What to do to treat Melasma?

Please help mei use tri luma cream take off it was excellent but when i stop .my melasma get back.what another options i have please ! Or i have to use that cream forever? anyone please help me i am depresed.i live in ny.

Doctor Answers 4

Treating Melasma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Melasma can be a difficult condition to treat, because hormonal factors cause pigmentation to recur, even after successful treatment. The mainstay of Melasma treatments include bleaching creams and light chemical peels, done once a month or once every 2 months. There is some new research indicating that lose doses of Fraxel® or Nd:Yag laser treatments may control Melasma for up to 3-5 months, but again because of hormonal causes it tends to recur.

Miami Dermatologist

Melasma top creams - Melarase

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Melasma is one of the most common causes of premature aging in women of childbearing age. Our office specializes in melasma control and we utilize the Melarase creams for this purpose. 

Raffy Karamanoukian MD FACS

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Treating and preventing melasma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
First, make sure you have a great dermatologist since melasma is difficult to treat and can be chronic. There are a number of terrific skin creams now for melasma, although a great sunblock is critical. Chemical peels and lasers can also be quite helpful, and also determining if there is a trigger (e.g. medication, skin irritation or allergy) that is causing your melasma.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The most important treatment for melasma is sun protection or the pigment will keep returning.  Please consult a dermatologist who can decide which fading ingredients would be best for you.  Various lasers, such as the Fraxel and Clear + Brilliant Permea lasers, and light chemical peels can also help.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

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.