More Effective Melasma Treatments?

I developed Melasma above my lip during my first pregnancy. It worsened during my second pregnancy. It has now been 14 months since that pregnancy, and I have seen my dermatologist.

I have started using Lustra cream, and have had one IPL treatment, and two TCA Chemical peels. I understand the Lustra can take months to show results. However, the IPL and Chemical peels don't seem to have much effect on the melasma. In fact, sometimes I think it may look worse than before. Are there other procedures or treatments I should try instead that may be more effective?

Doctor Answers 2

Effectively Treating Melasma

Melasma is a common disorder that is often difficult to treat. It isn't unusual for a patient to become frustrated after trying a variety of treatments in an attempt to obtain satisfactory results. Like most other complicated skin conditions, a combination of treatments paired with the proper skin regimen works best! Topical de-pigmenting agents such as hydroquinone or other melanin inhibitors along with a topical tretinoic acid to increase skin cell turnover, hastens the fading of uneven patches. This commitment along with specific medical-grade chemical peels, appropriate laser treatments and diligent protection , can enhance the likelihood of reducing or resolving melasma !

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Orange County Plastic Surgeon
5.0 out of 5 stars 72 reviews

Using Melarase creams to reduce pigmentation from melasma on the skin

The first line of treatment for skin discoloration is topical creams such as Melarase AM and Melarase PM.  I would follow this with MelaPeels once monthly to reduce pigmentation and discoloration. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 70 reviews

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