Treatment for Melasma? I am black... Tried tri luma didn't work for me but worked for my Spanish/ white friends

Doctor Answers 2

Add laser and peels 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 dermatologist
Brisbane, Australia

Brisbane Dermatologist
4.7 out of 5 stars 56 reviews

Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 / Aerolase w Microneedling PRP, Pro Yellow is Useful

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.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 159 reviews

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