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doi: 10.1016/j.immuni.2014.10.004 19 CunninghamM.Azcarate-PerilM

The first results can be seen within a month Significant results can take from 3 months to several years depending on how dark the skin color is: Significant effect may need 1-3months, 3-6months, 6-12months, and 2 years (or more) in medium brown skin, dark brown skin, very dark skin, and black skin, respectively

Some people notice a brighter complexion after just one session, but for long-term benefits like improved tone and anti-aging effects, consistency is key

In 2010, the New York Times reported that: Dermatologists nationwide are seeing women of Hispanic and African descent, among others, with severe side effects from the misuse of skin-lightening creams, many with prescription-strength ingredients, including steroids