Our expert says:
Hi Candy, thank you for the question.
Pigmentation may be difficult to remove completely with only a topical product regime. However, first and foremost, is sun avoidance (as much as possible) to the pigmented areas and a good SPF (30 or higher) that contains zinc oxide and/or titanium dioxide. The following ingredients have been shown to help with pigmentation removal:
Glycolic acid, Kojic acid, Lactic acid, Mandelic acid and Citric acid
Vitamin A or pro-vitamin A, vitamin E, and vitamin C or ascorbic acid
Licorice extract (Glycyrrhiza Glabra), Mulberry Root extract (Morus Bombycis), and Bearberry extract (Arctostaphylos Uva Ursi)
Arbutin and Arginine
By combining the above with glycolic acid peels one should get an improved result.
If this regime does not show a visible improvement (over a 3 to 8 month period) one may consider IPL/Bi-Polar Radiofrequency (Syneron elight or emax), laser (Fraxel, Lumenis) or IPL (Ellipse) skin rejuvenation. The choice of technology is dependent on the type of pigmentation: due to sun damage or hormonally induced which is known as Melasma.
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