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Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™

251: Five Minute Friday: All About Hydroquinone and the Gold Standard of Bleaching Treatments

Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™

Kay Durairaj, MD, FACS @beautybydrkay

Health & Fitness, Medicine, Arts, Management & Marketing, Fashion & Beauty, Business

5604 Ratings

🗓️ 25 July 2020

⏱️ 10 minutes

🧾️ Download transcript

Summary

Hi Beauties,
This week on Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon, we chat about hydroquinone and why it is the powerhouse treatment for hyperpigmentation and scarring. Hydroquinone is the gold standard for the treatment of hyperpigmentation and therefore is the most prescribed bleaching agent for treating melasma, freckles, lentigines, age spots, and acne scars. Although hydroquinone has been controversial in the past, for over fifty years it has been established as the most effective ingredient for fading uneven skin tones and dark spots. Dr. Kay discusses the controversies involving its safety profile, her strategy for treating melasma, and how to use hydroquinone in conjunction with other products to get the best results.

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Transcript

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0:00.0

Well, hello, hello, guys. You're listening to Beauty Bites with Dr. K, Secrets of a Plastic Surgeon,

0:18.9

and today it's time for a five-minute Friday, and I'm going to talk to you

0:22.8

all about bleaching agents like hydroquinone. So hydroquinone is one of the most common and widely used

0:32.3

bleaching agents in the medical specialty of dermatology. And it's been around for many decades.

0:38.7

It's actually, in my opinion, the gold standard for the treatment of hyperpigmentation,

0:43.4

and it's very effective to treat malasma, brown spots, age spots, acne scars, and sun damage.

0:50.5

And it's been controversial recently, whether or not to use hydroquinone, whether it's an ingredient that we want to weed out of our skincare regimens.

0:58.8

But I just want to encourage you that if you have melasma, this is a really effective and widely used tool that can be very safely used.

1:08.4

And in my opinion, it's the most effective ingredient we have for fading brown spots,

1:13.0

uneven skin tones, and pigmentation that's overgrown in your skin. It's been used for more than 50

1:19.9

years and nothing else has that track record. So what is hydroquinone? It is a bleaching agent, a depigmenting agent. It lightens dark patches in your

1:30.3

skin. And how does it work? It works by decreasing the number of melanocytes present in inhibiting

1:36.5

the activity of tyrosinase. This is the enzyme that catalyzes melanin production. Hydroquinone

1:43.5

limits your skin from making excessive amounts of melanin,

1:47.3

and that in turn is what's deposited into the dermal layer of your skin,

1:51.4

creating the coloration.

1:53.2

So if you have excessive production of melanin,

1:57.0

the melanogenesis can be interrupted by shutting down the enzyme cascade, where tyrosanase,

2:03.5

this enzyme is blocked by hydroquinone.

2:06.5

There are multiple ingredients that we can use to treat brown spots.

2:09.9

So if you're sensitive to hydroquinone, you're worried about it, safety, or you don't want to use it.

2:15.0

Of course, we have alternatives like cogic acid, azaleic acid,

...

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