My dermatologist suggested I use Neutrogena Age-Shield Face SPF 110 every day on areas where I get Melasma. I used Tri-Luma for 3 months and the Melasma is gone. I have been using IT Cosmetics Your Skin But Better™ CC+™ Cream with SPF 50+ and it has been great but want to make sure that I do all I can to ensure the dark spots on my cheeks do not come back. I have light olive skin tone (Mediterranean ancestry). Looking for alternatives as high SPF Neutrogena products give me a rash.
February 28, 2018
Answer: Sunscreens and melasma Sunscreens play a small but vital role in melasma management, if you are after a low irritant but high SPF sunscreen, look for Ti Dioxide or Zn Oxide. Apply 2-3 times a day, adjunctive hats, UV avoidance etc... are all essential. 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 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. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams. In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient. All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia
Helpful 5 people found this helpful
February 28, 2018
Answer: Sunscreens and melasma Sunscreens play a small but vital role in melasma management, if you are after a low irritant but high SPF sunscreen, look for Ti Dioxide or Zn Oxide. Apply 2-3 times a day, adjunctive hats, UV avoidance etc... are all essential. 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 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. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams. In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient. All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia
Helpful 5 people found this helpful