HomeAnswersDermatologypost inflammatory hyperpigmentationHow effective is Hydroquinone 4% for hyperpigmentation?

What are the risks of using Hydroquinone for post-inflammatory hyperpigmentation?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At February 25, 2024
Reviewed AtFebruary 25, 2024

Patient's Query

Hello doctor,

Regarding acne scars on my forehead and cheek, I underwent Picosure laser treatment, which significantly reduced the appearance of the scars. However, it also led to post-inflammatory hyperpigmentation across a considerable area, as depicted in the attached photos. My dermatologist has recommended Hydroquinone 4% to address this. I am curious about its effectiveness in completely fading the hyperpigmentation. Are there any risks associated with using Hydroquinone 4%?

Thank you,.

Hello,

Welcome to icliniq.com.

I understand your concern.

The marks you are observing seem to be post-inflammatory hyperpigmentation resulting from the laser session. Not to worry, as this pigmentation is expected to fade within 3 to 4 weeks.

I would suggest you do the following:

  1. Apply 10% Aziderm (Azelaic acid) cream during the daytime for the next 2 weeks (unless allergic to Hydroquinone).
  2. Use Sebamed face wash twice daily for the next 2 weeks.
  3. Take one tablet of Antoxid HC (antioxidant capsule) after breakfast daily for the next 30 days.
  4. Avoid prolonged sun exposure and ensure you take necessary sun protection measures.
  5. Incorporate Ahaglow face wash as a scrub twice weekly for the next 6 weeks.
  6. It is crucial not to scratch or rub the affected areas.

If you have any further concerns or if the pigmentation persists, do not hesitate to reach out.

Regards.

Patient's Query

Hello doctor,

Thanks for getting back.

Is the 3-4 week estimate based on the mildness of the hyperpigmentation and the known effectiveness of Hydroquinone 4%? Also, when I used Hydroquinone 4% last year, my skin turned a bit red, and there was a slight stinging sensation. Is that normal when you start using it? Please clarify.

Hello,

Welcome back to icliniq.com.

To address your issue, I would suggest you avoid high concentrations of Hydroquinone. Instead, consider using Kojivit plus Depigmentation cream (Octinoxate, Glycolic acid, Kojic acid, grape seed oil, aArbutin, vitamin E, mulberry extract, and Allantoin) at night for the next 21 days. High concentrations of Hydroquinone can potentially cause burning or irritation, especially for individuals with sensitive skin.

If you have any further questions or concerns, feel free to ask.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy