Melasma Consult - San Ramon, CA
Went for a consultation on my assumed melasma...
Treatments for Melasma (topical)
In the evenings, I wash off my make up with the green-tea foaming face wash again, moisturize with a very light, sensitive moisturizer (called Moisture Dew - another proprietary product of the Dermatologist) and then wait 30 minutes for the cream to dry.
At this point, I rotate treatments every other night. Once night I use a .25% retinol all over my face and on the other nights I use Tri-Luma - a 4% hydrquinone, 0.5% retinol and hydrocortizone blend. This is the real bullet in the arsenal. The hydroquinone is a bleaching agent and the retinol sloughs away skin cells allowing the hydroquinone to penetrate. The cortizone is a cortico-steroid to help with any inflammation or irritation that can be caused by the entire regiment.
Though I notice slight stinging and it took a few days to get used to the routine, it's a comfortable regiment overall and not difficult.
Very professional, knowledgeable and quick. I wish some of the products cost less but $500 in consultation fees and products is much less than $3000 in laser treatments - and they are WORKING! Plus he gave me a credit toward future procedures! (My consult fee of $140 plus a $25 refund for a slightly overpriced product will give me a credit to spend on something else. That's awesome!)