Can I use facial hair bleach cream while using retin a and vitc for melasma?

Question

I have lots of facial hair and want to bleach them regularly. I am using cosmelan maintenance cream too after the mask. Can I use jollen bleach?

Raffy Karamanoukian, MD, FACS · Answer

Dark pigmentation on the skin can be due to melasma, age spots, and sun damage. Melasma is a specific hormonally-influenced skin condition in which pigmentation is deposited by overactive pigment cells in your skin. 
  
In our office, we individualize treatments for melasma and skin discoloration based on skin type, skin complexion, hormonal influences, and ethnicity. 
  
Treatments for melasma begin with Melarase creams as follows: 
  
MelaClenz
  Melarase AM
  Melarase PM
  Melapads
  Replenish Retinoid Cream
  Additional therapies include fractional laser, fractional RF, Covalent peels, and LED microneedling with Replenish serum. The video demonstrates the clear and brilliant laser that is used alongside Melarase creams. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Davin Lim, MBBS, FACD - Account Suspended · Answer

Dermpaning is the best. This increases the efficacy of topicals, and in the context of melasma will remove the upper most areas of pigmentation. I am now using this method, together with vvv low strength TCA to maintain my melasma patients.

Melasma is a very common cause of skin pigmentation. It 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. This forms the foundation of all treatments.

I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams or Meladerm. I start my patients on laser (low dose Q switch or Picosure) as this has shown to decrease pigment production by decreasing the activity of the cells that produce pigment. Laser itself is not aimed at ‘blasting’ pigment, but to slow down the rate of melanin production. Another laser I use is the Clear and Brilliant in the 1927 Permea setting combined with creams. IPL should never be used to treat mixed melasma as it often worsens the condition (this is termed ‘Rebound Melasma’)

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 according the type of melasma. Majority of patients will have mixed dermal and epidermal melasma. Approach melasma as a medical condition and not a cosmetic concern, and the success rate will be much higher.

Consult a Board Certified Laser dermatologist with a special interest in disorders in pigmentation as well as one who has experience in treating all skin types, including darker Ethnic skin.

All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia.

Can I use facial hair bleach cream while using retin a and vitc for melasma?

Answers (2)

More Laser Resurfacing Questions

WE SEND PRETTY
EMAILS

Answers (2)

More Laser Resurfacing Questions

Would melasma come back worse after I use hydroquinone 10% for few months?

Upper lip melasma from laser hair removal not fading after Cosmelan procedure and use of Cosmelan cream from 6 week?

My melasma got worse recently, and no treatment gives permanent results. What's my prognosis?

Melasma treatment, after dermalen mask, going on hydroquinone 10%..but is it possible to maintain results?

Laser resurfacing for acne scars in nose. How much time will they take to heal? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS