Can you please recommend a moisturising cream I can use that will not aggravate the melasma?
Doctor Answers 3
Simple moisturisers are best for melasma
Melasma can not be completely cured, however effective treatment are possible. I advise on simple skin care like cetaphil or Obaji hydrate as the ACTIVE ingredients as lists below can cause skin irritation. 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. All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia