Bleaching Creams & Products Ineffective
There are a wide range of topical products sold for age spot treatment. Most involve some bleaching agent. Bleaching creams are good for bleaching large areas of discoloration such as melasma. But when you’re trying to treat individual age spots, bleaching creams tend to bleach the area around the spots more than the spots themselves. Thus the topical bleaching creams are usually not good for bleaching individual brown spots because it is impossible to confine the cream to the area where the spot is, which usually results in a ring around a brown spot.
In my opinion, your typical bleaching creams like hydroquinone, kojic acid and bleaching creams don’t work as well as one would like. Topical Retin-A, on the other hand, can be good but it can also be irritating, especially to patients with light skin. In addition, you should never use bleaching creams or products like Retin-A or alpha hydroxy acids (which can also lighten the skin), without first using a sunscreen in the morning because all bleaching creams, Retin-As, and alpha hydroxy acids make you more sensitive to the sun.
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Some people, like me, have almost no melanin pigment and our skin does not do a good job of protecting us from the sun. Dark-skinned people do a much better job of protecting themselves from the sun. When the sun attacks me and other light-skinned people, my body does not know how to respond properly. As a result it can cause abnormal melanin pigment in the form of freckles and brown spots.
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Ideally, benign spots are treated with lasers. Consult with a laser surgeon to learn about your options.