Tri-luma– Its back!

FrecklesIts back on shelves!  Tri-luma, the turbo powered skin lightener is now available after a more than an 18 month disappearance.  There was no FDA recall or explanation from the company.  Nothing.   I discovered that compounding pharmacies could make it up for individual prescriptions, but that option  was just not widely  available.  Then,  without fanfare  or explanation,  Tri-luma  was back– and I’m delighted. 

 How Tri-luma Works

This prescription- only skin lightener  contains three active ingredients:

1.  Tretinoin ( aka Retin A) is famous for its ability to speed up cell growth and exfoliate darkened areas.

2. Hydroquinone which prevents melanin production and is considered one of the most effective  weapons in the  anti- hyperpigmentation tool  kit

3.  Mild corticosteroid to keep  things calm.  Both Retin A and  hydroquinone can be irritating.  Enter  a  mild steroid.  It allows the skin brighteners to do their job  while keeping the skin calm and comfortable

While Tri-luma can be used over the entire face, I needed it mainly  to lighten my dark under eye shadows.   Plain Retin A  is too irritating to be used on delicate under eye areas but mixed with a steroid it can  address  skin darkness without causing more  problems.

Tri-luma was one of the first anti-aging tools I used and I loved the way it lightened  my long standing  dark shadows.  However while plain RetinA can be used continuously for years, most  doctors recommend using  Tri-luma  only for three montha at a time.   The treatment period  should be followed by a three month  Tri-luma holiday and then the  product can be used again for another three months.  To keep it fresh and effective, pharmacists recommend keeping it in the refrigerator.

There is a whole buffet  of skin lighteners including kojic acid, arbutin and soy extract, but Tri-luma  is often the product of choice.   It represents the new thinking about  medical treatment.  Rather than a single  solution to a problem , researchers are looking at different targets  for treatment.  In the case of  hyperpigmentation,  some skin lighteners like retin A a can help the skin shed darkened skin cells while  while ingredients like hydroquinone  can break up existing  melanin.  Combining them in one product can be much more effective than used spearately.  Since Kojic acid seems to prevent melanin production, I would love to see a  product  that combines all four ingredients.  There are so many me-too  products, it would wonderful to see a formulation that uses all of the science  we  now have about treatmenting dark patches and spots.

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