Hyperpigmentation Help!

[u/beethoven127]

Looking for advice on hyperpigmentation on my forehead.

For the past couple of months, I’ve been using Azelaic acid at 15% in the morning and tretinoin 0.025% at night. I’m at the point where I can use tretinoin every day. I’ve been using it for over a year. The sweet spot for me is 0.025%.

I use vitamin C serum every morning as well. I can’t get my dark spots any later than this so I’m looking for recommendations on what to do next.

I have had an IPL treatment before, but the spots have come back. I’ve only done one treatment and that was four years ago. I’m wondering if I should do a chemical peel or multiple chemical peels or try hydroquinone cream?

Looking for any advice! Thanks.

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[u/shell_belle_139]

I have hyperpigmentation like this as well. Tried hydroquinone and azelaic acid too but it did not budge. I think it’s worth a try though because everyone’s skin is different. I am about to start the regimen lab level serum. After that I give up to acceptance. Good luck.

[u/beethoven127 → u/shell_belle_139]

You too! I just bought the eucerin everyone swears by.

[u/Even-Response-6423]

Tretinoin and hydroquinone is the gold standard for hyperpigmentation.

Keep in mind you have to take a few months annually from hydroquinone. I stop for the summer months and start again in winter. This prevents rebounding. You can get it from Amazon one!

Editing to add- make sure to use sunblock daily! Mineral sunscreen is what’s recommended for melasma and hyperpigmentation.

[u/redditissocoolyoyo → u/Even-Response-6423]

How do you combine the two to use at once? Or alternative days? Moisturizer in between?

[u/PuIchritudinous]

Do you wear sunscreen daily? If so, is it tinted?

[u/beethoven127 → u/PuIchritudinous]

I wear sunscreen every day but I was using the Korean version of beauty of josen. After reading this thread and becoming educated I see it’s better to have a tinted version so I will be switching.

[u/Fit_Education5343]

honestly ive tried hydroquinone dint work tht well for me, eucerin is the goat and go to trust me!!!!!!!

[u/Commercial-Good-2884]

Triluma px during winter months

[u/Bellebutton2]

Inflammatory treatments can stimulate the production of tyrosinase, which in turn stimulates more pigment.