When I'm done using Tri-luma will my melasma return?

Melasma is a chronic skin condition that never goes away completely but it can be controlled. Triluma will definitely help but the problem is exposure to sunlight will trigger the process and cause the melasma to return. You can't use the Triluma indefinitely. It contains a steroid which can damage the skin if used too long. I would focus on using sunscreen every two to three hours when you are out and about and try to avoid the sun as much as possible.   You can use plant based lightening products like kojic acid for a prolonged period of time alternating with and or in conjunction with Vitamin A.

Thank you for your question.  I would suggest doing a fractional treatment for melasma.  Apply hydroquinone morning and evening two weeks prior to your treatment.  The fractional treatment would help to suppress the discoloration and improve texture of your skin along with shrinking your pores.  

Melasma is associated with hyperpigmentation caused by a combination of hormones, sun exposure, inflammation, and deposition of melanin pigment. In our office, we specialize in melasma treatments and start with Melapads, Melarase AM, Melarase PM, and Replenish; followed by pulsed dye laser to eliminate inflammatory erythema and light fractional laser.

Best,

Dr. Karamanoukian

Realself100 Surgeon