Melasma Treatment for olive tone skin
Doctor Answers (4)
Difficult melasma in olive skin
Treating melisma in individuals with darker skin is always delicate. I believe using stronger than 4% hydroquinone with tretinoin is not likely to produce better results. First and foremost is daily sunblock with greater than a 50 SPF, even a small amount of sun will undo the best efforts. Secondly there are other agents that can be added such as Elure and Niacin which inhibit pigment formation. Lastly things can be sped up by very cautious use of Intense Pulsed light on low energy settings about every 3-4 weeks. Peels can sometimes worsen matters by causing post inflammatory pigmentation.
Melarase creams to the face for melasma
Raffy Karamanoukian MD FACS
For you I would recommend a Cosmelan MD treatment, it consists of a mask that is worn on the skin for 6-12 hours this mask includes Retin-A, Hydroquinone, and 15 other lightening agents like Kojic Acid. After the initial mask there is a maintenance cream that is applied to the face starting 3-5 days after the mask.
This maintenance cream is used for 1 month and then my patients come in for an evaluation. If the patient is happy they continue with the maintenance cream to prolong the benefits and to improve their skin. If the patient would like additional improvements then at this point their skin is prepped to receive a laser with a lower possibility of causing more pigment.
It is important to keep in mind that pigmentation can be improved and controlled with the use of maintenance creams however new pigmentation can be created depending on your lifestyle. For best protection from new pigmentation; try to stay out of the sun between 10-3, wear a hat and sunblock of SPF 50 should be worn daily.
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Hi Joana. If you are on 8% HQ now, we would not go any higher. In addition, there is some concern about long term uninterrupted use of high strength HQ. In our practice, when patients use any HQ over 4%, we require that they take 1 month off after being on the product for 3 months.
As an option for a short term fix, there are some peels out there, VI, Cosmelan, BLUe, etc that may be able to help you prepare for the wedding. None of these are permanent solutions, but it may be possible to help you look better short term. It would not be advisable to do these closer than 2 weeks from the wedding just in case you have a bad reaction.
Regarding lasers, we would not advise that you use any lasers for Melasma at any time. We know from having treated hundreds of Melasma patients that many have tried Fraxel, Q-switched lasers, IPL and the like. A full 50% of these patients end up having their Melasma worsen, even in situations where it improved initially. We do not recommend lasers or IPL for Melasma for this reason.