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The following topical treatments can be used in combination to brighten this pigmentation both in the dermis and epidermis of the skin: Vitamin C Cosmelan Mesopeels Hydroquinone Tranexamic Acid Azelaic Acid Arbutin Tretinoin Kojic acid Glycolic acid peels Steroid creams Licorice extracts Niacinamide Lactic Acid Salicylic Acid Mandolin acid Retinoids SkinMedical Lytera Skin Brightening Complex Tri-Luma (Prescription of fluocinolone acetone 0.01%, Hydroquinone 4%, tretinoin 0.05%) Elure Advanced Brightening Night Cream and lotion (contains Ligninase) Coffeeberry Extracts of orchid, grape seed, Aloe vera , marine algae, or green tea Woman treated with Cosmelan 10 weeks Who is most susceptible to post-laser hyperpigmentation and PIH

Dispose of used needles in a proper sharps container

05 Storage mistake (left out overnight) Treat as compromised and discard

Reduced serum brain-derived neurotrophic factor in patients with first onset vitiligo

doi:10.1038/nm.3145 PMID 23563705