Need assistants with my pesky melasma. Any suggestions? (photos)
Doctor Answers 3
Melasma needs combination treatments
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. Personally I do not like IPL as this can treat epidermal melasma, but it often worsens melsama for most patients.
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
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
Melasma and Best Treatment NYC
I would recommend Cosmelan for your melasma. I have had great results with this treatment and of course avoid sun after this treatment. Best, Dr. Green