Treatment FAQ

what is the best melasma treatment

by Krystel Luettgen Published 3 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.

Medication

Feb 15, 2022 · Your dermatologist may prescribe one or more of the following: Hydroquinone: This is a common treatment for melasma. It is applied to the skin and works to even out the skin tone. Tretinoin and a mild corticosteroid: This combination contains a retinoid and an anti-inflammatory, which can even ...

Therapy

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 …

Self-care

Aug 27, 2020 · Brightening serums and creams for melasma They're going to do all the heavy lifting when it comes to fading your melasma. Look for a melasma serum or melasma cream (the texture is totally a...

Nutrition

Mar 02, 2022 · PICO Genesis is one of the best melasma treatment options available in the market. It works effectively at treating melasma, leaving you with a …

Which is a better treatment for melasma?

Mar 26, 2021 · Topical treatments are the favored choice of many dermatologists because they’re effective yet have minimal side effects. Melasma creams are most effective in treating epidermal melasma, which only affects the skin’s top layer. Common active ingredients include hydroquinone, kojic acid, retinoids, niacinamide, and salicylic acid.

What is the best cure for melasma?

Hydroquinone (abbreviated HQ): This is a compound that can be applied in the form of a cream, or taken orally. It inhibits the body’s production of melanin pigment--thus whitening the skin....

What natural treatments can cure my melasma?

Apr 06, 2022 · Therefore, it’s best to treat melasma at night while you use an antioxidant ( vitamin C serum) and a broad spectrum sunscreen during the day to protect your skin from sun exposure – which is one of the main causes of melasma. You should also keep in mind that while treating melasma, you should keep extreme-religious application of your sunscreen.

What is the best way to treat melasma permanently?

Aug 13, 2020 · The first / most recommended line of treatment is a topical combination hydroquinone cream, avoiding sun, and NO estrogen exposure. The BEST treatment is what works for you. You may need to experiment with several different treatments to determine the best combination for your melasma.

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What is the fastest way to cure melasma on face?

TreatmentHydroquinone. 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.

How can I permanently cure melasma?

Most cases of melasma will fade away with time and especially with good protection from sunlight and other sources of light. Unfortunately, there is no definitive treatment that will automatically make melasma disappear. At this time there is no way to remove dermal pigment.27 Jul 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 vitamin is good for melasma?

Conclusions: Full-face iontophoresis of vitamin C appears to be an effective short-term treatment for melasma and postinflammatory hyperpigmentation. A protocol of strict sun avoidance in combination with a mandelic/malic acid skin care regimen appears to be useful in maintaining the improvement.

Which cream is best for melasma?

What Are The Best Skin Lightening Creams For Melasma?Skin lightening cream by Eva Naturals – $15.95.Dark spot corrector cream for the face by PurePeaks – $26. ... SkinMedica Lytera 2.0 pigment correcting serum – $154.00.Pigmentclar by La Roche-Posay – $39.00.Glytone dark spot corrector.Hydroquinone.Azelaic Acid.Kojic Acid.3 May 2020

Will melasma ever go away?

Most people with melasma do not need treatment. Melasma may fade away slowly if you stop taking birth control pills or hormone replacement therapy. If melasma appeared while you were pregnant, it may go away a few months after you have the baby.30 Aug 2018

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.

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 ...

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).

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.

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.

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.

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.

Is it safe to use mineral sunscreen while pregnant?

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.

What is supergoop sunscreen?

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

Can you use a retinoid with differin?

If you’re pregnant or otherwise unable to use a retinoid like that in Differin, incorporating an azelaic-acid serum can be a good stand-in. Azelaic acid is a brightening antioxidant that puts a stop to pigment production in the skin, according to Bunting, who recommended this serum by name. “For pregnancy, a simple azelaic-acid serum is best,” he advises. Chang is also a fan, noting that some small studies have shown it to be as effective as hydroquinone.

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 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 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.

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 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 .".

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 are the different types of melasma?

The Different Types of Melasma. Epidermal Melasma: The presence of excess melanin in the superficial layers of skin. Dermal Melasma: The presence of melanophages (cells that absorb melanin) throughout the dermis. Mixed Melasma: A mix of epidermal and dermal.

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 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 causes dark spots on the face and nose?

Melasma is a condition where the skin develops dark patches on the cheeks, nose, forehead, and other parts of the body. Pregnant women and women taking contraceptives may suffer from it. It can also be a result of hormonal changes in the body, or as a reaction due to sun exposure. Melasma is graded by how far it has penetrated into the skin: in the first stage, only the epidermis is affected. In the next stage, it proceeds down to the dermis and will be harder to treat. So success depends on how early you start treatment.

How is melasma graded?

Melasma is graded by how far it has penetrated into the skin: in the first stage, only the epidermis is affected. In the next stage, it proceeds down to the dermis and will be harder to treat. So success depends on how early you start treatment.

Who is the founder of Admire My Skin?

Admire My Skin was founded by Amy and Craig Romero of Palm Beach, Florida. They are nature enthusiasts, who developed products to reduce skin aging, skin damage, acne, and melasma. Emma Cardinelli is a manufacturer of skin lightening treatments.

Is bearberry a diuretic?

The fruit and leaves of the Bearberry plant have been used as a diuretic and to treat urinary tract infections. But the leaves are a source of hydroquinone and have been used as an antibacterial compound. So, it’s not uncommon to see it as a source of the active ingredient in a cream for melasma.

What is the best treatment for melasma?

Topical treatments for melasma will usually contain one of the following active ingredients: Hydroquinone (abbreviated HQ): This is a compound that can be applied in the form of a cream, or taken orally. It inhibits the body’s production of melanin pigment--thus whitening the skin. Whitening creams will have a very low percentage ...

How to treat melasma at night?

Another suggestion is to apply a moisturizer with the melasma treatment at night, and a sunscreen or sunblock during the day.

How long does it take for melasma cream to work?

Others, such as Variety Etc. Melasma Brightening Cream, say that their product will give results in 11 days! Protect skin from UV exposure: Since sun exposure, and ultraviolet rays particularly, make melasma worse, you have to protect your skin from sun exposure.

What is the best treatment for melasma?

The first / most recommended line of treatment is a topical combination hydroquinone cream, avoiding sun, and NO estrogen exposure. The BEST treatment is what works for you. You may need to experiment with several different treatments to determine the best combination for your melasma.

Is melasma a difficult condition to treat?

Melasma is a difficult condition to treat partly because it is so persistent. That said, progress is being made. Following are some of the best products available for melasma treatment. Each has clinical testing to back it. My hope is that some combination of them will help your melasma.

What is HQ in melasma?

Hydroquinone (HQ) Hydroquinone has been used for years in melasma treatment. It's still used alone or combined with other products. HQ blocks a critical step in the formation of melanin. It lightens the skin, essentially by bleaching the pigment where it is applied.

Can melasma get worse?

Your melasma will take daily care - and it may get worse at times - even when you're doing everything right. Hormones continuously trigger these dark spots. So you'll get the best result if you delay treatment until after: you've stopped breastfeeding.

Is melasma easier to treat than epidermis?

As I mentioned above, superficial pigment in the top layer of skin (epidermis) is easier to treat than deeper dermal pigment. Unfortunately, melasma usually has both. Daily care with a variety of skin care products and ingredients will help to keep pigment from forming and improve its appearance. It will also give you a better outcome more quickly.

Can retinoids be combined with steroids?

Topical retinoids increase the effectiveness of other products, so retinoids are combined with HQ and topical steroids. Currently, the FDA has only approved a triple-combination cream known as Tri-Luma for melasma treatment. It contains 4% hydroquinone / 0.05% tretinoin / and 0.01% fluocinolone acetonide (a steroid that reduces skin inflammation and relieves itching). Strong steroids are ideal in this cream because a side effect of their use is reversible hypopigmentation (skin lightening).

Does azelaic acid lighten skin?

It doesn't lighten normal colored skin, so there's no halo effect like with HQ. Studies of patients with melasma have shown that topical 20% azelaic acid worked better than 2% hydroquinone and was as effective as 4% hydroquinone, without the undesirable side effects.

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.

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.

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.

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.

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