I have had melasma for about 4 years now. Nothing over the counter, no matter how expensive (I believe I've spent thousands trying to find a miracle), has worked to alleviate the spots on my face--cheeks, nose and above my lips. However, my recent approach to melasma has really made a difference and I thought I would share with everyone.
It is my understanding that you can never 'get rid' of melasma. Even if you fade the spots now, sun exposure can bring it back at any time. My dermatologist prescribed Tri-Luma cream that slightly faded my spots over the past couple of weeks. Although, it is my understanding that you can only use the cream a maximum of 8 weeks. I don't know what will happen beyond that...
The most important change to my regime is liberally applying UVA/UVB-blocking sunscreen every morning. In addition, after a few hours of applying sunblock at home, I begin to use Peter Thomas Roth mineral SPF 30 during the day before walking out the door into the sun or driving home. Also, I make sure to use hats and stand in the shade as long as possible when we're outside or at the beach...
The Clarisonic has really improved my skin! My pores are noticeably smaller as a result of using it for the past 6 months. I agree with Nancy50 that you do get what you pay for in this product.
Also, I was worried about spreading around bacteria, so I wash the brush every night after use with anti-bacterial soap. I haven't had any problems as a result.
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