that can be done at home (care w/great results,even if gradual? Meaning something I could easily have access to w/o needing a prescription or treatment from a dermatologist. The sides of my face and neck are much darker than my natural skin tone. I got it all checked out, no illnesses. I told my derm about it but she said the Retina A should help; which it really didn't. (I do use SPF 30 btw w/Mexoryl.)
What's the Best Solution for Melasma for Black Skin?
Doctor Answers 2
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 400 patients over the past three years with this protocol including patients with black skin who have responded very well.
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