Can bleaching creams like hydroquinones be used to spot treat or used all over?

doctor, i used 2%hydroquinone in combination tretinoin ,mometasone furoate to fade my acne marks on my cheeks,thus my cheeks got into lighter and whiter complexion than the rest of my face.its troubling me a lot,, plz help me.. :( :(

You bring up an important point.   Lightening creams, especially hydroquinones, actually do lighten at least temporarily!  They can create uneven pigment because spots lighten at different rates and it’s hard to keep the cream exactly on the brown spot.

In general, if you have just a few brown spots from acne, picking, or other skin problems, you can spot treat for 2 weeks or so and not create problems.

If you have a lot of brown spots, or larger areas  more consistent with melasma, then it works better to use a thin layer over the entire face.   Please don’t use longer than 3-4 months without a doctors’ or dermatologists’ care. 

Here are links to 2 new lightening creams –  Advanced Pigment Corrector and Lytera – both are hydroquinone free and contain plant based lighteners.  Also, more on hydroquinones here.

Hope this helps,  Dr. I


Dr. Brandith Irwin, MD

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