What is the best way to get rid of melasma patches on my face? I have a large brown spot on my forehead and chin that was diagnosed as melasma. I have been using triluma cream and it has lightened but it darkens the second I step outdoors. Is there anything else that I can do to get rid of this?
Best Treatment for Melasma on the Face?
Doctor Answers 2
Best Treatment for Melasma
Melasma has multiple causes and therefore has multiple treatments. It is likely a lifelong condition but can be held under control. Steps to successfully treat melasma inclu
-Avoid UV light and exposure and wear daily sunscreen
-Investigate hormonal causes
-Use of topicals (skin lighteners, retinols, etc)
-Use of chemical peels (i.e. melanage, etc)
-Use of LASERS (i.e. IPL, erbium, Nd:YAG, ablative treatments)
Optimal treatment for Melasma requires care by of a board-certified dermatologist
- See a board-certified dermatologist for higher strength hydroquinone and/or topical retinoid to be applied at night. Consider antioxidant vitamin C serum in the morning.
- Spectra Laser (Q-switched Nd:Yag laser) by Lutronic is the new standard of care for melasma
- Daily high SPF sunscreen application, reapply every 2 hours between 10am and 4pm when you are outdoors. Consider sun protective clothing, broad-brim hats. Plan your outdoor activities before 10am or after 4pm.
- Discontinue all estrogen-containing contraceptive
- Gentle cleansing. Excessive irritation from vigorous washing can lead to postinflammatory hyperpigmentation.
- Consider combination of microdermbrasion, IPL (for fair-skin individuals only) and/or Nd:Yag laser supervised by a board-certified dermatologist.