Hi, I live in Arizona too...I suffer badly from melasma like you. I have done IPL and it worked the first time. However, my spots came back a year later. I have found that soy products make the spots worse. If you look at the ingredients of most facial products it has soy lechin in it. You should try Jane Iredal mineral makeup. They carry it at lifetime fitness. The makeup is wonderful. I totally understand I can not go anywhere without makeup. You might try the IPL. I do it and it reduces the redness and takes away some spots.
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Posted to What are you doing to treat Melasma? on 8 Aug 2008