I think I have Melasma. Are there treatments? Will I have this forever? I am extremely self conscience about it (Photos)
Doctor Answers 6
I think I have melasma
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.
H Karamanoukian MD FACS
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. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. Clear and Brilliant (mini Fraxel) combined with vitamin C and peptides can also help.
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
Melarase creams for melasma
I would recommend Melarase AM, Melarase PM, Melapads, and Replenish creams for the melasma.
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Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 / Aerolase w Microneedling PRP, Pro Yellow is Useful
Combined At-Home & In-Office Treatments Can Work Well To Improve Melasma
Successful in-office treatments, such as a series of superficial peels with Jessner's solution, TCA (in concentrations of 10-25%), full strength glycolic acid, or salicylic acid accompanied by at-home use of prescription bleaching preparations can be quite successful in restoring more normal and even pigmentation. Ups and downs are to be expected. Nevertheless, while there is are guarantees, in general, vigorous sunscreen use and periodic maintenance applications of bleaching preparations will help to maintain the improvements achieved via the above treatments. So, take heart and seek consultation with a board certified aesthetic dermatologist and be sure to ask to see his/her before and after photos. Good luck to you.