Safe melasma treatment DURING pregnancy?

Question

I've struggled with melasma for years. Previously (not currently) used Triluma and have had IPL. Still using Ulta MD spf 45 sunscreen daily. Now I'm pregnant. Is there anything I can use DURING pregnancy to clear up melasma (or prevent progression) that is safe for the fetus?

Nissan Pilest, MD · Answer

It isn’t totally clear what causes Melasma. Estrogen and progesterone sensitivity usually are associated with this condition. Birth control pills, pregnancy, and hormone therapy can all help trigger melasma. Some topical products we have found safe to use during pregnancy are Vitamin-C, Azelaic Acid, Lytera 2.0, and physical sunscreen.
  
1.       Vitamin C is used in skin care as a strong antioxidant, especially in regard to protecting the skin from sun damage. It strengthens the skin barrier and thickens the dermis. It can expedite the healing of wounds and reduce inflammation. In high concentrations, it can reduce the appearance of skin discoloration. Most important, it promotes collagen production.
  
2.       Azelaic Acid is a brightening component found in grains like wheat, rye and barley. It leaves your normally pigmented skin alone while targeting abnormal melanocytes, helping treat hyper-pigmentation.
  
Lytera 2.0: Contains Tranexamic Acid to help correct the appearance of hyperpigmentation. 
  Physical Sunscreen: Offers protection against both UVA and UVB rays and is naturally broad spectrum
  Always discuss using these product with your OBGYN.

Davin Lim, MBBS, FACD - Account Suspended · Answer

First of all you should use a high factor SPF sunscreen twice a day. Melasma is common in pregnancy, in fact it is called the 'Mask of Pregnancy'. Vitamin A treatments are NOT indicated in pregnancy, nor HQ. We use AHA or Fruit acid peels, namely glycolic acid peels starting at 20%, eventually working upto 70%,- super safe. Once you give birth, we are comfortable with HQ and Vitamin A as very little is passed into the breast milk. RegardsDr Davin LimDermatologist, BRISBANE, Australia.

Safe melasma treatment DURING pregnancy?

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Safe melasma treatment DURING pregnancy?

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