What is standard protocol for treating melasma?
Doctor Answers 4
Protocols vary for melasma management.
Cosmelan and Melasma
Cosmelan is the best treatment for patients who suffer from Melasma. I would recommend consulting with a doctor who performs these peels. Lasers can often make melasma worse. Best, Dr. Green
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 / Aerolase w Microneedling PRP, Pro Yellow is Useful
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Tri-Luma for melasma
Thank you for your question complexionme. Melasma is a common concern where dark patches appear on certain areas of the face and body such as the cheeks, forehead, and upper lip. Melasma is challenging to treat because it is caused by an imbalance of hormones in the body that makes the skin more sensitive to the sun. So no matter what we do for the skin, the hormones will still be there and the melasma will come back. I tell my patients that melasma is a condition that we control, not cure. Continuous treatment and maintenance are required. Tri-Luma is a product commonly used for melasma which contains hydroquinone, retinoic acid, and a steroid. Often times people use it for three to four months then take a break for a month before restarting it. For my patients I recommend starting with a good skin care regimen including the A E Skin Brightening Cream (which contains similar ingredients as Tri-Luma and also kojic acid), an exfoliant, an antioxidant, a hydrating product, and sunscreen. After approximately two months, treatments can be done and the risk of darkening is reduced. I do not have experience with tranexamic acid, but I have heard some doctors recommend it. Please consult with a doctor for specific recommendations. Good luck!
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