Novel Approach to the Treatment of Hyperpigmented Photodamaged Skin: 4% Hydroquinone/0.3% Retinol versus Tretinoin 0.05% Emollient Cream
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.
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Draelos et al. concluded that 0.3% retinol/4% hydroquinone treatment effect was better than 0.05% tretinoin in photodamaged skin treatment.
“The authors concluded 0.3% retinol/4% hydroquinone treatment effect was better than 0.05% tretinoin in photodamaged skin treatment.”
From Cosmeceuticals in photoaging: A review. (2024) · cites this paper as [59]
Cites
Molecular basis of sun-induced premature skin ageing and retinoid antagonism
Fisher, G. J., Datta, S. C., Talwar, H. S., Wang, Z.-Q., Varani, J., Kang, S., & Voorhees, J. J. (1996) · Nature · doi:10.1038/379335a0 · Cited by 1,410 · see citing works
Topical tretinoin for photoaged skin
Kligman, A. M., Grove, G. L., Hirose, R., & Leyden, J. J. (1986) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(86)70242-9 · Cited by 620 · see citing works
Vitamin A and retinoids in health and disease
Epstein, F. H., & Goodman, D. S. (1984) · New England Journal of Medicine · doi:10.1056/nejm198404193101605 · Cited by 553 · see citing works
Topical Tretinoin Improves Photoaged Skin
Weiss, J. (1988) · JAMA · doi:10.1001/jama.1988.03720040019020 · Cited by 490 · see citing works
Topical retinoic acid (tretinoin) for melasma in black patients. A vehicle-controlled clinical trial
Kimbrough-Green, C. K. (1994) · Archives of Dermatology · doi:10.1001/archderm.130.6.727 · Cited by 418 · see citing works
Kang, S., Duell, E. A., Fisher, G. J., Datta, S. C., Wang, Z.-Q., Reddy, A. P., Tavakkol, A., Yi, J. Y., Griffiths, C. E. M., Elder, J. T., et al. (1995) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12323445 · Cited by 330 · see citing works
Effects of Aging and Chronic Sun Exposure on Melanocytes in Human Skin
Gilchrest, B. A., Blog, F. B., & Szabo, G. (1979) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12581580 · Cited by 328 · see citing works
Topical Tretinoin for Treatment of Photodamaged Skin
Weinstein, G. D. (1991) · Archives of Dermatology · doi:10.1001/archderm.127.5.659 · Cited by 270 · see citing works
Topical Retinoic Acid Enhances the Repair of Ultraviolet Damaged Dermal Connective Tissue
Kligman, L. H., Duo, C. H., & Kligman, A. M. (1984) · Connective Tissue Research · doi:10.3109/03008208408992779 · Cited by 240 · see citing works
Topical Tretinoin for Treatment of Photodamaged Skin
Weinstein, G. D. (1991) · Archives of Dermatology · doi:10.1001/archderm.1991.01680040067005 · Cited by 188 · see citing works
Tretinoin emollient cream: A new therapy for photodamaged skin
Olsen, E. A., Katz, H. I., Levine, N. S., Shupack, J. L., Billys, M. M., Prawer, S., Gold, J. C., Stiller, M. J., Lufrano, L., & Thome, E. G. (1992) · Journal of the American Academy of Dermatology · doi:10.1016/0190-9622(92)70030-j · Cited by 176 · see citing works
Duell, E. A., Kang, S., & Voorhess, J. J. (1997) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12335788 · Cited by 101 · see citing works
Topical tretinoin in the treatment of aging skin
Weiss, J., Ellis, C. N., Headington, J. T., et al. (1988) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(88)70161-9 · Cited by 100 · see citing works
Treatment of Photoaged Skin With Topical Tretinoin Increases Epidermal-Dermal Anchoring Fibrils
Woodley, D. T. (1990) · JAMA · doi:10.1001/jama.263.22.3057 · Cited by 95 · see citing works
Griffiths, C. E. M., Goldfarb, M. T., Finkel, L. J., Roulia, V., Bonawitz, M., Hamilton, T. A., Ellis, C. N., & Voorhees, J. J. (1994) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(94)70011-7 · Cited by 92 · see citing works
Duell, E. A., Kang, S., Elder, J. T., Voorhees, J. J., & Derguini, F. (1996) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12329576 · Cited by 74 · see citing works
Fisher, G. J., Tavakkol, A., Griffiths, C. E. M., et al. (1992) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12495896 · Cited by 58 · see citing works
The Treatment of Photoaged Human Skin by Topical Tretinoin
Kligman, A. M. (1989) · Drugs · doi:10.2165/00003495-198938010-00001 · Cited by 36 · see citing works
Re-emergence of topical retinol in dermatology
Gans, L. A., & Kligman, E. (2000) · Journal of Dermatological Treatment · doi:10.1080/09546630050517685 · Cited by 16 · see citing works
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Retinoids in the treatment of skin aging: an overview of clinical efficacy and safety
Mukherjee, S., Date, A., Patravale, V., Korting, H. C., Roeder, A., & Weindl, G. (2006) · Clinical Interventions in Aging · doi:10.2147/ciia.2006.1.4.327 · Cited by 580 · see citing works
Topical tretinoin for treating photoaging: A systematic review of randomized controlled trials
Sitohang, I. B. S., Makes, W. I., Sandora, N., & Suryanegara, J. (2022) · International Journal of Women’s Dermatology · doi:10.1097/jw9.0000000000000003 · Cited by 32 · see citing works
Cosmeceuticals in photoaging: A review.
Chan, L. K. W., Lee, K. W. A., Lee, C. H., Lam, K. W. P., Lee, K. F. V., Wu, R., Wan, J., Shivananjappa, S., Sky, W. T. H., Choi, H., et al. (2024) · Skin Research and Technology · doi:10.1111/srt.13730 · Cited by 23 · see citing works
- Authors
- Draelos, Z. D.
- Affiliations
- Wake Forest University Health Sciences (US)
- Corresponding author
- Draelos, Zoe Diana
- ORCID
- Draelos, Zoe Diana
- Venue
- Dermatologic Surgery
- Published
- 2005-07
- Volume
- 31
- Issue
- s1
- Pages
- 799-805
- ISSN
- 1076-0512 (ISSN-L)
- OpenAlex
- W2018486250
- Cited by
- 22
- References
- 19
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 2 · 2020: 1 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 1
- FWCI
- 1.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dermatologic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Keywords
- photodamage, photoaging, hyperpigmentation, hydroquinone, retinol, all-trans retinoic acid, combination therapy, fine wrinkles, tactile roughness
- MeSH terms
- Administration, Topical, Adult, Dermatologic Agents, Double-Blind Method, Drug Combinations, Emollients, Female, Humans, Hydroquinones, Middle Aged, Tretinoin, Vitamin A, Skin Aging, Treatment Outcome, Hyperpigmentation
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