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Fairest of Them All: The Snow White Fairytale

Writer's picture: Dr. Vera TehDr. Vera Teh

In a world where flawless, radiant skin is highly sought after, the beauty industry is constantly innovating to cater to this demand. Skin brightening agents have become a staple in skincare routines, promising to address concerns ranging from dark spots to uneven skin tone. Among the myriad of ingredients flooding the market, some stand out for their efficacy and safety, while others raise red flags due to potential dangers.


The appearance of the skin is a primary factor in social judgments, with even skin tone and luminosity being key indicators of attractiveness, health, and youth. Uneven skin tone can significantly age one's perceived appearance. Facial hyperpigmentation is a common concern, leading to numerous visits to aestheticians. It involves the overproduction of melanin by melanocytes in the epidermis, which is then distributed by keratinocytes in the upper layers of the skin. Factors influencing pigmentation include inflammation, UV radiation, genetics, skin injury, hormones, blood supply and more. Common types of hyperpigmentation include lentigines, melasma, and post-inflammatory hyperpigmentation. Preventive measures such as wearing sunscreen and avoiding excessive sun exposure from an early age can help mitigate these conditions.


Fair skin

(Freepik)



Popular Skin Lightening Agents in the Market


Skin lightening treatments have evolved over time, multiple topical agents have been used in the form of daily skincare routine as well as medical graded topicals to help improve pigmentation issues. However, many products still contain harmful substances like mercury and lead. The widespread availability of over-the-counter lightening agents can lead to misuse and adverse effects, as people may mistakenly believe these products are safe for unsupervised use.


→ Tretinoin


Tretinoin is a derivative of vitamin A and a potent retinoid widely used in skincare for its ability to promote cell turnover and exfoliation. By accelerating the shedding of pigmented cells, tretinoin helps to lighten hyperpigmentation and improve skin texture. Its efficacy is well-documented in the treatment of conditions like post-inflammatory hyperpigmentation (PIH) and melasma.


→ Hydroquinone


Hydroquinone is a powerful skin-lightening agent that works by inhibiting tyrosinase, the enzyme responsible for melanin production. It has long been considered the gold standard for treating hyperpigmentation, including melasma and dark spots.


→ Vitamin C


Vitamin C, or ascorbic acid, is a powerhouse antioxidant known for its ability to brighten skin and fade hyperpigmentation. It works by inhibiting the enzyme tyrosinase, which is crucial in the production of melanin, the pigment responsible for dark spots. Vitamin C is particularly effective when used consistently and is often combined with other antioxidants to enhance its skin-brightening effects.


→ Vitamin E


Vitamin E, also known as tocopherol, is a well-known antioxidant that protects the skin from UV damage and environmental stressors. While it is less effective on its own in lightening pigmentation, it plays a supportive role in skin health and enhances the efficacy of other ingredients like vitamin C. Vitamin E helps to moisturize and soothe the skin while providing antioxidant protection.


→ Cysteamine


Cysteamine is an emerging skin-lightening agent that works by inhibiting multiple steps in the melanogenesis pathway, including the activity of tyrosinase and peroxidase. It is effective in reducing hyperpigmentation and has shown results comparable to hydroquinone in some studies. Cysteamine is generally considered safe for long-term use with minimal systemic absorption.


Comparison of brightening agents in market

The Danger of Mercury


While many skin brightening agents offer promising results, there's a dark side to some products: mercury contamination. Mercury, a toxic heavy metal, has been found in certain skin lightening creams, posing serious health risks such as kidney damage, neurological issues, and skin damage. It's crucial to scrutinize product labels and avoid products containing mercury, especially those purchased from unauthorized sellers or dubious sources.


Read more on mercury containing products and its potential menace from this article.

insert link for “Mercury Mishaps: Navigating Skin Safe and Sound!




Introducing Cyspera: Harnessing the Power of Cysteamine


Amidst the sea of skin-brightening agents, one ingredient that has gained significant attention for its remarkable efficacy and safety profile is cysteamine. Cysteamine works by inhibiting tyrosinase and peroxidase, the two key enzymes involved in melanin biosynthesis, and enhances intracellular levels of GSH, effectively delaying melanogenesis (the synthesis of melanin). This makes cysteamine an exceptionally potent and safe option for long-term use.


One standout product harnessing the power of cysteamine is Cyspera. Cyspera is a highly effective topical cream specifically formulated to address all hyperpigmentation issues, especially melasma. Its unique formulation provides targeted pigmentation suppression, delivering impressive results without the unwanted side effects commonly associated with other skin-brightening agents. Cyspera represents a breakthrough in skincare, offering a safe, reliable, and powerful solution for achieving a brighter, more even complexion.


Cyspera


The Importance of Combining Topicals and Adjunct Therapies


For optimal skin brightening results, combining topicals like Cyspera with adjunct therapies such as Fotona StarWalker PQX and injectables such as polynucleotides and hydrators can be highly effective. Fotona StarWalker PQX focus on breaking down existing clumps of pigmentations. Polynucleotides such as Plinest and Rejuran are known for its antimelanogenesis properties, combined with hydrators like Profhilo, Volite, Revok50 and NCTF to strengthen the skin barrier, improve overall skin health, further improved the efficacy of pigmentation control. This multi-faceted approach ensures comprehensive treatment, addressing pigmentation at multiple levels and promoting a more even skin tone and radiant complexion.


Fotona StarWalker PICO PQX


Maximizing Results: Combining Hydroquinone and Cyspera for Intensive Pigmentation Control


Hydroquinone and Cyspera work through distinct yet complementary mechanisms to achieve optimal skin brightening results, especially during the intensive phase of treatment:


Hydroquinone inhibits melanin production by suppressing the activity of tyrosinase, the enzyme responsible for melanin synthesis. While it is highly effective and safe under professional guidance, monitoring its usage is crucial to avoid potential adverse effects.


Cyspera employs a multi-faceted approach to suppress pigmentation and prevent its recurrence:

  - Melanocyte Depletion: Cysteamine targets melanocytes, the cells responsible for producing melanin, and reduces their activity, leading to a significant decrease in pigmentation.

  - Antioxidant Activity: Cysteamine's antioxidant properties protect the skin from oxidative stress and environmental damage, both of which can contribute to hyperpigmentation.

  - Cell Turnover Stimulation: Cyspera promotes cell turnover, aiding in the removal of dead skin cells and revealing brighter, more even-toned skin underneath.


By combining Hydroquinone's potent melanin inhibition with Cyspera's comprehensive approach to pigmentation suppression and skin protection, this dual treatment strategy ensures more effective and sustained results. This combination is particularly beneficial during the intensive phase of treatment, providing a robust defense against hyperpigmentation and helping to achieve a more radiant and even complexion.


Ready to achieve your dream skin? Reach out to Dream Clinic today for a consultation and embark on your journey to luminous, radiant skin. Let's make those dreams a reality!


Dream Team


References

Atallah, C., Charcosset, C. and Greige-Gerges, H. (2020) ‘Challenges for cysteamine stabilization, quantification, and biological effects improvement’, Journal of Pharmaceutical Analysis, 10(6), pp. 499–516. doi:10.1016/j.jpha.2020.03.007.


Gulfan, Ma.C. et al. (2022) ‘Efficacy and safety of using noninsulated microneedle radiofrequency alone versus in combination with polynucleotides for the treatment of Melasma: A pilot study’, Dermatology and Therapy, 12(6), pp. 1325–1336. doi:10.1007/s13555-022-00728-8.


Nguyen, J. et al. (2020) ‘Evaluation of the efficacy of cysteamine cream compared to hydroquinone in the treatment of Melasma: A randomised, double‐blinded trial’, Australasian Journal of Dermatology, 62(1). doi:10.1111/ajd.13432.


Noh, T. et al. (2016) ‘Novel anti-melanogenesis properties of Polydeoxyribonucleotide, a popular wound healing booster’, International Journal of Molecular Sciences, 17(9), p. 1448. doi:10.3390/ijms17091448.


Sepaskhah, M. et al. (2022) ‘Comparison of the efficacy of cysteamine 5% cream and hydroquinone 4%/ascorbic acid 3% combination cream in the treatment of Epidermal Melasma’, Journal of Cosmetic Dermatology, 21(7), pp. 2871–2878. doi:10.1111/jocd.15048.

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