Treatment FAQ

melasma treatment results last how long

by Zachariah Barrows Published 3 years ago Updated 2 years ago
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How long does it take for melasma to go away?

Melasma can be stubborn, though. It may take a few months of treatment to see improvement. It is important to follow your dermatologist’s advice. This ensures that you get the most benefit from treatment. It also can help avoid skin irritation and other side effects.

What is melasma and how is it treated?

Melasma is a skin condition characterized by brown or blue-gray patches or freckle-like spots. It’s often called the “mask of pregnancy.” Melasma happens because of overproduction of the cells that make the color of your skin. It is common, harmless and some treatments may help. Melasma usually fades after a few months.

How long does cosmelan 2 take to work on melasma?

Then you’ll head back to the docs to show them how beautiful your face is Then you can keep applying Cosmelan 2 for up to 8 months to inhibit the growth of more melasma, in my case. Experts say Cosmelan removes 95% of your skin discolorations!

How long does it take for methotrexate to work on melasma?

It goes directly onto the melasma patches at night for two to four months. Methimazole: Methimazole is an antithyroid cream or an oral tablet. It’s known to help melasma that resists hydroquinone.

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How long does it take for melasma to clear?

Some people may feel embarrassed to allow others to see their skin condition. Fortunately, melasma typically fades after about three months.

Does melasma come back after treatment?

ANSWER: The skin condition melasma can be challenging to get rid of completely, and as a chronic condition, it can come back after treatment. With the treatment you mention, intense-pulsed light or IPL, melasma often reappears quickly.

Does melasma come back after laser?

There is a very small risk of worsening melasma or increased darkening after laser treatments and even cases where the melasma fades beautifully after laser, it is very much prone to coming back.

What is the fastest way to cure melasma?

Doctors often use hydroquinone as the first line of treatment for melasma. Hydroquinone is available as a lotion, cream, or gel. It works by lightening the color of the skin patches. A person can apply the hydroquinone product directly to the patches of skin that are discolored or uneven.

Can melasma be cured permanently?

The bad news is that melasma is a chronic condition that isn't currently curable. The good news is that the dark patches this condition causes do fade over time and can be effectively managed.

Does melasma get darker before it fades?

Yes. Active treatment accelerates cell turnover, pulling pigmented cells to the surface at a faster rate. This increases the concentration of melanin in the epidermis, which can create a temporary darkening of the spots. The darkening means the pigment is coming up and is ready to be shed away.

How many sessions does it take to remove hyperpigmentation?

3-4 sessionsWith chemical peels for hyperpigmentation on the face, about 3-4 sessions will show desired results.

How many laser sessions are needed for melasma?

You should see some improvement after the first session, but three to four sessions spaced about 30 days apart will yield the greatest results. You should see full results in 3 to 6 months. You may need follow-up treatments because sometimes melasma clears days after laser therapy, but returns in about 3 months.

How long does it take for dark spots to fade after laser treatment?

The most common (and expected) side effect is a darkening of the more superficial brown spots of the areas being treating. This darkening of superficial brown spots will flake off after about 7-14 days.

Which serum is best for melasma?

The 4 best melasma serumsThis Melasma Serum with Tranexamic Acid. SkinMedica Lytera 2.0 Pigment Correcting Serum. ... This Melasma Serum with Vitamin C. BeautyStat Universal C Skin Refiner. ... This Melasma Serum with Tranexamic Acid and Niacinamide. ... This Melasma Serum with Azelaic Acid and Niacinamide.

How long does it take for hydroquinone to work on melasma?

eight to 12 weeksIn short, hydroquinone is scientifically proven to reduce the amount of skin discoloration caused by melasma. For most people, it produces a noticeable improvement after eight to 12 weeks of consistent use, although some people might see improvements in their skin sooner.

Does vitamin C help with melasma?

Vitamin C for Melasma Vitamin C is an effective natural melasma treatment as it is a tyrosinase inhibitor - one of the most common skincare ingredients to treat pigmentation. Tyrosinase is the enzyme the body needs to make melanin pigment, so when you inhibit tyrosinase, you can lighten the skin.

How long does it take for melasma to go away?

Melasma is typically a chronic disorder. This means that it’s long-lasting (three months or more). Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment.

How often does melasma occur?

It usually starts between 20 and 40 years of age. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

What color is melasma?

Epidermal: Epidermal melasma has a dark brown color, a well-defined border, appears obvious under black light and sometimes responds well to treatment. Dermal: Dermal melasma has a light brown or bluish color, a blurry border, appears no differently under black light and doesn’t respond well to treatment.

Where does melasma appear?

Melasma appears most commonly on your cheeks, nose, chin, above the upper lip and the forehead. It sometimes affects your arms, neck and back. In fact, melasma can affect any part of your skin that is exposed to sunlight. That’s why most people with melasma notice that their symptoms worsen during the summer months.

Is melasma more common in women or men?

Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. Pregnant women get melasma more often than anyone else. You’re also at risk if you take oral contraceptives and hormones.

Is melasma a disorder?

Another, less common name for melasma, is chloasma. Although this disorder is completely harmless, it understandably makes some people feel self-conscious.

Is it safe to use azelaic acid cream while pregnant?

Azelaic acid: This cream, lotion or gel is applied twice a day. It’s safe for pregnant women to use. Cysteamine: A small study of 50 people found cysteamine cream to be more effective than a placebo. Hydrocortisone (a topical corticosteroid): Hydrocortisone helps fade the color caused by melasma.

What is the best treatment for melasma?

“ There are prescriptions such as Triluma, which contains a combination of hydroquinone, a retinoid, and steroid for the treatment of melasma,” Garshick shares.

How to reduce melasma?

Another great way to reduce the appearance of melasma is by stimulating cell turnover, which will help to gradually replace pigmented cells: “Our EGF Activating Serum contains natural epidermal growth factors that stimulate the skin’s ability to regenerate and heal, gradually brightening and lifting hyperpigmentation over time,” Benjamin says.

Can birth control cause melasma?

Because melasma has been linked to hormonal changes and imbalances, it's possible that birth control can play a role in exacerbating your melasma. 1  If you use hormonal birth control, consult your physician or a dermatologist about how your prescription might be making your melasma worse, and if there is a different contraceptive that might be better suited for you.

Does melasma come and go?

Although there are various treatments that help improve melasma and many people do find success with them, Garshick tells us that melasma is a skin condition that can come and go with the seasons and varying levels of estrogen. What’s more, while it’s largely not something to worry about in the grander scheme of health, Green says that the appearance of melasma can be an indication of underlying health conditions such as thyroid disease or other endocrine problems. Because of this, if the treatments above don’t seem to do you any good, you should most definitely seek out a derm’s professional opinion on what’s going on with your skin and health as a whole.

Is melasma a health risk?

While there are no known health risks associated with melasma, Green acknowledges that the uneven color has been known to lead to feelings of self-consciousness. Since we believe that everyone should be empowered to feel their most confident, we’ve rounded up a handful of ways to make melasma a skin concern of the past.

Can IPL be used for melasma?

IPL or intense-pulsed light laser is not the best choice for treating melasma because it can heat the surrounding skin—which can actually cause an increase in melasma for some. 2 In addition, for those that it does help, the results of IPL are short term with the melasma often quickly reappearing.

Can hydroquinone be used for melasma?

These peels are especially popular for the treatment of melasma because they're not formulated with hydroquinone, a popular melasma treatment that may, in some cases, cause redness and/or dryness. 02 of 10.

How long does it take for melasma to clear after laser treatment?

You may need follow-up treatments because sometimes melasma clears days after laser therapy, but returns in about 3 months.

What is the best treatment for melasma?

Laser treatments can be a good option for treating melasma that’s resistant to other treatment options, like skin-lightening agents or chemical peels. Lasers permeate your outer layer of skin, resulting in cell renewal for brighter, more even skin.

What is a melasma?

When to talk with a pro. Takeaway. Melasma is a skin condition that causes gray or brown spots of discoloration on your skin. It can happen to anyone, and is not dangerous to your health, but it can be an annoying cosmetic issue. Melasma most commonly involves sun-exposed areas of your skin including: cheeks. upper lip.

What is microdermabrasion?

Microdermabrasion is a minimally invasive procedure performed by a licensed esthetician, who uses a tool with an abrasive tip or vacuum suction to slough off your outer layer of skin.

Do chemical peels remove melasma?

showed that chemical peels come in varying strengths, and they use acids and other ingredients like tretinoin to gently remove your outer layer of skin. Side effects look and feel similar to a sunburn, but once your skin recovers, melasma may be less prominent.

Is laser treatment for melasma bad?

What to Expect from Laser Treatments for Melasma. Melasma is a skin condition that causes gray or brown spots of discoloration on your skin. It can happen to anyone, and is not dangerous to your health, but it can be an annoying cosmetic issue.

Is Q switch laser good for melasma?

Another 2017 research review. Trusted Source. showed that people who experience melasma during pregnancy, and do not plan to become pregnant again are good candidates for laser treatment.

How does hydroquinone help with melasma?

Six of our experts named it as an extremely effective way to treat melasma flare-ups, especially via products that combine hydroquinone with other active ingredients like exfoliating acids.

What causes melasma flares?

Two main factors that contribute to melasma are exposure to UV light and hormone changes, so “summertime and pregnancy are common times when melasma flares,” adds Dr. Nava Greenfield of Schweiger Dermatology Group. While Charles, Greenfield, and the five other dermatologists we talked to say a combination of prescription-strength medications ...

How much is Belli sunscreen?

Belli Pure Radiance Mineral Sunscreen. $24. If you’re pregnant, Greenfield recommends this 100 percent mineral sunscreen — which is also fragrance, paraben, and oil free — to help prevent melasma breakouts. “It’s formulated to be pregnancy safe, which can help prevent flares during pregnancy,” she says. $24 at Amazon.

What is the best serum for skin?

Sam Bunting, the founder of Dr Sam’s Skincare, also recommends using vitamin-C serum and suggests layering it under sunscreen in the morning so it can help protect skin from free-radical damage as it works to brighten.

Is melasma cream good for fine lines?

“It’s a multitasking day cream good for those who want to prevent melasma and are also interested in treating fine lines, ” says Dr. Tess Mauricio, a board-certified dermatologist and founder of M Beauty Clinic. The lightweight cream gives SPF 30 protection and protects the skin against environmental damage.

What is the best treatment for melasma?

Retinol. Retinoids are a must for melasma. They speed up your cell's turnover rate, meaning they help push those damaged, hyper-pigmented skin cells to the surface (and then slough them off) to make room for fresh, new, and undamaged skin cells.

Why is melasma hard to treat?

The overactivity can happen for any number of reasons (which is one of the reasons melasma is so hard to treat), but the two biggest causes are sun exposure and hormones, hence why you sometimes hear melasma referred to as a "sunstache" (sun!) or "pregnancy mask" (hormones!).

What serum can I use to fade melasma?

Brightening serum. It's going to do all the heavy lifting when it comes to fading your melasma. Look for one with vitamin C (ideally in the 10 to 20 percent range), tranexamic acid, kojic acid, and/or hydroquinone (which, FYI, is the most intense and potentially irritating of the brighteners, so skip if you have anything but "tough" skin).

Does melasma go away?

Not only is melasma be caused by a zillion different things, but it's also STUBBORN. So once you get it, it doesn't just magically go away, even if you throw a ton of products at it.

Can a woman get melasma?

It primarily affects women (fact: 90 percent of people with melasma are female, says Dr. Okereke) in their 20s, 30s, and 40s—so really, any adult woman can get it. That said, people with darker skin tones have more active melanin-producing cells in their body (melanin, FYI, is the thing that gives color to your skin, eyes, hair, etc.), ...

Can melasma be cured?

Melasma can't really be "cured.". It can fade on its own or in some cases it can linger for years, says Dr. Okereke. "If you're lucky enough to have your melasma clear up, it's still important to continue with maintenance therapy to prevent it from coming back .".

How long does it take for a cosmelan mask to work?

The first step of the process is done in the doctor’s office. The initial Cosmelan Mask is applied to the face and remains on from 6-10 hours. This mask is made of Azaelic acid, Kojic Acid, Arbutin, Phytic Acid, Ascorbic Acid & Titanium Dioxide.

How often should I use cosmelan?

You will notice it will peel over time and stay relatively dry for a few weeks. For the first 4 weeks, you will apply Cosmelan 2, 3 times a day. After that, you can choose to do the Cosmelan 1 peel again and start the process over (which I would recommend ), or you can proceed the next 4 weeks applying the Cosmelan 2 twice a day.

How long does it take for a skin peel to work?

Patients are directed use a maintenance cream which contains Titanium Dioxide, Kojic Acid, Phytic Acid, and Ascorbic Acid. As the old skin flakes and peels off the new skin should emerge within 2-3 weeks with full results available within 4-6 weeks.

What is cosmelan peel?

What is Cosmelan? Cosmelan is a multi-day chemical peel protocol that has been proven to be successful in treating melasma and hyperpigmentation of the face. It works by inhibiting the tyrosinase which decreases the amount of melanin produced in the skin. Melanin is responsible for pigmentation.

Does cosmelan help with melasma?

Cosmelan can work at reducing pigmentation caused by Melasma. But you’ll also notice that Cosmelan will not cure your melasma, which means you will need to repeat the Cosmelan procedure regularly in order to manage the pigmentation.

My first dermatologist appointment for Melasma

So after many years of suffering with Melasma I finally decided to see a dermatologist. The reason I held out for so long is that I am a firm believer that melasma is a hormonal issue, NOT a dermal issue. I’ve heard horror stories of dermatologists recommending all sorts of expensive laser treatments and chemical peels that do not work.

Booking a Melasma Dermatology Appointment

I did some research online and decided to book two appointments with two different dermatologists to see what they recommended. This blog post will detail what the first derm told me along with the treatment plan recommended.

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