Blending Bleaching® cream

Blending bleaching cream, contains antityrosinases and antioxidants. 

If the skin is highly photoreactive or if the patient lives in a very sunny climate. Blending Bleaching cream should be applied twice a day from the day after the first peel. ETCA can be applied in all seasons and on all skin phototypes. 

Blending Bleaching cream (see Chapter 3) applied twice a day on the melasma itself and once a day on the rest of the face... 

Results after four ETCA peels and Blending Bleaching cream. 

Treatment of melasma with ETCA and Blending Bleaching cream. Patients with light and dark skin phototypes. 

Lightening creams (Blending Bleaching cream Box 16.1) and sun protection (SPF 50-I-) should be applied from the morning after the first ETCA peel. 

Blending Bleaching cream during the regeneration cycle ... 

The use of 5% hydroquinone (and 0.05% tretinoin) in combination with the Blending Bleaching cream should be evaluated. 

Another cycle of four ETCA peels should be started after 6 weeks of Blending Bleaching cream and Melablock HSP 50+. 

Blending Bleaching cream should be applied every 3 hours, before sun protection and before the evening meal... 

With a topical treatment alone, PIH usually has a good prognosis. Blending Bleaching cream or a prescription cream with hydroquinone and effective sun protection should be used. PIH tends to improve gradually and naturally, and disappears completely if it is not too severe and as long as the melanocytes are not stimulated by UV photons. 

Post-acne pigmentation (Figure 17.5), on the face can be treated in the same way as melasma, combining ETCA (basic protocol). Blending Bleaching cream and sim protection (Melablock HSP 25-1- is sufficient). 

Post-inflammatory hyperpigmentation PIH may occur with abrasive treatments. The abrasive protocol includes preparing the skin with Blending Bleaching cream... 

Active acne and acne pigmentary sequellae on a phototype 5 patient. Result of treatment with Easy TCA , 4 peels, 1 peel/week. Combination with Blending Bleaching cream and sun protection. 

Risk of post-inflammatory hyperpigmentation Blending Bleaching cream every 3 hours during treatment then twice a day for 3 months ... 

Prevent PIH Blending Bleaching cream should be used before PIH begins, from day 8 Melablock HSP SPF50+ (sun protection cream)... 

Blending Bleaching cream followed by Melablock HSP (even if no sun exposure)... 

Prevention of pigmentary changes Blending Bleaching cream and Melablock HSP 50 or 25 should be applied until the following treatment or for at least 6 weeks. 

Two cases of post inflammatory hyperpigmentation linked to the lack of post peel use of antityrosinase/antioxidant cream and sun protection. Treatment applied used Blending Bleaching cream and 2 Easy TCA peels without sandabrasion, using the base protocol . 

Solar lentigines on the hands (a) before and (b) after combined OT and Easy TCA treatment. Daily care consisted of DEIEA Phyto and Blending Bleaching cream. 

At the end of treatment, the doctor can apply a corticosteroid cream to the lesions treated with OT to limit the inflammatory reaction. This application should not be repeated imtil after more than 72 hours. Between peels and for at least 6 weeks after the last peel, the patient should apply effective sim protection " 3 times a day after Blending Bleaching cream. The patient should be warned not to touch or pull off the scabs these are normal and to be expected (Figure 22.13). Vaseline can be applied to the scabs to enhance healing. 

OT should always be used in combination with ETCA, as well as Blending Bleaching cream and sun protection (50-1- then 25-I-) after the peel. 

The techniques described are for patients with phototype 1 to III. To treat patients with a higher phototype (IV to VI), extra precautions are needed the skin should be prepared by application of Blending Bleaching cream twice a day for 2-3 weeks before the peel sun protection cream (Melablock HSP 50-I-) should be used, and exposure of the skin to daylight should be avoided. The peel should be applied carefully, and great care should be taken not to have any excess solution. 

After the peel, Blending Bleaching cream should be applied as soon as possible, when flaking has finished, and continued for 6 weeks after the peel. 

Pigmentary changes can be treated with three or four ETCA sessions and Blending Bleaching cream. Total sun protection is essential. 

Treatment will consist of a spot application of Lip Eyelid formula on the upper lip (using an occlusive technique), combined with one Easy TCA peel per week for 4 weeks to even out the skin tone. Daily care comprises Blending Bleaching cream and Melablock HSP 50H-. ... 

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