Triluma for Mild to Moderate Melasma Recommended? (photo)

I was prescribed triluma for my mild to moderate melasma. I have read so many negative reviews from others that it made their melasma darker. I am scared to use it. I don't think I could bare it if my melasma got darker.

Doctor Answers 2

Melarase AM and Melarase PM creams for melasma as an alternative to triluma cream for pigmentation

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I would not recommend long term use of Triluma as it contains a non-selective melanin inhibitor.  I use the Melarase AM and Melarase PM creams in my office and patients see very positive long term results. 

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Mask of Pregnancy, What Cream Works?

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Triluma is an excellent treatment for uncomplicated hyperpigmentations, such as post-injury hyperpigmentation (i.e. brown spots on your knees after sliding down the street on your knees).  Unfortunately, melasma is a very complex problem and needs to be dealt with by something other than the basics.  Triluma, unfortunately, also targets normal pigmentations often giving one a halo effect where the area treated often becomes lighter than the areas around it.  I have found that products which contain kojic acid target specifically the hyperpigmentation of melasma (also called colasma, or the "mask of pregnancy").  Here in Hawaii, I have had this cream made up by a local compounding pharmacist.  I recommend you see a board-certified plastic surgeon experienced in this area, and I'm certain he or she will be able to create the same medication necessary to treat or significantly improve your pigmentary problems.

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