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Hyperpigmentation: How To Tackle It From ALL Angles! | Dr Sam Bunting
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- Опубліковано 1 лип 2020
- Hyperpigmentation is a catchall term that covers a number of different complaints, but the top three that I see in clinic are melasma, post-acne marks and sun damage - what we call solar lentigines - which are these fixed round brown lesions, flat. They don't change much through the year, but they're a culmination of a lot of UV exposure over time.
So when it comes to treating hyperpigmentation, while sunscreen is, of course, your first line of attack, I think that in terms of building an active skin care routine, we can break the pigmentation pathway down into steps that helps you understand why a multi-tasking approach with a carefully chosen toolkit of ingredients, will make the biggest difference.
So let's take it step by step.
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As always thank you so much for watching and for all your support!
Disclaimer: The content seen in this video is provided only for medical educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in the clinic, and to the unique nature of skin, Dr Bunting is unable to respond to every query on these videos.
Thank you Dr. Sam. Could you kindly do an example of a routine to effectively address this topic?
Thank you for breaking down the causes and treatments Dr. Sam. Please can you do a quick “routine “ incorporating all of this. I have been using all the things you mentioned but my melasma will not fade.
Yes, this would be great!
I agree!
Thank you Dr. Bunting. My melasma has drastically improved over the last year as I began using sunscreen on my face daily! Also I began to incorporate Azelaic Acid, Retinoids, Vit C & Niacinamide. Bakuchiol is new to me. I’ll have to check that out & your products! Thank you for educating us and helping us manage our skin. Love from California ☀️
Happy to help!! 😊❤
Suzanne, my cousin has melasma on her forehead, from her pregnancy 9 years ago. What products do you use?
I like Dr. Sam's videos cause they are short and concise, and very informative.
Would love to know more about skincare treatments like microneedling and it’s potential impact on melasma as well as HRT treatments with estrogen. I can’t find any studies available. Thanks for another great video
Sun kissed me so hard, left me with pigmentations love to see you explaining this XD
Hi Dr. Sam
Can you please describe how to use these actives in order. Should you use them in night routine or daytime. Also so confused when to incorporate the use of vitamin c serum. I have always thought that vitamin c helps the efficacy of sunscreen to apply in the am before sunscreen, now i see some dermatologist say it can worsen hyperpigmentation if used in the AM and used be used in PM routine instead .
Thank You so much,
From California
What about alpha arbutin?
I just love your mannerism
❤❤❤
Dr Sam please formulate some AHA products for exfoliation, your products are so well thought out x
You are so classy, and so well spoken.
Really enjoying the new Brightly serum! So easy to use and I am definitely seeing results -clarity and luminosity. Can’t thank you enough for your products
I'm curious to know what you think about mandelic acid.
I didn’t know Dr Sam’s audiences were such audiophiles. Geez do yall expect some high fidelity shit or something? Appreciate the effort and the free education that Dr Sam’s giving
How and in what order do you use these products when you are on a prescribed TRETINOIN (0.5)?
I wanna know!!
I am also a prescription Tretinoin user and want to know how to layer and incorporate.
That's exactly what I need to know. It gets so confusing. I wanr Step A, Step B etc. Please?
Thank you for sharing the info! What about chem peels and lasers though?
Loved this video Dra! Thanks for sharing.
Can you include azelaic acid and vitamin c serum in AM?
I Azelaic Acid and Vit
C together. My face isn't TOO reactive. I do have redness on cheeks.
Hope helps.
Thanks a lot for the knowledge dr Sam. 👍
What about other antioxidants like Resveratrol? And also Alpha Arbutin and Tranexamic acid? Thanks for the info Dr!
Excellent! So very helpful. Thanks to your videos I've basically got almost all those ingredients in my routine. What if I use a chemical sunscreen which has UV filters that block UVA and UVB but no iron oxide in the ingredients. Does that mean I'm not protected from visisble light? What is your opinion on The Ordinary's 10% Niacinamide serum?
Can The Inkey list tranexamic acid and Niod re-pigment be used in conjunction with each other? Also, can they be used with peptides like TO buffet serum or TO Argireline?
Great video, thank you very much!
Thank you! Can you layer niacinamide, retinol and hylaronic acid? Xx
Hey Dr Sam, I don’t know if this is a recurring theme or not but with your previous “ingredients series” videos, a new product was revealed for your skincare line. Is there a tinted sunscreen coming soon?
😉❤
Thank you! Very helpful!
I’ve had melasma/hyperpigmentation for a few years and not from pregnancy. It’s taken time finally got a routine down and it’s faded a bit. But now I think I will change my routine now that I’ve seen this video. Thank you, I’m glad I’ve found you. When and how many time a week would I use AHAs
Can you make a video about ingredients that are harmful to the skin by types? I have never seen a video who will talk abt that in details.. 😢😢. Most of the skincare ingredients vids talk abt fragrance, retinol, niacinamide, hyaluronic acid....
I love your videos!! I learn so much. Curious of your opinion on copper peptides as I’ve recently added them to my anti-aging skincare ❤️
Fabulous as usual - thanks so much :)
Another content for fresh indentation scars pls 🥺
Loved this video, so informative!!
Can you tell us which ingredients to look out for when dealing with "fungal acne", especially when it comes to moisturiser and SPF.
You can input ingredients on sezia.co to see what products have harmful ingredients for fungal acne, but the main ones to look out for are glycerin, lipids and esters
I have a question- does azaelic acid, lactic acid and arbhutin do the same thing for tackling hyper pigmentation?
Thanks lots Doctor
Hello Dr. Sam, please turn the volume of your video up. I'm wearing my hearing aides, and I cannot understand you. Yes, I've got the volume all the way up on my laptop.
You can also turn on "Captions."
Helpful video thanks
I haven't finished the video yet, but does this advice also apply to PIE?
Good day Dr Sam thank you very much, for this video on hyperpigmention, however can you recommend a Bakuchiol oil i can add to my moisturizer
Terrific thank you!
Thank you for this video. I've had age spots for years and have found 2% over-the-counter hydroquinone does not do much. I've tried it for years from several reputable brands. I suspect I need prescription strength.
It can also make you more prone to more hyperpigmentation if not used correctly.
I was recently prescribed hydroquinone for my sunspots. I have been using Retin A and azelelic Acid. Can I use azeleic acid in the morning along with the hydroquinone?
So early. Can you ship worldwide dear doc? Im in Southeast Asia 😭
We do! We ship worldwide via drsambunting.com 😊😊
Hi, have you done a video on hypopigmentation? If not please can you do one, pretty please 😃
This is very helpful thank you. If I am already using retinoid, can I add prescribed hydroquinone to my routine?
Can I use azelaic acid with Differin gel in the night time?
She has mentioned many times that a good combo is retinoid PM and azelaic AM :)
Please do a video on how to use finacea with retinol. I have been using retinol for years at night but would like to add finacea in the day time. Can I use finacea under my day moisturiser (zo obagi skin renewal)?
Just some well-intended feedback, could you improve the audio quality of the videos? Will also be more calming for the audience if you reduce the shifting/ rocking back and forth when delivering the points. Please don't take this the wrong way, I still love your videos and your kind sharing of knowledge here!
What about, BHA, Doctor? How can we incorporate it in skin care routine? Can we use it INSTEAD of AHA?
Hi Dr.Sam I have a doubt regarding Azelaic acid .I am an indian and my face got only a few acne marks ,is it ok to spot treat that area with azelaic acid or i need to apply it all over the face .Also,does this acid will affect the rest of my colour like any side affects like white spots or anything .
Please reply
Hi Dr Sam, can I put retinol then after 20 mins, I apply vitamin e serum...can this be a good combination...I have a sensitive combination skin.
Thank you for your expertise! I have mild hyperpigmentation and blemishes.. if you had to choose one thing.. azelaic acid or niacamide? For brightening, fine wrinkles etc what is more packed with good things? Thanks a million!!!
Heyy dr
Can u do video on PIE ??
Will darspots come back if we stop using alpha arbutin??
What are your views on infrared light for the skin? There are products such as JUUV but I wondered if the surface impact on the skin is net positive or negative. Infrared seems to help mitochondrial function
Ho Dr Sam, can alpha arbutin be used while breastfeeding?
How do you suggest using Alexis acid? I am a retinA user for many years now. Thank you!
I never clicked on a video this fast 👁️👄👁️
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What’s about cysteamine for controlling the melanin production?
Hi, Dr. Sam, i have a question regarding LED and melasma. I have melasma after my pregnancy, it’s much better now, but I don’t want it to come back. Can you advise if I can use LED device, and if so, what color is safe (heard that blue is no-no). Thank you
Hi Dr Sam. Lovely vid as ever but pretty please sort out your sound issues! Firstly, it's too low a level and secondly it sounds a little 'off mic'. I'm a director and have a few free and handy tips for you.... You need to boost your levels if it's a top mic (on the camera) - or better yet, wear a radio mic on your lapel. You can see whether or not it's strong enough a signal if it hits about 2/3 or 3/4 the way up on your monitor... it will be enough without distorting.
As always AWESOME video ❤️🙏 I have a request Dr could you Please please consider making video on PHOTOSENSITIVE SKIN 🙏there’s close to zero information on how to take care and control Photosensitive skin as I have been told by my Dermatologist that photosensitive skin condition is not curable and one should always take measure’s to keep it control .Please help 🙏❤️
Just in your store and want to purchase your brightly serum as I have hyperpigmentation and it’s melasma (started when I was pregnant 12 years ago and getting worse during the menopause) . Can I use nightly and brightly together or is that too much of the active ingredients? I’ve been using retinol 0.3% which I’d take out if I was using your night serum
Is this same for skin of color?
Cheers
The sound quality is poor.
Hey dr Sam .face eczema treatment
The sound quality is the worst I have ever heard
What about scaring ,what can I do about it thank you 😁
Hi can anyone suggest ingredients or body care products for body acne scars, dark elbows and inner thighs? I have stretch marks too but thats not too important. It would be so helpful if you could suggest affordable bodycare products thankss
Does this also apply to hyperpigmentation caused by shaving and deodorant in underarms? I tried kojic acid, glycolic acid and niacinamide. Not even hydroquinone did work for me. Now I am giving tranexamic acid a try.
Hey, did tranexamic acid work?
@@adzz3930 Sadly it did not...
@@Nilmavi Oh no, even I'm unable to find any product for it which actually works :(
@@adzz3930 It’s a stubborn area! Nothing really works. I’m trying The Ordinary 30% peeling now but no luck so far...
Hey doc 👋 - I have a stinging / burning reaction to my face wash (LRP hydrating) on my upper lip only! Does this mean my barrier is compromised only on my upper lip ? Currently around my nostril it is very flaky and dry as if it was winter time which is weir ( maybe from the retinol I’m using .5% skin medica ) but the cleanser always burns there even before I used a retinol. Should I stop using the cleanser I love it otherwise!
My PIH has been lasting 4mnths now and im so depressed😭 even tho its fading but given that ive literally used arbutin, differin, ahas, bhas, vitamin c, niacinamide, and hydroquinone with spf 50 i feel its too slow. Im lowkey scared its permanent help😭
What about PHA acid ?
I would love a video about MRSA. I had MRSA on my face and it’s unbelievable saw. I looked like a zombie from the walking dead and I’m left with hyperpigmentation.
Agani, non chaotic and structured. At last I understood the correlation.
I am more confused due to the fact, according of some reading the better for melasma are the natural physical sunscreen, but happens a that some of the sunscreen offers in this Chanel are not 100% physical and have chemical in their Phormula and this is bad for people with melasma and can have backwards reactions, due to inflammation, that cause melasma too, what are your thoughts about not 100%mineral sunscreen ? It is too bad the brands are selling the products as 100% mineral and they still have chemical ingredients, as a consumer looks like we have to learn chemistry when you have issues as melasma for not getting worse
Dr Sam can retinoids bring up old PIH or melasma hyperpigmentation from beneath the skin ? I use differin for old PIH and on my forehead I came out in crusts which peeled and left me with dark hyperpigmentation spots which after 6 months are still there . I’m scared to use a retinoid now
If blue light's a real problem, does that mean...don't use a device at night, when of course we've all taken off our spf!!! I have the horrible feeling this is why my melasma refuses to go!
I thought you aren’t supposed to use retinoids, as the inflammation makes hyperpigmentation worse?
I sense a tinted sunscreen with iron oxide on the horizon :) and/or an AHA product...
Most helpful, thank you
happy to help!
My mom called my knees dirty and black because they’re darker than they’re supposed to be (and yes I shower everyday, thoroughly then you see my mom pointing out all my flaws)
Don't think ur mom knows what empathy is. Be respectful, but listen to people who are positive.
My main concern is vitiligo, as mine is spreading.. :( Any advice on that? Thank you
Bakuchiol is used as a cure for vitiligo in Indian medicine (Ayurveda). Bakuchiol is also called Babchi in Hindi. I would suggest you look it up on the web and if possible get some advice from an expert. It cured my mom’s vitiligo.
Azeloglicyne is ok too ?
it may be promising but there isn't much evidence to support its use
@@marleta better is azelaic acid ?
leganza555 i dont know if AzA is better but its definetely more science-backed
Please, please improve the sound.
Does Emepelle really work on peri-menopausal skin?
Is it just me or is it difficult to hear Dr. Sam in this video??
another informercial
YAY FIRST
❤
Why can't you buy a proper microphone? 🤦🏻♀️
You're still watching, aren't you? Book an appointment with her, then you can hear her in top quality. But since you spend most of your time on this channel complaining, I suspect you can't. Nor can you probably afford any other dermatologist.
So shut up and stop complaining or watch 'experts' like Hyram. They have top audio.
@@huntsman145 Nope. Why don't YOU shut up and book an appointment with her and watch Hyram. Obviously you're the one who can't afford it because you're on here on YT.
*sigh* your packaging is so identical that I don't even know what the product you talked about in your last video was... I went on your website and you have two serums, your formulas look good but can you pretty please change your packaging pleeeeeeease I beg you, make it easier to differentiate between the various different products