Effective Scar Treatment Options For Dark Scars & Brown Spots
Most people can tolerate a scar that has healed well. Dark scars, brown spots, acne scars and other hyperpigmented skin lesions can be a different i...
Most people can tolerate a scar that has healed well. Dark scars, brown spots, acne scars and other hyperpigmented skin lesions can be a different issue though because they are so much harder to cover up, especially on the face. The good news is there are several options. The bad news is that you need to do your research before picking the best scar treatment for your particular skin complaint. One of these treatments is usually recommended:
1) Hydroquinone (HQ)
2) Kojic acid
3) Vitamin C (ascorbic acid)
4) Licorice extract and other natural scar treatments
Hydroquinone is probably the most frequently recommended lightening agent because it is generally very effective. It comes in different strengths, typically 2% and 4%. One uncommon but significant potential complication from using hydroquinone is a condition known as Ochronosis. This consists of delayed wound healing, loss of skin elasticity, and ironically, permanent hyperpigmentation. Hydroquinone can also cause allergic dermatitis and nail discoloration.
Kojic acid also helps fade the dark pigment seen in dark scars and other skin lesions like melasma and brown spots. While it is not as effective as hydroquinone, the popularity of kojic acid has increased over the years as people have become more fearful of hydroquinone’s potential side effects. Kojic acid is also more “natural” as it is produced by several different types of fungi. Once again, there is no improvement in except for lightening of hyperpigmentation.
Vitamin C (L-ascorbic acid), along with other vitamin C derivatives, decreases melanin production (by inhibiting tyrosinase) and therefore lightens skin hyperpigmentation. Vitamin also improves other aspects of scar healing through its action on collagen. Scar healing is typically associated with breakdown of the skin’s normal collagen and replacement with unorganized, haphazard collagen fibers. Vitamin C has been shown to normalize new collagen production. Unfortunately, many vitamin C skin care products (including scar treatments) become ineffective over time. L-ascorbic acid on its own is very unstable and oxidizes on repeat exposure to air and moisture and turns dark yellow or brown. Many products containing vitamin C are colored dark yellow or brown to begin with to disguise this vitamin C degradation. Products containing STABLE vitamin C are usually white.
Like vitamin C, licorice extract (specifically a compound called glabridin) decreases tyrosinase function so helps fade dark pigment. Licorice also seems to boost the pigment-fading properties of vitamin C so the two should be used together for the best results. Licorice extract also has strong anti-inflammatory and skin renewal properties which makes it an effective natural scar treatment in general. It has also been used successfully for the treatment and prevention of acne.
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