Novel approach to the treatment of hyperpigmented photodamaged skin: 4% hydroquinone/0.3% retinol versus tretinoin 0.05% emollient cream

Dermatol Surg. 2005 Jul;31(7 Pt 2):799-804. doi: 10.1111/j.1524-4725.2005.31723.

Abstract

Background: Mild to moderately photodamaged skin is characterized by dyspigmentation, fine wrinkles, and tactile roughness. An optimal approach to the topical treatment of photoaging would simultaneously address all appearance issues.

Objective: This study was undertaken to evaluate the effect of 4% hydroquinone and 0.3% retinol in photoaging.

Materials and methods: A 16-week study was designed to evaluate the efficacy and tolerance of a single cream containing prescription topical 4% hydroquinone for dyspigmentation and the cosmeceutical 0.3% retinol for fine wrinkles in an emollient vehicle for tactile roughness. This novel formulation was compared with 0.05% tretinoin emollient cream, the standard against which all other topical photoaging treatments are compared. Investigator assessments, subject assessments, and photography represented the evaluation end points.

Results: The cosmeceutical emollient 4% hydroquinone/0.3% retinol cream more effectively diminished the collective signs of photodamage than 0.05% tretinoin emollient cream in terms of dyspigmentation, fine wrinkles, and tactile roughness in 16 weeks.

Conclusion: Combination therapy of hydroquinone and retinol may improve photoaging-associated hyperpigmentation.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Adult
  • Dermatologic Agents / administration & dosage*
  • Double-Blind Method
  • Drug Combinations
  • Emollients / administration & dosage
  • Female
  • Humans
  • Hydroquinones / administration & dosage*
  • Hyperpigmentation / drug therapy*
  • Middle Aged
  • Skin Aging / drug effects
  • Treatment Outcome
  • Tretinoin / administration & dosage*
  • Vitamin A / administration & dosage*

Substances

  • Dermatologic Agents
  • Drug Combinations
  • Emollients
  • Hydroquinones
  • Vitamin A
  • Tretinoin
  • hydroquinone