How to remove freckles and melasma permanently? Any cream? (Photo)

The vi peel is safe on any color of skin and is effective in reducing melasma in one week with no downtime. Although it is not permanent it can be repeated in a 3-6 months if necessary. The use of a sunblock along with bleaching cream if necessary can maintain the effect.

Melasma can no t 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. Fraxel in a low dose setting, together with creams can also help. What ever you do, do NOT use IPL as this treatment, though effective for freckles can make melasma worse. 

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