Suggestion for Treatment of Melasma from Pregnancy?

I have tried lightening creams, chemical peels, and microdermabrasion for melasma (brown spots from pregnancy) and nothing is working. Any suggestions?

Doctor Answers (2)

Melarase AM and PM for the topical treatment of melasma

+1
I would begin with a topical treatment for at least 3 months using the Melarase AM Melarase PM, and Melapads.  Avoid sun exposure and minimize hormonal influences. 


Los Angeles Plastic Surgeon
5.0 out of 5 stars 53 reviews

The nightmare of melasma

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First, and get over it, is you live in a sunny place. No treatment will work unless you apply a full sunblock every morning, regardless of the weather, in the range of an SPF 60-70. I find the most effective ingredient is Mexoral, but regardless, 5 minutes of unprotected sun will ruin thousands of dollars of treatment. Triluma (prescription) is my favorit combination bleach/retinoid product that does a great job applied to the entire face once a day. If Intense Pulsed Light (IPL) is added, the results are very good. If you don"t use the block daily, it will all fail.

Stephen Mandy, MD
Miami Dermatologist

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