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Management of Hyperpigmentation in Darker Racial Ethnic Groups
Seminars in Cutaneous Medicine and Surgery, 08/03/09
Grimes PE et al. – Hydroquinone remains the gold standard of topical agents. Other efficacious agents include kojic acid, azelaic acid, mequinol, and retinoids. Cosmeceutical agents include licorice, arbutin, soy, N–acetyl glucosamine, and niacinamide. Resurfacing procedures that have been used to treat melasma and PIH include chemical peels, microdermabrasion, lasers, and intense pulsed light. These procedures are best used in combination with topical bleaching agents. Maximal results are best achieved with repetitive, superficial, resurfacing modalities. In addition, ultraviolet protective measures such as broad–spectrum sunscreens are fundamental to the successful management of these conditions.
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