27 doctors weighed in:

How do I get rid of hyper pigmintattion?

27 doctors weighed in
Dr. Farhad Rafizadeh
Surgery - Plastics
7 doctors agree

In brief: Hydroquinone

Hyperpigmentation if often caused be inflammation du to injury or infection and the action of the sun.
Hydroquinone, and sunscreens can revers the process and improve the hyperpigmentation.

In brief: Hydroquinone

Hyperpigmentation if often caused be inflammation du to injury or infection and the action of the sun.
Hydroquinone, and sunscreens can revers the process and improve the hyperpigmentation.
Dr. Farhad Rafizadeh
Dr. Farhad Rafizadeh
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1 comment
Dr. Samuel Rosenthal
You do not require the skills of a plstic surgeon for simple skin tags.
Dr. Todd Sisto
Breast Surgery
6 doctors agree

In brief: You may be able to..

...Improve it with a combination of tretinoin, hydroquinoe( both req rx), sun protection( don't bother w anything else if you won't do this) eg w neutragena helioplex spf 125, certain chemical peels, avoidance of certain drugs (eg corticosteroids), avoidance of inflammation & pregnancy.

In brief: You may be able to..

...Improve it with a combination of tretinoin, hydroquinoe( both req rx), sun protection( don't bother w anything else if you won't do this) eg w neutragena helioplex spf 125, certain chemical peels, avoidance of certain drugs (eg corticosteroids), avoidance of inflammation & pregnancy.
Dr. Todd Sisto
Dr. Todd Sisto
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Dr. Anifat Balogun
ENT - Head & Neck Surgery
5 doctors agree

In brief: Hyperpigmentation

Many of the options discussed are effective in improving hyperpigmentation.
Combination therapy and a progressive approach is best. Sunscreen use is imperative, and in my practice a "non-negotiable", in the management of hyperpigmentation, melasma, pih and sun damage. We recommend our patients focus on the content of the sunscreen (uva, uvb protection capacity, antioxidants) instead of spf number.

In brief: Hyperpigmentation

Many of the options discussed are effective in improving hyperpigmentation.
Combination therapy and a progressive approach is best. Sunscreen use is imperative, and in my practice a "non-negotiable", in the management of hyperpigmentation, melasma, pih and sun damage. We recommend our patients focus on the content of the sunscreen (uva, uvb protection capacity, antioxidants) instead of spf number.
Dr. Anifat Balogun
Dr. Anifat Balogun
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Dr. Alexander Rivkin
Cosmetic Surgery
5 doctors agree

In brief: Depends

The treatment for hyperpigmentation depends on the type you have.
A diagnosis by a good dermatologist is a good first step. The other variable is your skin color. Topical hydroquinone is a good start. Intense pulsed light treatment works well for light skinned patients, but is dangerous for darker skin - it may cause worse hyperpigmentation. Chemical peels like cosmelan are better for dark skin.

In brief: Depends

The treatment for hyperpigmentation depends on the type you have.
A diagnosis by a good dermatologist is a good first step. The other variable is your skin color. Topical hydroquinone is a good start. Intense pulsed light treatment works well for light skinned patients, but is dangerous for darker skin - it may cause worse hyperpigmentation. Chemical peels like cosmelan are better for dark skin.
Dr. Alexander Rivkin
Dr. Alexander Rivkin
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Dr. Mike Bowman
ENT - Head & Neck Surgery
5 doctors agree

In brief: Try hydroquinone

Depending on the severity and the location, topical creams like hydroquinone may help.
See your dermatologist for recommendations specific to your skin.

In brief: Try hydroquinone

Depending on the severity and the location, topical creams like hydroquinone may help.
See your dermatologist for recommendations specific to your skin.
Dr. Mike Bowman
Dr. Mike Bowman
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1 comment
Dr. Darryl Blinski
Rx strength or over the counter are available
Dr. John Apostolides
Surgery - Plastics
3 doctors agree

In brief: Skin Care and Lasers

Hyperpigmentation is a common skin problem that can arise from various causes ranging from hormone changes to sun damage.
A skin care regimen including retinols and hydroquinones and/or laser resurfacing of the skin can rejuvenate and restore the natural glow, sensuality, and beauty of the face. A board certified plastic surgeon or dermatologist can help create the perfect solution.

In brief: Skin Care and Lasers

Hyperpigmentation is a common skin problem that can arise from various causes ranging from hormone changes to sun damage.
A skin care regimen including retinols and hydroquinones and/or laser resurfacing of the skin can rejuvenate and restore the natural glow, sensuality, and beauty of the face. A board certified plastic surgeon or dermatologist can help create the perfect solution.
Dr. John Apostolides
Dr. John Apostolides
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Dr. James Zasuly
Surgery - Plastics
3 doctors agree

In brief: Difficult

Lasers and topical hydroquinone are helful.
Avoid sun exposure. Very difficult problem. See a plastic surgeon.

In brief: Difficult

Lasers and topical hydroquinone are helful.
Avoid sun exposure. Very difficult problem. See a plastic surgeon.
Dr. James Zasuly
Dr. James Zasuly
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Dr. M. Christine Lee
Dermatology
2 doctors agree

In brief: Many options

Depends on what the cause is.
If due to melasma (caused by hormones, pregnancy) then it may not respond to treatment unless the birth control pill or hormones are stopped. Hyperpig may also be caused by certain meds which increase sensitivity to sun (ie: tetracyclines, sulfa drugs, accutane). There are many effective treatments including topical bleaching agents, lasers.

In brief: Many options

Depends on what the cause is.
If due to melasma (caused by hormones, pregnancy) then it may not respond to treatment unless the birth control pill or hormones are stopped. Hyperpig may also be caused by certain meds which increase sensitivity to sun (ie: tetracyclines, sulfa drugs, accutane). There are many effective treatments including topical bleaching agents, lasers.
Dr. M. Christine Lee
Dr. M. Christine Lee
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1 comment
Dr. Latisha Smith
hyper pigmentation can also be caused by skin irritation such as acne on face. The use of gentle cleansers and moisturizer after cleansing will help irritated hyperpigmentted skin heal quicker.
Dr. Frederick Coville
Surgery - Plastics
1 doctor agrees

In brief: Combination

Hyperpigmentation is a catch-all phrase that can mean many different things.
The first thing find someone that can make an accurate diagnosis and treat correctly. Treatment will vary if pigment is superficial or deep. I prefer combinations of tretinoin and hydroquinone, followed by dermal rollers and/or chemical peels. I'm close to you if you'd like to call (609) 957-5652. Be well.

In brief: Combination

Hyperpigmentation is a catch-all phrase that can mean many different things.
The first thing find someone that can make an accurate diagnosis and treat correctly. Treatment will vary if pigment is superficial or deep. I prefer combinations of tretinoin and hydroquinone, followed by dermal rollers and/or chemical peels. I'm close to you if you'd like to call (609) 957-5652. Be well.
Dr. Frederick Coville
Dr. Frederick Coville
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Dr. Jane Chung
Surgery - Plastics

In brief: Fraxel or TCA peel

The reasons for hyperpigmentation varies a lot.
It is depending on the causes but mainly hydroquinone, kojic acid as topical and fraxel, ipl, or active fx as laser treatment and tca peel, jessner peel as a chemical peel.

In brief: Fraxel or TCA peel

The reasons for hyperpigmentation varies a lot.
It is depending on the causes but mainly hydroquinone, kojic acid as topical and fraxel, ipl, or active fx as laser treatment and tca peel, jessner peel as a chemical peel.
Dr. Jane Chung
Dr. Jane Chung
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Dr. Seema Patel
Holistic Medicine

In brief: Varies

Treatment for hyperpigmentation varies.
Depending on the severity, the duration and your skin tone, you can use good skin care products such as obagi, have medium to deep peels or use lasers such as the pixel resurfacing laser. Speak with a qualified cosmetic physician to see what you should use.

In brief: Varies

Treatment for hyperpigmentation varies.
Depending on the severity, the duration and your skin tone, you can use good skin care products such as obagi, have medium to deep peels or use lasers such as the pixel resurfacing laser. Speak with a qualified cosmetic physician to see what you should use.
Dr. Seema Patel
Dr. Seema Patel
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Dr. Otto Placik
Surgery - Plastics

In brief: Hyperpigmentation

Post inlfammatory hyperpigmentation or hemosiderosis may not respond well to hydroquinone (hq).
Vitamin k oxides are purported to have some effect but I am not convinced. Lasers have mixed results and have occasionally caused worsening due to increased inflammation. I suggest trying test spots first. Use of "peel and bleach" creams (hq +retina +steroid) may be effective but require strict sunblock.

In brief: Hyperpigmentation

Post inlfammatory hyperpigmentation or hemosiderosis may not respond well to hydroquinone (hq).
Vitamin k oxides are purported to have some effect but I am not convinced. Lasers have mixed results and have occasionally caused worsening due to increased inflammation. I suggest trying test spots first. Use of "peel and bleach" creams (hq +retina +steroid) may be effective but require strict sunblock.
Dr. Otto Placik
Dr. Otto Placik
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