Melarase AM is a non HQ skin lightener
You may consider using a non-hydroquinone skin lightener like Melarase AM and Melapads to help reduce pigmentation on the skin without redness. Best, Dr. Karamanoukian
Skip HQ, dilute HQ, for melasma
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. HQ can be irritating, and cause redness, if this happens dilute the cream, half half, or use alternate nights. 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