Best Melasma Treatment for African American Skin?

I am an African American woman in my 40's, with a few patches of melasma on my nose and cheek. What is your recommendation for the best melasma treatment for my skin type?

Doctor Answers 3

Options for the treatment of melasma

Unfortunately, there is no cure for melasma. Because of this, it is one of the most emotional skin conditions that we treat. The goal for the treatment of melasma is improvement and control or suppression of a condition that is considered chronic. With that said, there are many that claim good outcomes with lasers and/or topical products. In our opinion, lasers (including Fraxel) do not consistently provide benefits and, in many cases, the condition is worsened by lasers. Because you are of a darker skin type, this must be taken into consideration as well.

We currently have good success (improvement) with two topical regimens that we offer. Medium to darker skin types have a higher predisposition of having a negative reaction (post-inflammatory hyperpigmentation = darkening of the skin) if the topical regimen is too harsh. Be certain to choose a practitioner that will help you decide which treatment plan is best based upon your skin type, past modalities used, and ask for before and after photos of actual patients. Far too often, patients are prescribed strong topical regimens with very little patient education or monitoring. Whatever you decide, be diligent with sun protection daily by using a broad spectrum sunscreen.

Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Melaquin and MelaPeel to improve pigmentation associated with melasma

I recommend that patients begin treatment with Melaquin AM and Melaquin PM followed by MelaPeels once monthly for three months.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Best melasma treatment for African Americans

I would suggest topical approaches before any lasers...the Obaji system may provide excellent results if it is administered and monitored properly.

Leonard T. Yu, MD
Maui Plastic Surgeon
4.3 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.