It is important to establish
where the melanin is located so that a suitable therapy may be chosen, and
to trace a prognosis of the treatment.The
examination of the skin, with the help of a Wood’s Lamp, can also offer a
certain degree of safety in determining the location of the melanin within
the skin. Hydroquinone was for many years the chosen substance for blocking
the production of melanin, and with the help of chemical exfoliation substances,
such as Glycolic Acid and Retinoic Acid, was demonstrated to be a very efficient
skin lightning agent. During the past decade, Hydroquinone has been gradually
replaced by new chemical lightning substances, such as Kojic Acid and Phytic
Acid, because of the instability of products that use hydroquinone (fast oxidation).
Recently, documentation has appeared showing that hydroquinone is citotoxic
and destroys the wall of the melanocytos, causing a definitive lesion, called
residual achromia, and has no possible treatment. (Fig. 1,2) NEXT>>