Melasma treatment w/ Tri-Luma. Have it on forehead, cheeks and jawline.

Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, and sometimes erbium laser (coollaser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer

Hello, see treatments below.Melasma is a condition which requires multiple steps and treatments to effectively improve the condition consistently over time.  In our office, here are steps which are effective:
-Pico lasers- The best type of laser for improving the condition.  Please not it takes multiple steps to improve melasma safely
-Nd:YAG Nano lasers with toning- Here a laser is used for deeply resistant melasma to break up particles without generating excessive heat
-Melanage peels- A variety of peels can work and melanage is one of the best for melasma
-Skin topicals- A variety of products including use of lighteners (we prefer natural lighteners such as arubtase found in our product Luminoso) as well as sunscreens can help improve the condition
-Lifestyle choices-Avoiding the sun, hormonal changes (we have a hormone expert in Dr. Chughtai in our office) can all impact melasma.
While melasma is common, patients must understand a multi pronged approach is often the best strategy and controlling this condition.
Best, 
Anil Shah MD

I would start the Melarase Brightening Regimen and supplement with Clear and Brilliant laser and light chemical peels to enhance effect. Best, Dr. KaramanoukianLos Angeles

Melarase is a great regimen to add or a Brightening Kit in its entirety.I also recommend that you add one of two of these oral supplements for pigmentary control: Scler-X PIH Relief Complex from VenaSmart or Pigmentation Correction Complex from KareSkin.
You will need wide spectrum UV protection with SPF 30+ sunblock as well. 
H Karamanoukian MD FACS

Tri-Luma should not be used more than three months and once stopped can cause melasma to come back.
You should also incorporate a few medium chemical peels and laser treatments that target melasma, such as 1064 Nd:YAG. Be very careful with laser treatments that use heat as they can worsen melasma.

Normally I limit my patients to daily HQ use for up to 12 weeks, then taper them off. I replace this with pure vitamin A, add lasers and peels and try to maintain their results with as little HQ as possible. Video explain how I treat this common condition. Dr Davin Lim Brisbane. Australia.