I think I have Melasma. Are there treatments? Will I have this forever? I am extremely self conscience about it (Photos)
Doctor Answers 5
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.
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 / Aerolase w Microneedling PRP, Pro Yellow is Useful
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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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.