For me, it's got to be Bikini Bottom having a "No SpongeBob Day". Imagine being the nicest, sweetest person in town, and they still declare a holiday, solely just to hate you. Having your diary exposed is an honorable mention.
Looking to shed as many keys here as I can, make offers! I'm only interested in trading for the three games I listed in the title or paypal funds. Thanks!
April 2023 Choice Bundle
Death Stranding Director's Cut
Aliens: Fireteam Elite
Rollerdome
Life is Strange 2: Complete Season
The Life and Suffering of Sir Brante
Monster Prom 2: Monster Camp
Revita
Founders' Fortune
March 2023 Choice Bundle
Biomutant
Edge of Eternity
Hero's Hour
Rogue Lords
Demon Turf
Golden Light
Monster Crown
February 2023 Choice Bundle
PathFinder: Wrath of the Righetous
Thronebreaker: The Witcher Tales
Othercide
Shady Part of Me
Scourgebringer
Forbia - St. Dinfna Hotel
Five Dates
January 2023 Choice Bundle
Doom Eternal
Tribes of Midgard
Encased
Grow: Song of the Evertree
Conan Chop Chop
Hokko Life
The Serpent Rogue
December 2022 Choice Bundle
Wasterland 3
Greedfall
First Class Trouble
BackBone
Toem
Where the Water Tastes Like Wine
Blade Assault
Super Magbot
November 2022 Choice Bundle
Shadow Tactics: Aiko's Choice
Eldest Souls
Morbid: The Seven Acolytes
October 2022 Choice Bundle
The Dark Pictures Anthology: Little Hope
Maid of Sker
Epic Chef
Golf Gang
September 2022 Choice Bundle
The Dungeon of Naheulbeuk: The Amulet of Chaos
Crown Trick
Descenders
Industria
Shapez and Puzzle DLC
August 2022 Choice Bundle
In Sound Mind
Mind Scanners
Emily is Away <3
Omno
July 2022 Choice Bundle
Legion TD 2- Multiplayer Tower Defense
Legend of Keepers
Banners of ruin
Atom RPG Trudograd
June 2022 Choice Bundle
Call of the Sea
Game Dec
Siege Survival: Gloria Victis
I Am Fish
May 2022 Choice Bundle
Spongebob Squarepants: Battle for Bikini Bottom Rehydrated
Spellcaster University
Surviving the Aftermath
Genesis Noir
Embr
April 2022 Choice Bundle
Killsquad
Suzerain
Chicken Police
Naruto to Boruto
March 2022 Choice Bundle
Red Solstice 2: Survivors
Nebuchadnezzar
Police Stories
Evan's Remains
February 2022 Choice Bundle
Black Book
Per Aspera
Before We Leave
Paradise Lost
Everhood
Calico
January 2022 Choice Bundle
Rebel Cops
The Henry Stickmin Collection
Farmer's Dynasty
Between the Stars
Midnight Protocol
December 2021 Choice Bundle
Beyond The Wire
The Survivalists
Lacuna- A Sci-Fi Noir Adventure
8 Doors
Fling to the Finish
Tohu
November 2021 Choice Bundle
Due Process
Turnip Boy Commits TAx Evasion
SimpleRockets 2
Timelie
May 2021 Choice Bundle
Cook, Serve, Delicious! 3
Levelhead
Fury Unleashed
Size Matters
Morkredd
Relicta
Retimed
Family Man
Vane
March 2020 Choice Bundle
198X
Niffelheim
AI War 2
Etherborn
December 2019 Choice Bundle
Dark Future: Blood Red States
X-Morph: Defense
Aegis Defenders
Desert Child
Best of Boomer Shooters
Hellbound
Project Warlock
Stand with Ukraine Bundle
This War of Mine
Car Mechanic Simulator 2018
Monaco
Supraland
Ring of Pain
Popup Dungeon
Wandersong
Expeditions: Viking
Vagante
Brothers: A Tale of Two Sons
Pathway
Rustler
Drawful 2
112 Operator
911 Operator
Amnesia: The Dark Descent + Amnesia: A Machine for Pigs
SUPERHOT
Kingdom Two Crowns
West of Dead
Dear Esther: Landmark Edition
Driftland: The Magic Revival
Book of Demons
Fury Unleashed
X-Morph: Defense + European Assault, Survival of the Fittest, and Last Bastion DLC
Out of Reach: Treasure Royale
DV: Rings of Saturn
Pixplode[fixed][/fixed]
EarthX
Neverout
Say No! More
NecroWorm
Hexologic
Post Void
Moon Hunters
Lust from Beyond: M Edition
The Amazing American Circus
Roarr! Jurassic Edition
Corridor Z
Draw Slasher
Shing!
The USB Stick Found in the Grass
Go Home Dinosaurs
Dagon: by H. P. Lovecraft - The Eldritch Box DLC
We Are Alright
Going Under
Yoku's Island Express
Nex Machina
Soulblight
Treasure Hunter Simulator
Orbital Racer
Lust for Darkness
GameGuru
Broken Age
RPG Maker VX
Building a new home. Did the walkthrough with the electrician and asked about putting cameras outside. He followed up and said $4k. Didn’t tell me how many or what kind and wouldn’t get back to me. So I just asked the builder’s realtor (who had been brokering all communication) to have him run 4 CAT 6 cables, 3 under eaves and one near front door.
I just got a reply about it today and at the bottom it said “Camera (wiring only) $3,000”. I feel like this is an absurd cost but want to run it by my friends on here before I say anything dumb. Anyone know what this should cost? I’m guessing max 500ft of cable needed.
Thank you!
when i got down from the sky i ran around and skipped plenty of dialogue. I don't see how to activate the quest where robbie jumps into the chasm so lost where i stand only know thats its there due to online walkthrough. I have the paraglider and can get down to bottom but no sign of the search and i don't see adventure journal entry for it. It was supposed to activate after i got paraglider if not mistaken
We have no definitive answer on who (or what?) created the FF statues and messages in Cyberpunk/NC. Theres lots of speculation but we really cant guess our way into a correct answer as there doesnt seem to be enough information currently to figure it out. However, I dont think thats necessarily the case with the Witcher 3 plaques. (I'm going to assume anyone reading this knows about W3 plaques, wraiths, oroboros, etc.)
Some general info about the plaques (Though I've not been there myself, I have watched many walkthroughs) :
They didnt appear until a while after CP2077's launch and failure from the community to figure the puzzle out. We get to this clue via a magic gateway. The switches that bring us to this magic gateway are attached to broken walls with empty portal-like openings/doors.
The plaques themselves seem to be a combination of multiple things found in the Witcher 3. The oroboros symbol, the runic language, even the background in the pink area of the plaque is a flame thats used in some places.
The whole thing seems to be magic related for a lot of reasons. Aard magic is/was the only thing that can kill them without cheating. Wraiths are magical creatures. Also just to get here, we need to activate 3 switches to summon another magical creature: a golem. We get there via a magic teleportation portal and have to drop down to the basement to get to them. Aard magic is also the only way to leave.
Ciri seemingly knows that the world of Cyberpunk exists and discusses it in length in Witcher 3. Ciri is also known for her magic ability as well as having witcher training and is known as the "Lady of Space and Time". However, it seems strange that she would create such an elaborate trap for Geralt or trap in general to keep hidden this bit of secret knowledge.
Right before discussing the Cyberpunk world Ciri brings up Avallac'h, who "appeared out of nowhere" while she was traveling through "many worlds, many times" fleeing Eredin and his Red Riders. Like Ciri Avallac'h can travel through worlds, but it seems a bit strange he knew exactly when and where to find her. Avallac'h is also from another world. There is also a prophecy discussing him being key to the re-opening of interdimensional gates.
Other gateways to other worlds seem to exist, and most seem to be broken. But how, and why?
The Unseen Elder seems to be a victim of his worlds portal closing, trapping him in these lands, but expects the gate to be reopened in one-hundred to three-hundred years or so. In Geralts journal he writes down the following: "... to learn higher vampire society is organized in a strict hierarchy based on age: the older a vampire, the greater his say in their matters and the stricter the punishment for going against his will." Sounds a bit like Saburo Arasaka (giving a bit of weight to "corpos are all vampires). The Unseen Elder seems to have no other goal than returning to his own world.
The oroboros symbol is located on a doorway shape, though it appears bricked up. It seems likely either this is another portal, or hinting at a portal being of importance.
When they added access to the tower, they also strangely added a dead body at the bottom of the tower wearing some kind of ring but is otherwise non-interactable. Wraiths are said to be the spirits of those who died before setting their affairs in order. Is this man perhaps the one who started this all in motion, leading him to his death? Did he die near the tower and somehow activated/created the Witcher 3 tower secret/puzzle? (edit to finish this sentence that was left dangling)
Aside from the obvious "CDPR" answer, who or what created this entire system that seems to connect to CP/NC (or at least is a clue to the mystery)? Might it be the dead man at the bottom of the tower outside, with his strange wirey ring? Who is this man, why is he here now, and how did he die as there are no obvious reasons for death? Does his ring have importance, just as the JG rings are seemingly important in CP2077. Could Avallac'h have been involved somehow? Are the vampires somehow involved, as they seemingly came to the Witchers world via a portal as well? If Ciri is the "Lady of Time and Space" then that would mean that Ciri has the power to be a time traveler so perhaps a future Ciri set things into motion at the right time?
This whole entry is less about "solving" the mystery than it is to discuss the various Witcher 3 related mysteries surrounding the towers revealed secrets and the bunch of little things surrounding it and any NC connections. If you have any direct CP2077 connections (ones that arent already well known), feel free to throw them in too! Personally, I feel Avallac'h is a bit suspicious and might be directly related in some way (due to his broken prohpecy) but dont have much concrete evidence to push that as a legit hypothesis.
Did you know Spongebob is the best Bikini Bottom resident for a gang bang? With his numerous holes and absorbent body. His rectangular shape means he is able to accommodate at least eight burly men possibly more especially if they are petite. His yellowish color ensures that he won't be stained by dried jizz even after hours of pounding so there is no need to ever take a break to clean him off. Also, his happy demeanor and silly attitude guarantees that he will be both willing and delightfully reactive while getting stuffed from all sides.
Hey-Oh! So, I see some form of this question multiple times per day in various skin and personal care subs: How do I deal with my hyperpigmentation? I also asked myself this question a few years ago. See, I'm prone to freckles and a little melasma and I set out to figure out a way to solve it with years of research, trial and error, testing, talking to dermatologists and professionals, and scouring every medical article I could get my hands on. I wanted to share my findings and research since this is a common concern, especially among people in their 30s. This started as a small post about my routine and ballooned into a massive book about hyperpigmentation. I hope it's helpful!
DISCLAIMERS: - I use the term "brightening" instead of "lightening" which is a subtle distinction. None of the ingredients or methods I recommend bleach your skin as "lightening" would suggest, but they can reduce the appearance of hyperpigmentation. "Brightening" tends to be a confusing term in skincare, but for the purposes of this post, I use it as a descriptor for anything that helps prevent or reduce melanin in hyperpigmented skin.
- I will use the term "hyperpigmentation" ad nauseam as a catch-all term for excess pigmentation in the skin including freckles, melasma, PIH and dark spots. This does not encompass moles which are different. This is also different from redness, which is a whole other post.
- Speaking about hyperpigmentation requires some sensitivity to very real issues around it including cultural implications. This post is not intended to moralize hyperpigmentation nor is it intended to alienate the normal melaninization of skin across various tones. Hyperpigmentation refers to excess melanin production on the skin in the form of spots that are darker than the surrounding skin. It's not bad or wrong, nor does it speak to anyone not "doing a good enough job" of taking care of themselves.
- I do repeat myself a few times in here but that is for people who are skipping around the article. I want to be as thorough as possible even if you're jumping to the parts of the post you need.
- I do run an online dermatology practice and skin care consultancy, but in order to protect the integrity of my advice, I do not promote my business, I don't give direct medical advice, I don't link to any products/websites, and I don't have any products I've formulated myself to promote.
This is going to get long because I wanted to cover everything re:hyperpigmentation. But for your reading pleasure and ease, I have divided this post up so you can get whatever information you need:
Table of Contents - Types of Hyperpigmentation
- What Causes Hyperpigmentation?
- How To Treat Hyperpigmentation Part 1: The Ingredients
- How to Treat Hyperpigmentation Part 2: The Routine and Recommendations
- Body Hyperpigmentation
- Nuclear Options
Let's get to it!
Types of Hyperpigmentation
Hyperpigmentation refers to excess melanin production in the skin, but it can actually take a couple different forms. Knowing the type of hyperpigmentation you're experiencing is key to understanding if and how it can be treated.
Freckles: Freckles are incredibly common, especially for people with lighter skin tones. They are small, brown or reddish-brown dots often clustered on the skin. They develop on the surface and are not raised bumps. Freckles can appear anywhere on the body but are common on the face. Freckles are permanent, but the color, contrast and severity can vary and be tempered.
Melasma: Melasma appears as dark patches or splotches around the face, though usually found on the forehead, upper lip, and high on the cheeks. Melasma forms deeper in the skin and appears more amorphous than freckles, moles, or age spots. It can create a “muddy” appearance and is very common among pregnant and postpartum women due to hormonal factors. But it can literally happen to anyone and anywhere on the body.
Post-Inflammatory Hyperpigmentation (PIH): Post-inflammatory hyperpigmentation (PIH) occurs when damaged skin forms melanin during the healing process leaving dark spots. This is common after acne, injuries, eczema, burns, and other trauma to the skin. Exposure to UV rays during healing can make PIH worse. Post-inflammatory erythema (PIE) is similar, but leaves pink or red marks on the skin as a result of damage to the capillaries from injury or inflammation. Basically, when skin is compromised by injury, as part of the immune response cells will begin to generate melanin in an attempt to prevent further damage from UV exposure, so what will happen is the wound/legion/blemish will heal but the pigmented skin remains.
Age Spots: This is kind of a forgotten form of hyperpigmentation. Sun spots, also referred to as liver spots, and solar lentigines are large spots/patches of dark skin with distinct borders. They vary in color from light brown to almost black. They develop on the surface of the skin usually later in life, but reflect damage that often occurred from improper sun protection at a younger age. They can appear on the face, neck, chest, hands, and arms, usually on areas that had UV exposure. For many people, they can begin to appear in your 30s or 40s.
What Causes Hyperpigmentation?
There are a number of factors that can contribute to the formation of hyperpigmentation. Generally, it forms as the result of a combination of genetic and environmental influences. Everyone is unique, but these are some of the most common causes of hyperpigmentation and dark spots:
Genetics can play a role in the development of hyperpigmentation and dark spots in several ways:
- Melanin production: Melanin is the pigment that provides color to our skin, hair, and eyes. The amount of melanin produced and distributed in the skin is largely determined by genetics. People with a greater genetic predisposition to melanin production in their skin are more likely to experience hyperpigmentation and dark spots as a result of sun exposure, hormonal changes, and other factors. People with darker skin are also more prone to melanin production in the form of hyperpigmentation.
- Genetic anomalies: Certain genetic anomalies, such as oculocutaneous albinism, can affect melanin production and distribution in the skin, leading to an increased risk of hyperpigmentation and dark spots.
- Family history: If you have a family history of hyperpigmentation or dark spots, you may be more likely to develop these conditions yourself.
- Enzymes and genes: The enzymes that control melanin production and distribution are regulated by specific genes. Variations in these genes can impact melanin production, leading to an increased risk of hyperpigmentation and dark spots.
Sun (UV) Exposure. In addition to genetic determination of melanin production, UV exposure is the leading environmental cause of hyperpigmentation and the formation of dark spots. Melanin is the pigment that provides color to our skin, hair, and eyes. It acts as a natural sunscreen (but don't treat it like natural sunscreen!!! This isn't the point of the exercise), absorbing UV radiation to protect the skin from damage.
When the skin is exposed to UV radiation, the melanocytes (cells that produce melanin) in the skin go into overdrive, producing more melanin to protect the skin from further damage. This increased melanin production can result in dark spots or areas of hyperpigmentation on the skin.
Hormones. In addition to genetic determination of melanin production, hormones and hormonal sensitivity is a leading internal cause of hyperpigmentation and the formation of dark spots.
One of the most well-known examples of hormonal hyperpigmentation is melasma, a condition characterized by dark, amorphous patches on the face, particularly on the cheeks, forehead, nose, and upper lip. Melasma is often associated with hormonal changes, such as those that occur during pregnancy, hormonal therapy, or birth control pill use. The hormonal changes can stimulate an increase in melanin production, resulting in dark spots or areas of hyperpigmentation. This can happen irrespective of UV exposure, though the sun does exacerbate it.
Hormones can also affect melanin production by altering the skin's metabolism and pigmentation pathways. For example, high levels of cortisol, a hormone produced by the adrenal glands during stress, can trigger an increase in melanin production, resulting in hyperpigmentation.
Inflammation, Injury & Trauma to the skin can result in hyperpigmentation by triggering an increase in melanin production. When the skin is inflamed or injured, it triggers a response from the body's immune system, which can stimulate an increase in melanin production as a protective measure.
For example, acne breakouts or other skin injuries can result in post-inflammatory hyperpigmentation (PIH), which is characterized by dark spots or areas of discoloration on the skin. The dark spots are a result of an increase in melanin production in the affected area, which occurs in response to the inflammation or injury. In addition to acne and other skin injuries, other conditions that can result in PIH include eczema, psoriasis, and insect bites.
Medication Side Effects. Certain medications can cause hyperpigmentation on the skin. Medications that can cause hyperpigmentation include:
- Tetracycline antibiotics: Tetracycline antibiotics, such as doxycycline and minocycline, can cause discoloration of the skin and teeth when taken in high doses or for an extended period of time.
- Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs, such as ibuprofen and naproxen, can cause hyperpigmentation in some individuals, especially if taken in high doses or for an extended period of time.
- Chemotherapy drugs: Certain chemotherapy drugs, such as doxorubicin and daunorubicin, can cause hyperpigmentation, especially in areas of the skin that have been exposed to the sun.
- Hormonal medications: Hormonal medications, such as birth control pills and estrogen replacements, can cause hyperpigmentation in some individuals, especially if they are taken for an extended period of time.
- Antimalarial drugs: Antimalarial drugs, such as chloroquine and hydroxychloroquine, can cause hyperpigmentation in some individuals, especially if taken in high doses or for an extended period of time.
- Isotretinoin aka accutane when taken for acne can cause hyperpigmentation due to the increase of cell turnover and exposing delicate new skin cells to UV rays before they have shored up.
If using these medications is necessary for your livelihood, it is not recommended to stop their use without the recommendation of your doctor.
How To Treat Hyperpigmentation Part 1: The Ingredients
When looking for skin care products to treat and prevent hyperpigmentation and dark spots, it's important to look for ingredients that can help encourage cell turnover, curb melanin production, and block harmful UV rays. A lot of these things overlap with treatments for other conditions like acne and general anti-aging, but I've noted ones that specifically work on the mechanisms controlling melanin production. Now, this is an extensive list, but I know it doesn't have everything. I've included the ingredients that had the most compelling evidence and/or worked the best for me or people at my practice. But it's also not necessarily a shopping list. You don't have to have all of these things to treat hyperpigmentation, but I'll get to that in the routine portion. This is more to be used as a tool that can help you diversify your routine if you find one ingredient or another doesn't work for you. And it can help you determine if a product targets hyperpigmentation based on its ingredients. There's lot's of options. Some of the key ingredients to look for include:
Retinoids that increases cell turnover. Retinoids like tretinoin, adapalene, retinol et al, can help treat hyperpigmentation by promoting the turnover of skin cells and increasing cell growth, which can help fade dark spots and improve overall skin tone by replacing pigmented skin cells at the surface. While retinoids are extremely effective, they do have some caveats. First, they can be sensitizing to a lot of users, but this can be tempered by using different form functions, different application methods, or different concentrations. Second, because it's constantly turning over skin exposing delicate new skin cells to the elements, it can actually worsen hyperpigmentation if you're not vigilant about sun protection and avoidance. Tretinoin and other retinoids are firewalled behind a prescription in some countries and may be more difficult to obtain. But retinol/al is available in OTC forms.
SPF represents a class of many ingredients designed to protect the skin from UV rays and the damage that occurs from exposure. UV exposure is one of the biggest causes of fine hyperpigmentation and wrinkles so adequate protection is essential. I know I'm not winning any science awards for this declaration, but a lot of people who struggle with hyperpigmentation aren't adequately protecting themselves from the sun. But you also have to be kind of realistic. Even with perfect protection and avoidance, sometimes your hyperpigmentation will still flare. This happens during the summer for a lot of people and something even I grapple with. The key is to do your best and SPF actually works well with numerous other ingredients (like the ones listed below) to help solve that problem.
Arbutin is a Tyrosinase Inhibitor that blocks melanin production. Arbutin, or the synthesized version called alpha arbutin, is a favorite brightening ingredient because it's a slow-release derivative of hydroquinone that inhibits melanin production. This results in both healing and prevention of dark spots, especially when paired with topical acids. It metabolizes on the skin into hydroquinone which is super effective for hyperpigmentation while being a less controversial and hard-to-come-by ingredient than pure hydroquinone. More on hydroquinone in part 6.
Tranexamic acid is another Tyrosinase Inhibitor. This was first used in wound care and it was found to have profound effects on hyperpigmentation. Although it's an acid, it's not a chemical exfoliant, kinda like how hyaluronic acid is not a chemical exfoliant. The exact mechanism by which tranexamic acid works to reduce hyperpigmentation is not fully understood, but it is believed to work by reducing inflammation by blocking plasmin which contributes to melanin production when unchecked. It is particularly effective in treating melasma and one of my personal favorite ingredients.
Kojic Acid is
another Tyrosinase Inhibitor. Kojic acid is a natural skin brightener that is derived from various fungi. Kojic acid can also help to exfoliate because it's a slight chemical exfoliant, which can remove dead skin cells that contribute to hyperpigmentation and improve overall appearance. But it does both things: block melanin production and turn skin cells over.
Azelaic Acid has a lot of things going for it that can help with hyperpigmentation. It's an anti-inflammatory and antiseptic that disrupts melanin production. Azelaic acid works by inhibiting the production of melanin in the skin like those other tyrosinase inhibitors. In addition, azelaic acid also has anti-inflammatory and antibacterial properties, which help to improve the overall health and appearance of the skin by reducing melanin production as a result of injury or inflammation. It's also an anti-acne ingredient that can address the root cause of PIH by reducing acne on the skin. It's pretty awesome and available in OTC and prescription strengths.
Niacinamide is another one that directly and indirectly addresses hyperpigmentation. It's a skin soother that decreases inflammation and it naturally reduces sebum production which can curb acne which can curb PIH. It actually took me a little while to figure out that this was another solid hyperpigmentation treatment for these reasons because I used to look at it as being more of an acne treatment. Niacinamide is a form of vitamin B3 that works by inhibiting the transfer of pigment within the skin, which can help to reduce the appearance of dark spots and uneven skin tone. So while it doesn't block tyrosinase, it prevents transfer of pigmented skin cells to the surface.
Vitamin C aka L-ascorbic acid is an antioxidant that fights free radical damage. It treats and prevents hyperpigmentation in three ways. First, it reduces free radical damage from UV exposure which helps increase the effectiveness of SPF when worn together. Second, it is also a tyrosinase inhibitor that blocks melanin production. And finally, vitamin C encourages skin cell turnover. The key is finding a nice stable version of it.
Glycolic and Lactic Acid. Since this list is getting long I am going to group these together. Glycolic Acid is a water-soluble alpha hydroxy acid that penetrates into the pores to treat pigmentation by providing general exfoliation and resurfacing of the skin. The result is improvements in dark spots, texture and other signs of aging. Lactic Acid is also an AHA but with a slightly larger molecular size than glycolic acid so it doesn't penetrate as deep and acts more as a surface exfoliant. As a result it provides more gentle exfoliation to buff away surface pigmentation with an added benefit of acting as a humectant to seal moisture into the skin.
Licorice Extract is a plant extract that inhibits melanin production. Licorice root extract contains a compound called glabridin, which has been shown to have skin brightening effects as, you guessed it, a tyrosinase inhibitor. In addition, licorice root extract also has anti-inflammatory properties, which can help to reduce redness and inflammation associated with hyperpigmentation. I'm seeing more and more of this pop up in skin care.
Soy Proteins are another plant extract that inhibits melanin production. They contain compounds known as isoflavones, which have been shown to help reduce the amount of melanin produced by melanocytes in the skin. Additionally, soy proteins have antioxidant properties that can help to protect the skin from damage caused by free radicals, which can contribute to hyperpigmentation.
How To Treat Hyperpigmentation Part 2: The Routine and Recommendations
This is adapted from numerous comments, posts and DMs I've written on the topic and also comprises a large portion of my own personal routine and routines we recommend to patients. This is a generalist routine meaning it targets all the forms of hyperpigmentation I've mentioned; freckles, melasma, PIH, and age spots though it can be tweaked to address these individually more specifically. This is really my jumping off point for people to get a good idea of what they can achieve as a baseline with OTC ingredients before fine tuning or enlisting the help of a dermatologist. For a lot of people, this is enough to fully resolve, but even if it gets you part of the way there, this should give you a good idea of reactivity.
A few caveats:
- Freckles cannot ever be 100% eradicated. You can however reduce their appearance and prevent them from getting darker. It's important to have realistic goals and understand that sometimes our genetics will overrule any routine we have.
- This routine and any hyperpigmentation routine will not address moles. Moles are a totally different thing that can only be eradicated through removal by a medical practitioner. Moles can be raised or not, but no amount of topicals will get rid of them.
- Melasma is a beast. Sometimes it can be treated with OTC topicals, sometimes it requires prescription strength topicals like hydroquinone, sometimes you need in-office procedures like fractal lasers or IPL. Again, this routine is a jumping off point to see what you can accomplish at home before going down that road (and more on that at the bottom in part 6).
- You'll notice I don't mention products with all the ingredients I listed above. This is because the more you put on your face, the greater your risk of causing irritation. Again, you can adjust and tweak by switching out products with these ingredients or add/subtract as it suits your personal needs.
- If you're struggling with hyperpigmentation while pregnant or breastfeeding, these recommendations may need to be paused.
Alright, let's get to it!
AM routine -- The Goal: Heal, Protect, and Prevent. In order of application following a lukewarm water rinse: - Azelaic acid
- Alpha Arbutin
- Vitamin C serum
- Moisturizer
- SPF
The combo of C+AZ+AA+SPF is an absolute powerhouse for healing existing hyperpigmentation and preventing new hyperpigmentation from forming. It makes your SPF more effective, it inhibits the production of melanin from UV exposure (not your natural melanin production though), and it speeds cell turnover with dual antioxidant action and gentle chemical exfoliation. The result is brighter skin in a few months of consistent use.
For Azelaic Acid, this is the ingredient for serious treatment. It's considered one of the most effective ways to reverse melasma aka serious hyperpigmentation short of hydroquinone -- which is both controversial and hard to get. It brings a little bit of exfoliation to the table in addition to inhibiting UV melanin production, but it also has a slight antiseptic property which can help with acne. Paula's choice Azelaic Acid Booster is the only one I've really tried after sampling the Ordinary's in-store and not liking the texture. I get about 6 months out of a tube and a little bit goes a long way.
For Alpha Arbutin, the Ordinary's formulation is pretty solid. I prefer the Ordinary's AA 2% + HA as opposed to their AA 2% + Ascorbic Acid 8% as I don't believe the quality and stability of their Ascorbic Acid (Vitamin C) is great. That's why I opt for a separate Vitamin C serum step. But the AA + HA also has a little bit of lactic acid in it which provides some gentle exfoliation and encourages AA deeper into the skin where it's more effective. Lactic acid is mild enough that it's safe for use in a morning routine, but you still want to protect with SPF. There are a couple AA products floating around but I think TO's product is probably the best, most straightforward one. Alpha Arbutin metabolizes into hydroquinone on the skin so is basically one of the best OTC pigment correctors you can get.
For Vitamin C, the gold standard really is Skinceuticals CE Ferulic. This is stupid expensive though so I’m going to suggest Timeless Vitamin C. I like that it comes in an airless pump that prevents oxidation over time. Vitamin C is an antioxidant that increases the rate of skin cell turnover bringing forward new, skin cells while simultaneously improving the effects of SPF. It's a great foundation for a fix.
These ingredients can be layered on one right after the other then topped with your
moisturizer (I like a basic one like cetaphil daily lotion), then topped with your
SPF. The SPF I would recommend is Canmake UV mermaid gel in clear as this will not leave a white cast on your skin and it’s generally a very elegant SPF. It's SPF 50 which means it gives really good protection, but there are numerous SPFs you can try. I personally like anything from La Roche Posay, any Neutrogena SPF that's not formulated with ethylhexylglycerin, Supergoop Unseen Sunscreen, Biore Aqua Rich (another Japanese brand), Trader Joe's SPF if you can get your hands on it, and EltaMD.
Of all the products I’ve tried that could act as a stand-in for vitamin c, azelaic acid, and alpha arbutin, there’s one Japanese serum from Hada Labo called “whitening lotion” which has had the biggest impact on my hyperpigmentation in a single product of anything I’ve tried. This might be a little too effective though, I actually find that it washed me out within the first 2 weeks of twice daily use, so now I only use it in the morning. And I’m not a fan of the translation… which is a direct but mistranslation. It’s not a bleaching lotion, it also relies on a form of vitamin C and tranexamic acid to brighten skin. But it's a really interesting to try if you wanted a simplified morning routine in which case I would apply this, then your moisturizer, then your SPF.
PM routine -- The Goal: Renew and Reveal. In order of application: - Cleanse
- Buffer
- Tranexamic acid and exfoliant OR retinoid**
- Moisturize
To cleanse, I have a really basic recommendation that will remove your SPF, makeup, and any grime/sebum from your day. Start with Cetaphil gentle cleanser. This is a gentle, hydrating cleanser that will break up your SPF really effectively. Massage in and rinse. Then apply a foaming cleanser, I recommend Cetaphil daily cleanser which foams. This will sweep away anything that’s left and give you a good foundation for the rest of your routine. While this doesn't directly help hyperpigmentation specifically, it's a critical step especially for people who are acne>PIH prone. It also gives you a nice clean slate to apply the rest of your skincare. I've tried dozens of cleansers but always come back to these two as good basic options.
For your Buffer this is an important step that can be done prior to using a chemical exfoliant or retinoid: applying an occlusive that will block the active from more sensitive skin. I recommend buffering around your eyes and nostrils with La Roche Posay Cicaplast balm because it kind of doubles as a nice eye cream, but this can also be done with basic vaseline or aquaphor for a more budget-friendly option.
For Tranexamic Acid, my holy grail TXA product, La Roche Posay Glycolic B5 is actually a multipurpose serum that combines ingredients to treat hyperpigmentation with chemical exfoliants. It contains two hyperpigmentation heavy hitters -- Tranexamic acid and Kojic Acid which are great for melasma -- and two exfoliants -- Glycolic Acid and Lipo-Hydroxy Acid (LHA) which is like fancy salicylic acid -- so it both reveals new skin cells that are less prone to pigmenting from UV exposure while sloughing away your old skin cells. You can use this 2 or 3 nights per week. On off nights, just cleanse and moisturize.
For a Retinoid if you can get prescription tretinoin, this is going to be the best bet. Your doctor will advise you on the concentration. More on that in part 6. It will help speed up the rate of cell turnover bringing new, unpigmented skin cells to the surface faster. Some other OTC options include differin (which is rated more for acne but uses the same mechanism for cell turnover so it's also effective in this use case) and retinols. Now, I haven't tried every retinol on the market but I have two that I stand by: SkinCeuticals retinol and L'Oreal retinol serum. The SkinCeuticals is, in my opinion, the closest to RX tretinoin in terms of efficacy, but it's a little pricey. The L'Oreal also does a really good job and is a little more affordable. It's currently my go-to OTC on the days I'm not using my RX retinoid tazarotene. You can use this 2 or 3 nights per week. On off nights, just cleanse and moisturize.
** My recommendations for tranexamic acid and retinoids CANNOT be used in the same night. You'll nuke your skin. And for most people, both aren't necessary, you can get away with using one or the other. If I had a preference, I would say use the TXA serum instead of a retinoid, but if you can build up a tolerance to using them both without damaging your barrier, they work really well together. So, proceed with caution. If you want to use both, use them on alternate nights and give yourself a night or two without either to let your skin recover. For me personally, I do retinoids on Sundays, and Wednesdays, chemical exfoliants on Mondays and Thursdays, and I let my skin rest (cleanse, moisturize, squalene oil) on Tuesdays, Fridays, and Saturdays.
On top of whichever active you choose, apply your moisturizer. You can use the same one you use in your morning routine, the Cetaphil daily lotion as it’s nice and light. I also like La Roche Posay Toleraine double repair for a ceramide-based cream alternative if you want something richer. You do not want to "slug" over actives. This advice gets mixed in a lot. Slugging refers to applying an occlusive layer over your skincare such as vaseline, aquaphor, oils like squalene oil, or healing balms like La Roche Posay Cicaplast balm. While this can be done on hydration nights, it should not be done on nights when you're using chemical exfoliants or retinoids as this may make them too effective causing irritation and breakouts.
Body Hyperpigmentation
Ok, I need everyone to be a grownup for two seconds. These products and methods (both from the prior section and this section) should NOT be used on your genitals. First, you can cause serious irritation or infection by applying active skincare to your genitals. Second, it's really not going to do anything to change the pigmentation of the skin there. The skin on your genitals is different than your body and facial skin and it pigments in different ways for different reasons so it's not going to respond to topicals the same way the rest of your body does. Don't even try it.
To be perfectly clear, these are the areas you should not be applying skincare: labia majora, labia minora, vaginal entrance or vagina, clitoral hood, perineum, anus, intergluteal cleft aka inside your butt crack, penis, or scrotum. And I say this as someone who chaffed the precipice of her "intergluteal cleft" in an unfortunate crunches-in-the-wrong-gym-shorts accident leaving me with some deeply incriminating hyperpigmentation and earning me the nickname "skid mark" from my ever loving boyfriend. It faded after a year but you can still send prayers.
These are areas you can apply skincare but do so with absolute caution and at your own risk: bikini line, mons pubis, inner thigh up to the groin fold, butt cheeks.
Ok, now that we've got the disclaimers out of the way, let's move forward. Hyperpigmentation can also occur on body skin for the same reason it appears on the face, but it can also be triggered by friction. And because body skin is different from facial skin, it requires a slightly different approach. This is my recommendation for both hyperpigmentation and KP (Keratosis pilaris) because they rely on the same mechanism for treatment: chemical exfoliation.
In the case of body hyperpigmentation, I recommend a two prong approach: a body wash in the shower and a topical treatment to be used after. Oh, and SPF again if there are areas that are exposed to the sun, and I have a holy grail SPF recommendation for this.
Now you may have noticed in my facial skin recommendation that I did not mention CeraVe as a treatment brand. I have posted numerous takedowns of CeraVe on other threads so I won't rehash them here suffice it to say that it's no longer a brand I can in good faith recommend since it's acquisition by L'Oreal. This is often the brand that's considered when treating KP on the body, but I don't believe their formulations and ingredient quality works for everyone.
For the body wash, I recommend Neutrogena body clear with Salicylic acid. This is an exfoliating body wash that will help clear away dead skin cells on the surface allowing new ones to come through. To be effective, you want it to sit on your skin for a little while. I recommend lathering it up and applying it after turning off your shower faucet and letting it sit for 2 or 3 minutes. This is when I like to knock out shower emails. Then rinse away.
On towel dried skin after your shower, apply AmLactin Bumps Be Gone. Again, this is formulated for KP but the reason I like it is because it contains lactic acid which will also give the assist on brightening hyperpigmented body skin. The wash and this should be effective, but you might also want to mix in a few drops of the alpha arbutin serum I recommended for your facial routine, maybe three drops per application area (each leg, each arm, chest, etc). I generally don't encourage facial products on the body because it's not an economical use for them, and also because body skin is a little more resilient and doesn't need skincare that's formulated for more sensitive facial skin. The AA serum from the Ordinary is very affordable however and is a good hyperpigmentation generalist.
Another one that I mentioned in the facial hyperpigmentation portion that can work well on the body is the Hada Labo whitening lotion. Again, this is formulated around tranexamic acid which is very effective for hyperpigmentation and a little bit if this stuff goes a long way. I buy it in bulk from Japanese Importers though it's also available on Amazon for a slightly higher price. If you find yourself in Asia, stock up on it. I use this specifically for fading tan lines that happen (even with diligent/neurotic SPF use) around my fitness watch and the straps of my workout tops that I run in.
You also want to wear SPF on areas that are exposed to the sun to prevent pigmentation from occurring. The one I absolutely love that’s not your 90’s banana boat is Aveeno Protect + Hydrate lotion with SPF 60. This is a great SPF for a lot of reasons: it finishes like a lotion instead of a sunscreen, it dries down totally clear, and it has a pleasant, slight sweet scent. On a scale of 1-10 with 1 being bare skin, 10 being banana boat slathered on by your mom in 1997, and regular body lotion being a 2, I give Aveeno Protect + Hydrate a 2.5 in terms of texture and feel-finish. I use it as my daily lotion on my neck, arms, shoulders, and chest. If you're more active you might need a heavier hitter here like a sport sunscreen.
Nuclear Options
In general, I recommend trying OTC topical solutions for any skin concern before heading down the in-office procedure route. Part of this is because you can usually put a good dent in what you're struggling with by using OTC topicals, making in-office procedures and RX treatments easier and more effective. Part of it is so you have a good maintenance routine in place to use after the fact to preserve the results of your in-office procedure which can sometimes be costly. Lastly, while some procedures can solve the immediate problem completely, topical skincare can be really effective at treating other adjacent conditions like redness, acne, and fine lines.
Side note: I haven't listed every possible compounded medication because there are a lot, and many compounded meds are formulated to tackle multiple issues like acne and hyperpigmentation. I also tend to favor single note skin care (aka, products with very few ingredients) as this allows you to combine or remove certain actives and gives you a better sense of reactivity.
For tougher-to-treat hyperpigmentation such as melasma, if your topical routine doesn't totally clear the problem in 6 to 8 months, a visit to the dermatologist might be helpful. Here are the heavier-hitting procedures and topicals that can go the extra mile after you've exhausted other options.
Medical Grade Peels: Medical grade chemical peels can be done by dermatologists. Trichloroacetic acid (TCA) or phenol peels may be done for cases of severe hyperpigmentation, but high concentration BHA or AHA peels are also commonly used. I do these twice a year. Because of the strength of the acids used, these must be done by a medical professional with careful followup.
***IPL Therapy and Laser Therapy may not work for everyone and in some cases may exacerbate hyperpigmentation so you really want to work with dermatologists with a lot of experience in treating cases similar to yours to determine if these interventions are appropriate for you.
IPL Treatment: Intense Pulsed Light (IPL) therapy can treat hyperpigmentation by targeting the melanin in the skin with a broad spectrum of light wavelengths, heating and breaking the melanin down. IPL is particularly effective for treating sun damage and age spots, as well as other forms of hyperpigmentation. The treatment is relatively non-invasive, with minimal downtime, making it a popular option. This is also a great treatment for the redness associated with enlarged blood vessels (often confused for broken capillaries) on the surface of the skin which can also appear alongside hyperpigmentation. There isn't any clinical evidence to support at-home IPL devices being effective in the same way. That doesn't mean it's not possible, it's just not studied enough to be certain. Most at-home IPL devices do not operate in effective wavelengths the way professional grade ones do.
Laser Therapy: Fractional and CO2 lasers can be used to treat a range of hyperpigmentation issues, including sun damage, age spots, and melasma. The treatment works by removing the top layers of skin, which contain the excess pigmentation, revealing fresh, healthy skin cells underneath. The lasers also stimulate the production of collagen, which helps to improve skin texture and reduce the appearance of fine lines and wrinkles.
Hydroquinone: This isn't an in-office procedure like the aforementioned treatments, but it is firewalled behind a prescription meaning you can only access hydroquinone in effective concentrations by working with a doctor. This is a somewhat new development at least in the US following some covid-era rejiggering of prescription clearances. HDQ is controversial because it's a skin bleaching agent which has some cultural implications in places where light skin is favored over natural pigmentation. HDQ technically works the same way other OTC tyrosinase inhibitors do (in fact arbutin actually metabolizes into HDQ when applied to the skin), pure HDQ happens to be the most powerful version of them. It lightens any skin it touches, not just hyperpigmented skin in higher concentrations which can make it tough to use. This effect isn't as profound in the other tyrosinase inhibitors I mentioned making them much easier to use over HDQ which, in high concentrations, must be dotted on the skin in only hyperpigmented areas. So HDQ is really reserved for intervention in extreme or OTC treatment-resistance cases.
Tretinoin and Prescription Retinoids: This is going to be dependent on what part of the world you're in, but in a lot of countries, tretinoin and its counterparts like tazarotene are only available through prescription. I mentioned retinoids in the routine so if you're able to get your hands on a prescription from a doctor, it may be more effective than OTC retinols. Most doctors will prescribe a retinoid over hydroquinone, so this is usually easier to procure and can be quite effective on its own as a hyperpigmentation treatment. OTC differin is the only retinoid available over-the-counter (in the US) which can also be used for hyperpigmentation.
Prescription Azelaic Acid: This is another one that's available in lower concentrations over-the-counter (which can still be quite effective) but there are prescription strength grades of azelaic acid. This is usually reserved for rosacea treatment as it tends to target redness and flushing, or as an acne treatment because of its antiseptic properties, but it can also be an effective hyperpigmentation treatment for its tyrosinase-inhibiting ability.
If you made it this far, congratulations! I hope this information is helpful. While it is extensive and based on massive amount of research, experience, experimentation and work with professionals, it may not be perfect and it may not be suitable for everyone. Feel free to offer any constructive criticism or ask any questions in comments. I am always open to expanding my understanding. Okay, so, not getting into a debate on the subject itself (Lamarckian/Darwinian/intelligent-design/aliens with a test tube, which ones are 'good', if any, and to what extent and which are bad,etc.,etc.,etc..) but, something has been bugging this user for a long, long time now and just now remembered the issue:
Some fifteen-to-twenty years ago, this user was in a public library out past downtown, near the boonies, and was looking at some books outside the children's room in the general area, and on the bottom shelf was a book that jumped out at this user on the early history of Man.
It was a PICTURE-filled book, not small, not gigantic, fairly square and medium-to-medium-large in size.
Cannot recall the title nor author to save muh life.
Inside, however, this user DISTINCTLY recalls that, they posited -- again, with pictures; brilliant artwork, by the way -- there were/are three 'main' types of progenitor species to have originated in the deep, dark ocean: Man and Man's early amphibian(?) ancestors (think they said Man came from some fish that, eventually, crawled out of the ocean), SCORPIONS (according to the book, 'Man's earliest enemy'), or at least, their progenitor species, and some third-species, possibly cephalopods or something else that wasn't really a threat or seemed that menacing.
Over the next few pages, it showed the evolutionary history of Man and how Man surpassed the evolutionary history, if much at all, of the SCORPIONS and the third species, as Man crawled out of the ocean and onto land. Then it was like watching that one custom couch-gag intro to an episode of 'The Simpsons', where 'Homer' goes from fish to lemur to Neanderthal-like caveman to the Renaissance through the Industrial Age and to the living room, where 'Marge' asks 'What took yuh so long?', all while 'Moe' is going in the opposite direction.
Any ideas what this book may have been called and by whom it was authored by?
Thanks!
Peace, Luv, and Anarchy!