5 FAVORITES: SUN SPOTS
5 FAVORITES: SUN SPOTS

When speckles go beyond freckles, brightening treatments will restore an even skin tone. Sun spots develop due to a combination of genetic tendency and environmental exposure, and best results require a synergistic approach of topical active ingredients. Dermatologist Dr. Noëlle Sherber addresses causes of hyperpigmentation, from sun spots to melasma, with customized combinations of skincare and in-office procedures, and here shares tips along with some of our favorite products to treat uneven skin tone and to maintain your results over time as you enjoy fun in the sun.

SkinMedica Lytera 2.0
While new brightening products launch frequently, it’s rare that one has solid science to back it up. Lytera 2.0 is a state of the art brightening serum that demonstrated improvement in dark spots and uneven pigmentation as soon as 2 weeks in clinical studies, with benefits becoming more dramatic at 12 weeks. It features tranexamic acid, a non-hydroquinone non-retinoid active ingredient that has been garnering global interest as a topical brightener after improvement was noted in patients who received it systemically to stop bleeding due to surgery or trauma. This formula combines it with phytic acid and niacinamide for a synergistic pigment lightening effect, and has the added advantage of incorporating ingredients that are considered to be in pregnancy-safe teratogenicity categories so this is a good option for those looking for a treatment option for melasma or sun spots while pregnant. Dr. Sherber is glad that this has now launched: “Tranexamic acid has been appearing in the dermatologic literature in recent years, and I have been waiting for a clinically-proven and gentle formulation to be available in the U.S. so that I can now add it to my customized brightening regimens for patients.” Lytera was tested with twice-daily full face application and we recommend this for best results, in combination with broad spectrum sun protection, although this can also be applied in combination with other skin brighteners once your skin acclimates to your regimen.
SkinMedica Even + Correct Brightening Treatment is a breakthrough treatment for hyperpigmentation for all skin types and tones. This advanced and powerful daily serum helps to treat the appearance of melasma and other stubborn hyperpigmentation conditions and helps prevent the appearance of future discoloration in all skin types. Even & Correct Brightening Treatment is designed to be a foundation in your daily regimen to treat existing pigmentation and help prevent discoloration.
Formulated with SkinMedica’s signature, patent-pending technology, LTN Complex™, this is SkinMedica’s most comprehensive approach to targeting the melanin lifecycle to date. This skin brightening treatment works on 6 pathways that cause dark spots and helps to treat melasma and other stubborn hyperpigmentation conditions. With a 6% concentration of tranexamic acid, this is an upgrade to the Lytera 2.0 formula which had 1% tranexamic acid.
- Helps to fade brown spots and discoloration
- Brightens the skin and helps to inhibit Tyrosinase Activity
- Packed with antioxidants to protect the skin against free radicals damage
- Adds moisture and plumps the skin
- Clinically proven to be effective on all skin types and ethnicities
- Hydroquinone-free. Safe for daily and prolonged use.
- Retinol-free. Effective on all skin types and for multiple ethnicities.
Featured Ingredients:
- 9% LTN Complex™ – Ultra-concentrated Lotus Sprout Extract (addresses skin discoloration), Tranexamic Acid (brightening agent that reduces the appearance of dark spots), Niacinamide (reduces the appearance of skin discoloration, fine lines, and yellow appearance)
- Vitis Vinifera – Adds moisture to dull, dehydrated skin; evens out skin tone; reduces the appearance of fine lines and wrinkles
- Plankton Extract – Preserves and promotes even skin tone
- Phenylethyl Resorcinol – Helps support melanin balance to correct the appearance of hyperpigmentation
- Phytic Acid – Enhances skin texture and promotes even-looking skin

Tranexamic acid has been appearing in the dermatologic literature in recent years, and I have been waiting for a clinically-proven and gentle formulation to be available in the U.S. so that I can now add it to my customized brightening regimens for patients.

Elure Advanced Brightening Lotion
Elure’s standout product is their Advanced Brightening Lotion, which has, in additional to performing strongly in clinical studies, won numerous awards from Allure, InStyle, Essence, and other national publications for its dramatic results and gentle hydroquinone-free formulation. The active ingredient, lignin peroxidase which they term “Melanozyme,” is derived from tree bark, and breaks up uneven pigmentation gently within a few weeks. In a 28-day study, 82% of the subjects demonstrated a significant decrease in their melanin index, and 91% of the subjects showed an overall improvement in pigmentation and skin tone. Dr. Sherber advises, “I often recommends this as an adjunct to laser treatments targeting unwanted pigmentation, or sometimes as a companion product to prescription pigment lightening creams because it is so gentle: when skin is prone to post-inflammatory hyperpigmentation it’s critically important not to inflame the skin and because this isn’t an acidic product it is exceptionally mild.”

Caudalie Vinoperfect Radiance Serum
This serum is Caudalie’s most popular product internationally for good reason. In a study Caudalie conducted of 60 patients over 3 months, dark spot intensity improved by 83%. Its alcohol-free antioxidant-rich blend is powerfully soothing, making it an ideal addition to a brightening regimen to prevent irritation and possible inflammation. Dr. Sherber explains, “skin that is prone to dark spot formation is often prone to post-inflammatory hyperpigmentation, so I like my patients to use anti-inflammatory topical treatments consistently to counteract any possible irritant effect of other active treatments we pursue, from topical exfoliants and brighteners to in-office peels and lasers, to ensure consistent improvement. This French beauty secret not only really works, but it is a joy to apply.” Sometimes we advise mixing this serum into Elure or Lytera for a super-serum cocktail.
This serum is a true French beauty secret, and is Caudalie's most popular product internationally for good reason. Drs. Sherber and Rad recommended it in Vogue as an ideal anti-inflammatory fix for sunburn since its powerful antioxidants minimize DNA damage from UV exposure and its alcohol-free and oil-free formulation never stings even the most sensitized skin.
Millions of people have already been convinced by Caudalie’s cult product, the Vinoperfect Complexion Correcting Radiance Serum. This serum corrects the appearance of existing dark spots and evens the complexion, making it brighter. It works on all types of dark spots (sun, acne, melasma, age) and all skin types, even the most sensitive.
It has a fresh, subtle fragrance, combining green notes of citron blossom, orange leaves, watermelon and crushed mint.
Caudalie's clinical study demonstrated 97% of subjects saying that their skin is more visibly even, and 93% saying their skin is more radiant after 2 months of use. It pairs perfectly with Caudalie Brightening Glycolic Night Cream overnight, and Dr. Sherber recommends mixing it into SkinMedica Lytera 2.0 for a serum synergy of brighteners.

This French beauty secret not only really works, but it is a joy to apply.

Natura Bissé Glyco Extreme Peel
This is the only at-home peel that Dr. Sherber has found to deliver results that are close to those of an in-office peel. The formulation blends 5 alpha hydroxy acids, a beta hydroxy acid for synergistic effect, and a proprietary peptide that ensures even depth of delivery. Glycolic acid has been proven with skin biopsy studies to stimulate collagen production, making it a gold standard anti-aging ingredient. It also works on uneven pigmentation and imparts luminosity to the skin by removing dead skin cells. This product is ideal for protecting your investment of in-office peels, but also works well on its own... and, at $10 per face treatment ($20 if treating face, neck and chest), delivers remarkable value.
This is the only at-home peel that Dr. Sherber has found to deliver results that are close to those of an in-office peel. The formulation blends 5 alpha hydroxy acids, a beta hydroxy acid for synergistic effect, and a proprietary peptide that ensures even depth of delivery. Glycolic acid has been proven with skin biopsy studies to stimulate collagen production, making it a gold standard anti-aging ingredient, and it also works to break up clumps of uneven pigmentation. It allows all other skincare products to absorb more deeply by dissolving the dead skin cells on the skin’s surface, which is one reason why regular exfoliation is key to a brightening regimen. This product is ideal for protecting your investment of in-office peels, but also works well on its own, and, delivers value at $10 per face treatment ($20 if treating face, neck and chest). As your skin acclimates to the potency of this product, applying in a warm shower will delivery an even more powerful treatment.

Thank You Farmer Water Sun Cream Broad Spectrum SPF50 PA+++
Absolutely essential to achieving a more even skin tone is daily application of a broad spectrum sunscreen with mineral filters. This SPF50 PA+++ sunscreen from South Korea is the most lightweight mineral-containing sunscreen that we have found, and Dr. Sherber contacted the company after reading reviews citing its featherweight finish and tenacious protection. We are one of the first to bring this product into the U.S. and have been barely able to keep it in stock. With an average of 11 steps in a Korean skincare regimen, there is intense demand for lightweight sun protection and this product delivers: a mix of mineral and chemical sunscreens makes this formula powerful, yet it manages to provide the highest degree of UVA and UVB protection with airy coverage. Dr. Sherber sourced the primary documentation submitted to the FDA for approval for U.S. sale of the product because she wanted to ensure that it wasn’t too good to be true, and it has passed all the requisite tests. The mineral component of a sunscreen is important for those with hyperpigmentation because it provides physical protection, like wearing a tee-shirt, and this product avoids the common pitfall of a chalky finish no matter your skin tone.