I would use the Melarase Brightening Kit followed by fractional laser to help improve texture and tone. Melarase works great for melasma.
Melasma can not be completely
cured, however effective treatment are possible. This is because your skin is
extremely sensitive to UV and even the smallest amount can stimulate your
pigment cells to produce colour. The mainstay of treatment is strict UV
protection- hats, sunglasses and SPF every 4 hours.
I prefer to use a combination of
creams , peels, and laser for melasma. Hydroquinone can be used (5-8%), along with
vitamin A creams. I usually start my patients on laser (low dose Q switch or
Picosure) a few weeks after they commence on creams.
In some cases I combine glycolic
AHA peels or very low strength TCA peels, and in other cases I use a tablet called Tranexamic acid to help.
All the best,
Dr Davin Lim
Laser, surgical and aesthetic
I suggest seeing a cosmetic dermatologist with expertise in skin lightening. There is a lot that can be done using lasers, skin care and peels and microneedling/PRP. I suggest you see an expert. Best, Dr. Emer.