Can this melasma be treated? (photos)
Doctor Answers 3
Melasma care in Nigeria
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.
H Karamanoukian MD FACS
Simple solutions for difficult melasma
I would use a combination of Clear and Brilliant Laser, Melarase creams in the Kare Skin Brightening Kit, and light chemical peels.
Melasma requires multiple treatment methods.
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