Suggestion for Treatment of Melasma from Pregnancy?

I have tried lightening creams, chemical peels, and microdermabrasion for melasma (brown spots from pregnancy) and nothing is working. Any suggestions?

Doctor Answers 2

Melarase AM and PM for the topical treatment of melasma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I would begin with a topical treatment for at least 3 months using the Melarase AM Melarase PM, and Melapads.  Avoid sun exposure and minimize hormonal influences. 

The nightmare of melasma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

First, and get over it, is you live in a sunny place. No treatment will work unless you apply a full sunblock every morning, regardless of the weather, in the range of an SPF 60-70. I find the most effective ingredient is Mexoral, but regardless, 5 minutes of unprotected sun will ruin thousands of dollars of treatment. Triluma (prescription) is my favorit combination bleach/retinoid product that does a great job applied to the entire face once a day. If Intense Pulsed Light (IPL) is added, the results are very good. If you don"t use the block daily, it will all fail.

Stephen Mandy, MD
Miami Dermatologic Surgeon
4.3 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.