Can this melasma be treated? (photos)

How long will ut tk to go?

Doctor Answers 3

Melasma care in Nigeria

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Dark skin is prone to hyperpigmentation and pigmentary issues such as melasma. 

Melasma needs long term commitment with skin care and avoidance of skin factors such as sun exposure (Spectrase Sun Block) which has wide UV spectrum and SPF 30+ protection. Accutane sensitizes your skin to injury from sun rays. 

Daily good habits with topicals may well help you chieve your goals with a good skin system ike the Brightening Kit from KareSkin (see link). You may want to start with Melarase and Pigmentation Correction Complex. Scler-X from another vendor is for PIH relief (see link). 

Clear + Brilliant laser can be added once you start your pretreatment with topicals. 

Best

H Karamanoukian MD FACS


Simple solutions for difficult melasma

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I would use a combination of Clear and Brilliant Laser, Melarase creams in the Kare Skin Brightening Kit, and light chemical peels. 

Best, 

Dr. Karamanoukian

Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Melasma requires multiple treatment methods.

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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

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.