Is it possible for melasma to never reappear once it has faded?
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Doctor Answers 4
Melarase and skin lightening for melasma
Raffy Karamanoukian MD FACS
The cause is unknown but pregnancy, birth control pills, cosmetics, hormone therapy, and sun exposure often trigger Melasma. The more pigmentation your skin has the more melanocytes you have. Production of melanocytes is increased when the skin is irritated or exposed to rising hormones and the sun. In fact, even a small amount of sun exposure is the main reason Melasma returns after fading.
Once your Melasma has faded, it is possible for it to “reappear” depending on your triggers.
For best protection from new pigmentation; try to stay out of the sun between 10-3 and wear a hat if you do. A topical anti-oxidant (like vitamin C) and sunblock of SPF 50 should be worn daily and a lightening/bleaching cream should be used nightly.
Consult with a Board Certified Dermatologist to see what is best for your skin.
Melasma and prevention of recurrence
The best way to prevent recurrence of melasma is proper sun protection. Complete sun protection with SPF and a hat at all times is essential to prevent recurrence of Melasma. Treatment consists of Cosmelan or chemical peels with hydroquinones for the best results. Please find a board certified dermatologist to consult on skin care for the best cosmetic results.
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