul;147(1):20-31. doi:10.1046/j.1365-2133.2002.04834.x In one clinical trial, researchers found the incidence of PIH decreased by 40% after a topical corticosteroid was applied 2 days before and after ND:YAG laser treatment. Natural treatments cannot compete with the results of professional in-office treatments but can provide some mild improvements when used consistently: Use a sunscreen daily. Reapply it every 2 hours if you’re out in the sun — more frequently if you’re sweating or swimming. In one study, azelaic and glycolic acid creams were compared to hydroquinone in a 24-week clinical trial of dark-skinned individuals. Results showed this combination was just as effective as hydroquinone in treating hyperpigmentation, making it a suitable choice for skin of color. Microdermabrasion
Main Benefits: Inhibits an enzyme necessary to produce melanin, helping to fade dark spots and discoloration. It also delivers some antioxidant protection. There are a number of OTC products such as brightening serums and creams that, with consistent use, can fade dark spots. Either can also be used as spot treatments to target individual spots rather than the entire face.
Hyperpigmentation occurs when the skin overproduces melanocytes, melanin-producing cells that give skin its color. This increase in melanocyte activity has been shown to be stimulated by several inflammatory mediators that are released when inflammation occurs. This is true for all skin colors. verifyErrors }}{{ message }}{{ /verifyErrors }}{{ A dermatologist can diagnose the cause of your hyperpigmentation. They will request your medical history and give you a physical exam to determine the cause. In some cases, a skin biopsy can narrow down the cause.
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As with any treatment, it is important to discuss the pros and cons with your care provider to ensure you receive the best treatment and avoid any unnecessary side effects. Takeaway Phasha V, Senabe J, Ndzotoyi P, Okole B, Fouche G, Chuturgoon A. Review on the use of kojic acid—A skin-lightening ingredient. Cosmetics. 2022;9(3):64. doi:10.3390/cosmetics9030064 Hyperpigmentation can occur in any skin tone, but people of color are more prone to this skin condition due to the greater levels of melanin in their skin. Dark skin is more prone to developing postinflammatory hyperpigmentation and melasma. Huerth KA, Hassan S, Callender VD. Therapeutic Insights in Melasma and Hyperpigmentation Management. J Drugs Dermatol. 2019 Aug 1;18(8):718-729. https://pubmed.ncbi.nlm.nih.gov/31424704/ Microdermabrasion is a type of exfoliation, but at a deeper level. This treatment removes the outer layer of skin to reduce the appearance of hyperpigmentation. As it does not penetrate deeper into the lower layers of skin it can only provide small improvements. However, as a gentle exfoliant, it is a safe treatment and will not prompt inflammation and further hyperpigmentation. Microneedling
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