Clear +Brilliant and 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 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.For maintenance therapy, I like the of Clear and Brilliant with vitamin C or low strength TCA Peels with HQ 2 times a week.
All the best,
Dr Davin Lim
Laser, surgical and aesthetic dermatologist
Thank you for your question. Unfortunately, there are no specific treatments or interventions available to maintain clearance of melasma. The best prevention is to use sunscreen SPF > 40 and sun protection on a daily basis because any unprotected sun exposure may result in melasma returning. With that being said, other factors may also cause melasma such as hormones, medications, or other underlying diseases. I recommend you consult with a dermatologist regarding your questions and concerns. Take care and good luck.