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Is Triluma good for pigmentation problems?

I’m going to steer you to the blog content also on this one.   The combination of the 4% hydroquinone, plus tretinoin, plus a mild steroid has been proven to be more effective for more people than...

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Are “lightening” or “bleaching “ creams like Melacare risks for cancer?

Really there are two issues here; the planned pregnancy in the near future and the evidence for and against hydroquinone use. Let’s start  with the pregnancy.   Generally common sense dictates avoiding...

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I have a moustache line on my upper lip!

Please see the first answer in this blog sequence since a lot of it applies.  Also, the information here on products.  Some special things for upper lips though. No hormones except your own –  see your...

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Lasers for brown spots and asian skin

I think you are wise to be concerned about lasers because while they can be extremely helpful for brown spots caused by old sun damage in lighter skin types……….they can also cause or aggravate pigment...

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What is the most effective laser treatment for melasma?

I really, really wish I could be more positive here! The truth is that there IS no great laser treatment for melasma, YET. Here’s the latest from the conference in Paris (more of my reviews from the...

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Long term safety of kojic acid in skin lightening creams.

Someone asked this on Twitter recently but the answer really is too long for a tweet. So here it is! Kojic acid has been used for years in skin care creams designed to treat brown spots, melasma and...

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Problems with brown spots, melasma, “bleaching” creams and hydroquinones?

Many, many women and men worldwide use “bleaching” creams to try to lighten pigment on the face, or even other parts of the body. What are “bleaching” creams? First, none of them really “bleach”...

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Darker skin in the vaginal area……I’m indian and is there anything I can do?

Okay I’m going to be very honest here because I do think this is a very difficult subject for women to discuss sometimes even with their doctors. First of all and I know this will disappoint you in...

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Uneven Pigment- Can it be Improved? (Part 1/2)

Seems like once a month I see a new add for a “miracle” cure for uneven pigment problems. Is there really one?  The answer is no; at least not yet.  But …with patience, a good skin care plan and...

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Treating marks from a laser treatment. How?

This may sound counterintuitive, but usually a different laser will be most effective for problems from a laser. Having said that, I totally get that if you’ve had a bad experience with any laser,...

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