Melasma can be a difficult condition to treat, because hormonal factors cause pigmentation to recur, even after successful treatment. The mainstay of Melasma treatments include bleaching creams and light chemical peels, done once a month or once every 2 months. There is some new research indicating that lose doses of Fraxel® or Nd:Yag laser treatments may control Melasma for up to 3-5 months, but again because of hormonal causes it tends to recur.
Melasma is one of the most common causes of premature aging in women of childbearing age. Our office specializes in melasma control and we utilize the Melarase creams for this purpose.
Raffy Karamanoukian MD FACS
First, make sure you have a great dermatologist since melasma is difficult to treat and can be chronic. There are a number of terrific skin creams now for melasma, although a great sunblock is critical. Chemical peels and lasers can also be quite helpful, and also determining if there is a trigger (e.g. medication, skin irritation or allergy) that is causing your melasma.
The most important treatment for melasma is sun protection or the pigment will keep returning. Please consult a dermatologist who can decide which fading ingredients would be best for you. Various lasers, such as the Fraxel and Clear + Brilliant Permea lasers, and light chemical peels can also help.