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Updated: Jul 11, 2025

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Author Spotlight: Non-Surgical Treatment of Melasma– Microneedling with Tranexamic Acid
Published on: January 19, 2024
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Topical Treatments for Melasma and Post-inflammatory Hyperpigmentation.
Journal of Drugs in Dermatology : JDD
|November 9, 2023
Summary
Topical retinoids, like tazarotene, offer a safe and effective treatment for dyspigmentation such as melasma and post-inflammatory hyperpigmentation (PIH) when other options have limitations.
Area of Science:
- Dermatology
- Cosmetic Science
Background:
- Dyschromia, including melasma and post-inflammatory hyperpigmentation (PIH), is a common dermatological concern, particularly in individuals with skin of color.
- Current treatments face limitations regarding long-term safety, tolerability, or potential to worsen hyperpigmentation.
Purpose of the Study:
- To review topical treatments for melasma and PIH.
- To evaluate the efficacy and safety of the retinoid tazarotene for these conditions.
Main Methods:
- Qualitative review of topical treatments for melasma and PIH.
- Inclusion of data from an investigator-initiated trial on tazarotene.
Main Results:
- Triple combination hydroquinone (HQ) cream is a standard but not for long-term use due to safety concerns.
- Topical retinoids demonstrate efficacy and safety, with tolerability varying by dose and formulation.
- Tazarotene 0.045% polymeric emulsion lotion showed good efficacy, safety, and tolerability over 24 weeks in patients with moderate-to-severe melasma/PIH.
Conclusions:
- Multiple topical treatments exist for dyspigmentation, but many lack robust efficacy data or have safety/tolerability issues.
- Retinoids, exemplified by tazarotene, present a promising, safe, and effective therapeutic option for melasma and PIH.
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