My melasma is fading since i stopped taking birth control, will it come back if i go into the sun?
Melasma Come Back with Sun Exposure?
Doctor Answers 3
Melarase for skin lightening in patients with melasma
A precipitor of melasma is sun exposure. I would avoid direct sunlight and begin topical treatment with Melarase or a similar skin lightener. Raffy Karamanoukian, Los Angeles
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Effective long term treatment of melasma requires an effective short-term treatment and a long-term maintenance program of skin
In my hands, the best treatment for melasma involves an aggressive short term treatment to get rid of the pigment and then a long-term skin maintenance program to keep the pigment away. Short I recommend two or more treatments with the Fraxel Restore 1550nm laser spaced about two weeks apart. In between Fraxel Restore Laser treatments, I recommend using the Cosmion Iontophoretic Rejuvenating Mask three times a week for one hour each treatment. This mask infuses 20% ascorbyl glucoside (Vitamin C) into the skin using a proven medical process called iontophoresis. A 0.5mm needle wheel is used before each mask treatment to enhance infusion of the Vitamin C. For daily maintenance skin care, I recommend M2 mandelic/malic acid products (SkinCareRx.com) in 12% for sensitive skin and 20% for less sensitive skin. These products contain long-chain alphahydroxy acids that inhibit the production of pigment in the skin. In addition I recommend a shoulder-to-shoulder hat and an effective UVA/UVB sun block such as Laroche Possay Anthelios 60 to completely protect the face from sun exposure. I have treated over 100 patients over the past three years with this protocol and find it to work better both short and long-term than anything else I have used.
YES-- for certain!
Melasma is often an inherited condition and few people ever get permanent resolution. Treaments give benefit, but estrogen and sun exposure will quickly cause a relapse. No sun, retinoids and antioxidants are the best prevention and Triluma with Jessner peels or Fraxel 1927nm best treatments, in my opinion.
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