Is this Melasma or is it a Cafe Au Lait Spot? (photo)
Doctor Answers 5
This is melasma and NOT a CALM
The picture shows that you have melasma and not a CALM or Cafe Au Lait Macule. 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.
All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia
Melarase creams for melasma
Melasma is common in this area. I would recommend Melarase AM, Melarase PM, Melapads, and Replenish in addition to some light chemical peels.
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 / Aerolase w Microneedling PRP, Pro Yellow is Useful
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Hi. Your photo looks like melasma, but I would suggest arranging a face to face dermatology consult given your medical history and the other features you describe. Best wishes.