To Dr. Lal, the greatest game-changer is the Cyspera Intensive System (Buy It, $265, us.cyspera.com). It's aimed to cut back hyperpigmentation and even out skin tone, and it's secure for all skin tones and no more frustrating than hydroquinone, he says. The hero element in the three-step gadget is an amino acid by-product known as cysteamine, which helps to block a couple of steps that cause hyperpigmentation. It's safe to make use of anyplace on the frame, together with the neck, chest, abdomen, armpits, and knees (and face). "A lot of my postpartum and perimenopausal patients get melasma, and this can be a very effective treatment for them. Keep in mind that it's not safe for nursing mothers," says Dr. Kanchanapoomi Levin.
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