Treatment FAQ

what is the best facial treatment for melasma

by Miss Imogene Miller Published 2 years ago Updated 2 years ago
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Triple combination cream (hydroquinone, tretinoin, and corticosteroid) remains the most effective treatment for melasma, as well as hydroquinone alone. Chemical peels and laser- and light-based devices have mixed results. Oral tranexamic acid is a promising new treatment for moderate and severe recurrent melasma.

Healthline.com

Aug 27, 2020 · 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,...

Top10homeremedies.com

Mar 26, 2021 · Standard treatment methods include: Chemical peel for melasma Microdermabrasion Dermabrasion Laser treatments Dermaplaning Light-based therapy Sunscreen (more of a preventative measure than a treatment) Prescription tretinoin, corticosteroids, or hydroquinone (or a Triple Cream with all three) ...

Curejoy.com

Apr 02, 2020 · The most common treatments for melasma include the following: Chemical facial peels A chemical peel uses a special solution to ‘ peel off ’ the topmost layer of skin. This process removes discolored patches and the skin pigment melanin, as well as promotes new skin growth.

Homeremedyshop.com

Oct 08, 2021 · Hydroquinone is an FDA-approved skin-lightening agent that works by inhibiting the skin ’s pigment-producing cells. Six of our experts named it …

Trueremedies.com

Mar 12, 2020 · In-office treatment options for melasma include topical peels using alpha-hydroxy acids (often glycolic, lactic, and trichloracetic), as well as microdermabrasion and microneedling.

What natural treatments can cure my melasma?

The combination of hydroquinone, tretinoin and a moderate topical steroid has had the best effect on melasma. Other agents that are being studied to …

Is there an effective lasting treatment or remedy for melasma?

Feb 07, 2022 · Other treatment options Skin-lightening agents. Skin-lightening agents usually include a moisturizer or lotion. The active ingredient is... Chemical peels. A 2012 research review showed that chemical peels come in varying strengths, and they use acids and... Microdermabrasion. Microdermabrasion is a ...

Are there any natural remedies to combat melasma?

How to get rid of melasma on face permanently?

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What type of facial helps with melasma?

Microdermabrasion: Microdermabrasion gently exfoliates the top layer of the skin, which can reduce the appearance of hyperpigmentation. It is most effective for melasma when performed in combination with a series of glycolic acid peels every 2 weeks.

How do I get rid of melasma on my face?

Treatment options for melasma include:Hydroquinone. Share on Pinterest A person can apply hydroquinone lotion directly to melasma to lighten the skin. ... Corticosteroids and tretinoin. Corticosteroids and tretinoin come in creams, lotions, or gels. ... Combined creams. ... Additional topical medications. ... Medical procedures.

What makes melasma worse?

Sun exposure: Exposure to the sun's rays can make melasma worse and this includes being in the heat and visible light. It doesn't have to be a very hot day out, but if the sun is beaming on your skin, the melasma can immediately get worse.Jan 20, 2020

How can I remove melasma permanently at home?

Pigmentation treatment at homeCombine equal parts apple cider vinegar and water in a container.Apply to your dark patches and leave on two to three minutes.Rinse using lukewarm water.Repeat twice daily you achieve the results you desire.

What foods make melasma worse?

Some foods contain chemical hormones that can aggravate hormone-triggered hyperpigmentation. Examples of foods that contain potentially hyperpigmentation-causing hormones are soy products, black beans, flaxseed and chickpeas, all of which contain estrogen.Mar 30, 2020

What fades melasma?

Hydrocortisone (a topical corticosteroid): Hydrocortisone helps fade the color caused by melasma. It can also lessen the likelihood of dermatitis that may be caused by other agents. Hydroquinone: This medication is applied as a cream or lotion. It goes directly onto the melasma patches at night for two to four months.Jul 27, 2020

Why do I suddenly have melasma?

Causes and risk factors of melasma This means birth control pills, pregnancy, and hormone therapy can all trigger melasma. Stress and thyroid disease are also thought to be causes of melasma. Additionally, sun exposure can cause melasma because ultraviolet rays affect the cells that control pigment (melanocytes).

What can trigger melasma?

What causes melasma?Sunlight: When sunlight hits our skin, it triggers the body to produce more melanin. ... Pregnancy: An increase in the hormones estrogen and progesterone, which occurs during pregnancy, is thought to trigger melasma.Some medications: The following medications may trigger melasma in some people:More items...•Feb 15, 2022

Is Retinol Good for melasma?

Cream-based retinoid treatments are effective when addressing melasma as well, since the inflammatory risk is so low.

What causes dark spots on the face?

According to cosmetic dermatologist Dr. Michele Green, melasma is a skin condition that causes patches of dark discoloration on the skin. “It usually occurs on the face, predominantly on the cheeks and forehead,” she explains, noting that it’s usually caused by hormonal changes and/or sun exposure. While there are no known health risks associated ...

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 melasma reoccur after treatment?

Because of this, Green reminds us that melasma can reoccur post-treatment, especially if you don’t make the treatments a regular part of your routine, or if repeated sun exposure is part of your day-to-day. But don’t let that discourage you.

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 hydroquinone over the counter?

Garshick expands on this, noting that hydroquinone is a well-known lightening cream that has been used for the treatment of melasma for many years with different concentrations available (it used to be available over the counter, but is now only available with a prescription).

Best Treatments for Melasma on Face

Melasma is a pigmentation disorder that causes brown to grey, brown, and blue patches on the skin. The condition can affect the facial appearance, but it is treatable.

What Is Melasma?

Melasma is a common skin problem for women and men around the world. It causes discoloration of the skin, resulting in flat patches or freckle-like spots.

Is Melasma Common?

Research indicates melasma affects up to one-third of the population. Melasma symptoms usually start to appear between 20 and 40 years of age. These symptoms can be chronic.

Is Melasma Cancerous?

Melasma is not cancerous. But, skin cancers can mimic melasma. For those who experience any melasma symptoms, they can meet with a dermatologist. At this point, a dermatologist can assess their patient’s skin to find out if melasma or other skin issues are present.

What Causes Melasma?

Excess Sun Exposure: The sun’s ultraviolet (UV) rays affect cells that control pigmentation. If people spend too much time in the sun, they are susceptible to melasma.

Is Melasma on Face Permanent?

Melasma can be chronic, with symptoms that last three months or longer. In some instances, people experience melasma symptoms that last a lifetime.

Is Melasma on Face Painful?

Melasma can cause people to itch, but it is generally harmless. With appropriate diagnosis and treatment following symptomatic onset, those coping with melasma can address the condition in its early stages.

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).

What are the causes of a swollen ear?

Other triggers? Certain medications (so talk to your doctor), inflammation (from pollution, products, irritation, etc.), excessive heat (from things like hot yoga or hanging in the steam room), and an overly harsh or an aggressive skincare routine.

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.

Can you use sunscreen without SPF?

Sunscreen. You can use all the brightening products in the world, but without SPF? It's pointless, since UV exposure is basically a one-way ticket to melasma town. Choose a sunscreen that's got SPF 30 (at the very least) and is made with mineral or physical blockers, like zinc oxide and/or titanium dioxide.

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 .".

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.

How long does it take for melasma to heal?

Note that you shouldn’t use a hydroquinone cream for melasma for more than three to six months at a time. You should then allow the skin to restore itself for two to three months. Formulyst Dark Spot Solutions, $79.

What is a melasma facial pattern?

In terms of appearance, melasma can be characterized by dark, discolored patches on the face in a symmetrical fashion. Three common melasma facial patterns include the center of the face (centrofacial), cheekbones (malar), and jawbone (mandibular.) Though rare, it can also appear on the neck and forearms.

How common is melasma in pregnant women?

Melasma is present in 15% to 50% of pregnant women. The prevalence varies between 1.5% and 33%, depending on the population. Persons of any race can be affected; however, melasma is more common in darker skin types than in lighter skin types, and it is significantly more common in light brown skin types.

What is the SPF of Murad Essential C?

Murad Essential C Day Moisture Broad-Spectrum SPF 30 PA+++, $65. Vitamin C helps brighten minor cases of melasma, but the added sun protection keeps dark patches from getting out of hand. Of course, C is also a powerful antioxidant that helps protect against environmental stressors.

What is the cause of hyperpigmentation?

Hyperpigmentation is a common skin condition caused by an overproduction of melanocytes, the cells that produce skin pigmentation. There are several different kinds of hyperpigmentation, but melasma is a harder nut to crack when it comes to causes and treatment. In terms of appearance, melasma can be characterized by dark, ...

What vegetables are good for melasma?

You can find it in healthy veggies like broccoli, kale, cauliflower, and cabbage. DIM (Diindolylmethane): Found in vegetables like cabbage and broccoli, DIM helps regulate hormone levels. Vitamins for Melasma Treatment: All of the above can be taken as a supplement as well.

How many women have melasma?

According to the American Academy of Dermatology, 90 percent of people who develop melasma are women (they’re affected nine more times than men), many of whom form the condition when pregnant, which has been given the term “mask of pregnancy.”. Melasma is present in 15% to 50% of pregnant women.

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.

Why do you need retinoids?

Because retinoids (topical agents derived from vitamin A) encourage cell turnover and inhibit tyrosinase — the enzyme our skin needs to produce melan in — they can lead to “brighter, more even-toned skin,” according to Bunting. Since they make your skin more sun-sensitive, the experts say you should use retinoids only as a part of your nightly routine. Many are available only by prescription, but Bae cites Differin, which contains the retinoid adapalene, as an affordable over-the-counter option — except for pregnant women, who should not use any retinoids, according to the dermatologists we talked to.

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.

What is supergoop sunscreen?

Audrey Kunin recommends this sunscreen from Supergoop! which, like the EltaMD, is a physical blocker that contains zinc oxide.

What is the best exfoliant for dark spots?

Dr. Lian A Mack, a board-certified dermatologist, recommends glycolic acid, a chemical exfoliant, for fighting discoloration because it (like most exfoliants) speeds up cellular turnover and helps to reduce dark patches.

Why do people use microdermabrasion?

Because they remove the top layer of skin, "microdermabrasion or microneedling may help the condition by helping the other ingredients to penetrate the skin surface ," Shim says. However, Samolitis cautions that "peels and microdermabrasion must also be done carefully to prevent worsening melasma.".

What is the hormonal component of melasma?

The hormonal component to melasma is what sets it apart from other forms of hyperpigmentation, although the primary symptoms of both general hyperpigmentation and melasma are often similar: Dark patches of skin discoloration. "There are many treatment options for melasma and because it is difficult to treat, we often use combination therapy," ...

Why is melasma so difficult to treat?

Melasma, a form of hyperpigmentation that occurs primarily in women, can be particularly tricky to treat for a myriad of reasons — most notably, because it is triggered and exacerbated by hormonal changes and UV exposure.

What is combination therapy for melasma?

Depending on the severity, probable causes, and the facial location of melasma, combination therapy can include a number of different treatment options, including prescription topicals, in-office procedures, and tweaking your at-home skin-care routine. Because melasma is considered a chronic condition, each case often requires a nuanced, ...

Can you treat melasma in the office?

In-office treatment options for melasma. When it comes to melasma, in-office skin treatments are not usually the primary method of treatment, but more of a supplemental option. "Melasma is difficult to treat because any inflammation can worsen melasma and many of the treatments can cause this," explains Elisabeth Shim, ...

Is melasma a chronic condition?

Because melasma is considered a chronic condition, each case often requires a nuanced, dermatologist-supervised treatment approach. Symptoms, treatment options, and personal experiences for various physical, mental, and health conditions and concerns. However, the good news is that there are plenty of different treatments to choose from.

Is hydroquinone a topical?

Tranexamic acid is a newer topical ingredient that has proven to be promising in fading dark spots, and it's also available in oral form (we'll get to that next).

What is an example of an antiseizure medication?

An example of an antiseizure medication is Clobazam (Onfi®). · Contraceptive therapy (birth control): Melasma has been observed in individuals who use oral contraceptive pills that contain estrogen and progesterone. Estrogen/Diethylstilbestrol: Diethylstilbestrol is a synthetic (man-made) form of the hormone estrogen.

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 does it mean when you have a dark brown spot on your face?

Melasma is a common skin disorder. Loosely translated, the word means “black spot.”. If you have melasma you’re probably experiencing light brown, dark brown and/or blue-gray patches on your skin. They can appear as flat patches or freckle-like spots. Commonly affected areas include your face, including the cheeks, upper lip and forehead, ...

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.

Why do they use a woods lamp?

They’ll use a Wood’s lamp (a black light) to see changes in the color of your skin. You might have your thyroid checked because there does seem to be an association between thyroid disease and melasma. Melasma can sometimes be mistaken for another skin condition.

Why do I have brown spots on my face?

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.

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 picosure laser?

PicoSure is a laser that turns energy into pressure as opposed to heat. It works quickly to treat melasma below your skin at its source. The procedure itself is quick and only slightly uncomfortable. You may experience a stinging sensation similar to a rubber band snapping on skin.

What is fractional laser?

Fractional laser resurfacing, sometimes known by the brand name, Fraxel, makes microscopic holes in your skin that stimulate the growth of new and healthy skin cells. There is a prickling sensation involved and usually topical anesthetic is applied before the procedure.

Why do women have darker skin?

other sun-exposed skin (occasionally) It is caused by melanocytes in skin creating extra pigmentation, and melasma often affects women with darker complexions because they have more melanocytes. The most important factor in development of melasma is sun exposure.

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 a Q switch laser?

The Q-Switch laser, sometimes called The Spectra®, delivers energy into your skin that breaks melanin into smaller pieces, which are then are removed by your body. Q-Switch may also bleach your hair, and the process can cause a stinging sensation.

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