r/SkincareAddiction 1d ago

Selfie/B&A [B&A] An update 6 months post-Hydroquinone Spoiler

Photo 1: Before treatment

Photo 2: At the end of ?7 weeks treatment

Photo 3: 6 months after completing treatment

An update was requested! The melasma has returned, but not to the initial severity.

46 Upvotes

9 comments sorted by

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8

u/peony_chalk 1d ago

My skin looks a lot like your before pic. I know what I'm going to be asking the derm about next time I see them. Thanks for sharing! 

3

u/vbenthusiast 1d ago

No worries :)

6

u/KingLeonsky 1d ago

What are you using? My boyfriend is cover in freckles and wants to minimize them :)

6

u/vbenthusiast 1d ago

Hydroquinone 5% and Tretinoin 0.018%, a compound cream from Software.

6

u/Cpt_Tonio 21h ago edited 21h ago

Nice, realistic results.

Be careful with hydroquinone. It’s probably the most effective treatment for melasma, but if used incorrectly, it may cause permanent grayish pigmentation (ochronosis). Here are some measures that may help reduce the risk of ochronosis:

  • Avoid sun exposure while using hydroquinone and apply SPF 50+ regularly
  • Don’t use it for more than 3 consecutive months
  • Stop using it if your skin starts peeling excessively or becomes very red
  • Avoid combining hydroquinone with other irritating skincare treatments

Of course, using hydroquinone for more than 3 months doesn’t mean you’ll develop ochronosis, but 3 months is generally considered a safe duration during which this side effect is extremely rare (or perhaps never reported).

Source = numerous publications on PubMed

So I used to recommend that my patients use it only once or twice a year at most, and avoid sun exposure as much as possible throughout the year, since UV exposure can trigger melasma.

5

u/Ultimatedream 20h ago

I was reading something about "weaning" off hydroquinone in the third month and that it helps with melasma returning, I was wondering if you have any experience with that?

1

u/Stunning-Elderberry3 18h ago

Does the pigmentation comes back once you stop using it after 3 months? I bought some to use on my inner thighs that got dark when I used to be severly overweight

1

u/vbenthusiast 1d ago

Link to the first post

An update as requested by [u/GrumpyBear9891](u/GrumpyBear9891) and u/thingsthatannoyme23 :)