
Medication
“There is no known cure for melasma, but we can manage it with proper skincare and maintenance treatments like chemical peels,” adds Marino. “The number one priority for people experiencing melasma is to get a good SPF and be religious with it." Dr. Rabach says it is important to use a physical blocker sunscreen that contains titanium or zinc.
Therapy
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.
Self-care
Natural remedies for melasma
- French maritime pine bark extract This natural remedy has shown positive effects, as it restructures pigmented skin. ...
- Vitamin C Another of the natural remedies for melasma consists of providing the skin with vitamin C. Why is this vitamin so important? ...
- “Santa Lucia” peloids
Nutrition
Treatment of melasma is known to be less satisfactory, often incomplete, and relapse is frequent. Although many treatment options are available, they are either known to be unsafe on long-term use or their long-term safety profile is unknown. Patients often use various drugs, even topical steroid-based preparation without any medical ...
What is the best quick fix for melasma?
Is there an effective lasting treatment or remedy for melasma?
What natural treatments can cure my melasma?
Which is a better treatment for melasma?

What is the most effective treatment for melasma?
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.
What is the best cream to remove melasma?
Plus the 4 best melasma creamsThis Melasma Cream with Azelaic Acid and Arbutin. SkinCeuticals Phyto A+ Brightening Treatment. ... This Melasma Cream with Arbutin and Vitamin C. Obagi Medical Nu-Derm Clear Fx. ... This Melasma Cream with Azelaic Acid and Glycolic Acid. ... This Melasma Cream with Niacinamide and Kojic Acid.
How do I permanently get rid of melasma?
Triggered by factors like birth control, menopause and pregnancy, the condition usually subsides on its own. It can be treated by dermatologists as well, but there is no permanent cure for this skin issue.
How can I lighten melasma fast?
If topicals aren't working, your dermatologist might recommend a procedure to treat your melasma, such as: chemical peel. dermabrasion. microdermabrasion....Melasma medical treatmenttretinoin.corticosteroids.triple cream (combination of hydroquinone, tretinoin, and a corticosteroid)azelaic acid.kojic acid.
What do doctors prescribe for melasma?
Hydroquinone. HQ is the most frequently prescribed depigmenting agent worldwide and it has remained the gold standard for the treatment of melasma, particularly of the epidermal type. HQ preparations are commonly used in the treatment of melasma at concentrations varying from 2 to 5% applied once daily.
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.
Is Retinol Good for melasma?
Non- prescription, over the counter retinol can be helpful in melasma treatment as long as it doesn't cause irritation.
How can I remove melasma from my face naturally?
Here are 5 expert-backed home remedies to cure melasma:Aloe vera gel. Aloe vera is known to relieve many inflammation issues in the skin. ... Lemon juice. Lemon juice helps to treat melasma similar to that of apple cider vinegar. ... Black tea. Black tea water can be used as a spot-lightening treatment. ... Turmeric. ... Tomato.
What deficiency causes melasma?
Thyroid abnormalities were reported to occur with melasma. Skin pigmentation is a common manifestation in nutritional deficiencies and frequently associated with deficiency of vitamin B12 .
Which cream is best for pigmentation?
Jovees Anti Blemish Pigmentation Cream: ... Fab India Vitamin E Depigmentation Cream: ... VLCC De-Pigmentation Day Cream SPF 25: ... Biotique Coconut Milk Cream: ... La Roche Posay Cicaplast Pro Recovery Skin Care: ... O3+ Dermal Zone Meladerm Intensive Skin Whitening Night Care Cream: ... Clarins White Plus Whitening Repairing Night Cream:
What happens when you stop using hydroquinone cream?
What happens when you stop using hydroquinone cream? Hydroquinone may prove beneficial for a maximum of five to six months. Once you stop using it, you may experience irritation on the affected parts of your body. This may lead to inflammation.
What is the best treatment for melasma?
Hydroquinone: This medicine is a common first treatment for melasma. It is applied to the skin and works by lightening the skin. You will find hydroquinone in medicine that comes as a cream, lotion, gel, or liquid. You can get some of these without a prescription.
How to prevent melasma from returning?
Maintenance therapy can prevent melasma from returning. You can help prevent your melasma from returning by wearing sunscreen and a wide-brimmed hat every day.
What is the best medicine for skin lightening?
These products contain less hydroquinone than a product that your dermatologist can prescribe. Tretinoin and corticosteroids: To enhance skin lightening, your dermatologist may prescribe a second medicine. This medicine may be tretinoin or a corticosteroid.
How to diagnose melasma?
Dermatologists can diagnose most patients by looking at their skin. To see how deeply the melasma penetrates the skin, your dermatologist may look at your skin under a device called a Wood’s light. Sometimes melasma can look like another skin condition.
What is the procedure for melasma?
Procedures for melasma include a chemical peel, microdermabrasion, dermabrasion, laser treatment, or a light-based procedure. Only a dermatologist should perform these procedures. New skin problems can occur when the person who gives the treatment does not tailor it to the patient’s skin type.
What is the procedure called when you remove a small bit of skin?
To rule out another skin condition, your dermatologist may need to remove a small bit of skin. This procedure is called a skin biopsy. A dermatologist can safely and quickly perform a skin biopsy during an office visit.
Can melasma fade?
Melasma can fade on its own. This usually happens when a trigger, such as a pregnancy or birth control pills, causes the melasma . When a woman delivers her baby or stops taking the birth control pills, melasma can fade. However, some people have melasma for years, or even a lifetime.
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.
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 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 ...
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 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.
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.
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