I am having melasma on my cheeks and nose. Please tell how to get rid of this? It has been three years now. (Photo)
Doctor Answers 4
Melarase creams for melasma
Melasma- Combination of Treatments Needed
Melasma or facial hyperpigmentation is a very difficult condition to treat. In our office, we use a variety of treatments including skin care products (containing retinoic acid, hydroquinone, glycolic acids), sunscreens, chemical peels (light, medium, deep including the blue peel), and lasers (IPL/BBL, Q-switch, PICO, Fraxel).
Over the last few years, we have had great success with the ZO® Blue Peel in treating hyperpigmentation. This is a robust in-office procedure that provides dermal and epidermal stimulation allowing for maximal tightening, restoration and rejuvenation of the skin. It also minimizes or eliminates the appearance of melasma [both epidermal and dermal melasma] and facial pigmentation. All patients require 6 weeks of skin conditioning prior to the procedure with the ZO Hydroquinone or Non-Hydroquinone kit.
These are advanced techniques so be sure to get an experienced dermatologist or plastic surgeon consultation for recommendations and treatment options.
At all times proper sun care is necessary and this includes vigilant sunscreen use (Broad Spectrum UVA/UVB SPF > 30), avoidance of sunlight, wide brim hats, sun protective clothing, etc. If you do not follow proper sun protection guidelines it will be very difficult to both clear and maintain clear your melasma.
Mometasone alone is not a therapy for melasma, where it may be useful is in combination with other medications. The gold standard triple topical therapy is Tri-Luma, a brightening agent, which contains a melanin blocker (Hydroquinone 4%), a retinoid to clear and protect (Tretinoin 0.05%) and a topical anti-inflammatory to help heal the skin (Fluocinolone Acetonide 0.01%). If your Dermatologist has a compounding phsyician make this drug for you they may substitute the fluocinolone for mometasone as that would be the only place for mometasone in a Melasma protocol.
Other therapies that may be successful for melasma include the Clear + Brilliant with Permea, Cosmelean Peel, and the Fraxel Dual.
Keep in mind with any of these therapies as we discussed above you will need to practice good sun protection otherwise the melasma may return.
Good luck with your treatment and hopefully this was informative.
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Melasma and Treatment
Melasma is difficult to treat but I have had great sucess with Cosmelan treatment. Strict sun avoidance is critical to the success of your treatment. Best, Dr. Green
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.