What order to apply Zo Multi-Therapy Hydroquinone System products?

Question

I am using Zo Multi-Therapy Hydroquinone System to treat Melasma and sun damage on my face. The kits includes: Exfoliation Acceleration Melamix Skin Lightener & Blending Creme Melamin Skin Bleaching & Correcting Creme Daily Power Defense My doctor said use Melamin in AM, Melamix in PM and production instructions were included in the kit. Can you please tell me what order these products should be applied? I also use Zo Hydrating Creme. Would this be the last product to apply on my face?

Tonya Boudreaux, MD · Answer

Hello and thank you for your question.
Melamin is to be used am and pm. Melamix is to be used pm only, mixed with equal amounts of Tretinoin or Wrinkle & Texture Repair and is to be the last product used at night. Your Daily Power Defense is used in the am after Melamin has been applied and absorbed into the skin and then topped with your SPF. The ZO Hydrating Creme is to be used as needed to help calm and hydrate the skin from irritation post procedure and/or compromised skin.
Hope this helps!

Davin Lim, MBBS, FACD - Account Suspended · Answer

Agreed with the application timings. Melasma is a very common cause of skin pigmentation. It can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours. This forms the foundation of all treatments.

I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams or Meladerm. I start my patients on laser (low dose Q switch or Picosure) as this has shown to decrease pigment production by decreasing the activity of the cells that produce pigment. Laser itself is not aimed at ‘blasting’ pigment, but to slow down the rate of melanin production. Another laser I use is the Clear and Brilliant in the 1927 Permea setting combined with creams. IPL should never be used to treat mixed melasma as it often worsens the condition (this is termed ‘Rebound Melasma’)

In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient according the type of melasma. Majority of patients will have mixed dermal and epidermal melasma. Approach melasma as a medical condition and not a cosmetic concern, and the success rate will be much higher.

Consult a Board Certified Laser dermatologist with a special interest in disorders in pigmentation as well as one who has experience in treating all skin types, including darker Ethnic skin.

All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia. Real Self Advisory Board

What order to apply Zo Multi-Therapy Hydroquinone System products?

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What order to apply Zo Multi-Therapy Hydroquinone System products?

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