Why won't my melasma lighten up at all? (Photos)
Doctor Answers 4
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
Clear and Brilliant laser and Kare skin Brightening kit for melasma
For difficult melasma such as yours, we would recommend the Kare skin Brightening Kit, light chemical peels, and Clear and Brilliant laser.
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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. In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help.
I like the Clear+Brilliant with ascorbic acid and twice a week HQ to maintain. Finding the combination that works for YOU is the key.
All the best, Dr Davin Lim Laser, surgical and aesthetic dermatologist Brisbane, Australia
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