Need assistants with my pesky melasma. Any suggestions? (photos)
Doctor Answers 5
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.
Daily good habits with topicals may well help you chieve your goals with a good skin system like 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).
Melarase AM is non hydroquinone based.
Clear + Brilliant laser can be added once you start your pretreatment with topicals.
Chemical peels by an expert may also help.
H Karamanoukian MD FACS
Melarase creams and melasma
I would first begin with the Melarase Brightening Kit to prep the skin and lighten melasma, followed by fractional laser to remove stubborn pigmentation.
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
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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