Prescription-strength options are another choice for those whose skin can tolerate them. They can provide faster results, and if you are under a dermatologist’s care, you would be well served as they can recommend combination therapy for greater efficacy. With this in mind, it is important to consult with your care provider before using hydroquinone and to follow all instructions carefully. How Often To Use It: This depends on what other ingredients it's compounded with and the concentration, but generally, it can be used daily. 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. Kaufman BP, Aman T, Alexis AF. Postinflammatory Hyperpigmentation: Epidemiology, Clinical Presentation, Pathogenesis and Treatment. Am J Clin Dermatol. 2018 Aug;19(4):489-503. doi:10.1007/s40257-017-0333-6

Main Benefits: Inhibits an enzyme necessary to produce melanin, helping to fade dark spots and discoloration. It also delivers some antioxidant protection. Saeedi M, Eslamifar M, Khezri K. Kojic acid applications in cosmetic and pharmaceutical preparations. Biomed Pharmacother. 2019;110:582-593. doi:10.1016/j.biopha.2018.12.006 Works Well With: According to Nazarian, studies have shown that kojic acid works well with and enhances the effects of glycolic acid and hydroquinone.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. Topical prescription medication can treat some cases of hyperpigmentation. This medication usually contains hydroquinone, which lightens the skin. 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 Licorice extract has glabridin, a chemical that has skin lightening properties and also prevents tyrosinase production, an enzyme that darkens the skin after sun exposure In one clinical study niacinamide was shown to significantly decrease hyperpigmentation and increase skin lightness.

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 Use a sunscreen daily. Reapply it every 2 hours if you’re out in the sun — more frequently if you’re sweating or swimming. Day 3: morning - I have increased the time to 40 seconds for the morning as my skin is tolerating the soap well. I notice my recent pimples getting smaller but not flatter just yet. My skin overall looks much more smooth but that could be because I have been moisturising after every application of the soap. To add, I also cleanse my face in the morning and evening to get rid of sunscreen / moisturisers THEN I apply the soap. Will update on the evening. Mid day update : I have noticed 2 pimples on my chin / jawline. Don’t know if it’s because of the soap or hormones as it’s that time of month in 6 days. Evening - I skipped using it in the evening as I believe I should use it only once today because my skin felt like it was getting a little sensitised.

The best hyperpigmentation products for 2023 are:

The best treatments are those that are least likely to cause inflammation and are safe and effective. These include OTC creams such as hydroquinone, corticosteroids and retinol. 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 Sarkar R, Bansal S, Garg VK. Chemical peels for melasma in dark-skinned patients. J Cutan Aesthet Surg. 2012;5(4):247-253. doi:10.4103/0974-2077.104912 Grimes PE. The safety and efficacy of salicylic acid chemical peels in darker racial-ethnic groups. Dermatol Surg. 1999 Jan;25(1):18-22. doi:10.1046/j.1524-4725.1999.08145.x Microneedling involves superficial piercing of the skin with tiny needles which create small wounds. As they heal, collagen and elastin production are stimulated which evens skin tone. In one study, researchers found that microneedling was a safe and effective treatment for hyperpigmentation and showed significant improvements at week 4.