Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...
You are on a good anti-aging regimen: Skinceuticals CE Ferulic, topical green tea, Tretinoin 0.05% Cream, and ZnO sunblock. You can try alternating 10% glycolic acid cream and Tretinoin 0.05% cream at bedtime or increase to Tretinoin 0.1% cream every night and use the glycolic acid once to twice...
I do believe heat can worsen one's melasma. In one study we did, we found that the brown was intimately associated with underlying blood vessels that dilate and get worse with heat. If the pigment is being fed by those blood vessels it would make sense the pigment would worsen as well, if not...