Treatment FAQ

what is the best treatment for melasma 2020

by Shyann Auer 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

Conclusions: Hydroquinone monotherapy and triple combination cream are the most effective and well-studied treatments for melasma, whereas chemical peels and laser- and light-based therapies are equal or inferior to topicals, but offer a higher risk of adverse effects. Oral tranexamic acid may be a safe, systemic adjunctive treatment for melasma, but more studies …

Therapy

11 rows · Top 10 Treatments for Melasma Chart. 1. Admire My Skin 2% Hydroquinone Fade Cream Dark Spot ...

Self-care

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 ...

Nutrition

Aug 27, 2020 · 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, …

What is the best quick fix for melasma?

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) ...

What is the best natural treatment for melasma?

Oct 08, 2021 · Best serums to treat melasma SkinCeuticals C E Ferulic $166 Vitamin-C serum packs a major punch: It protects the skin against environmental damage and lightens dark patches, the latter being a big...

What natural treatments can cure my melasma?

Mar 12, 2020 · All of the experts we spoke to cite one type of laser, the Clear + Brilliant, as the safest and most effective option for treating melasma. Oral medication for melasma Tranexamic acid can also be...

Which is a better treatment for melasma?

Nov 12, 2019 · There’s strong evidence supporting the use of hydroquinone as a first-line treatment for melasma. The science suggests tranexamic acid is a very promising melasma treatment. The low-fluence Q-switched laser remains one of the best laser and light options for treating melasma, especially in darker types.

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What is the fastest way to cure melasma on face?

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

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.Jul 27, 2020

How can I remove melasma from my face?

Melasma medical treatmenttretinoin.corticosteroids.triple cream (combination of hydroquinone, tretinoin, and a corticosteroid)azelaic acid.kojic acid.

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 .Aug 7, 2017

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.May 3, 2020

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.Aug 26, 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.

Why is my melasma getting 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

What foods cause melasma?

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

Does turmeric cure melasma?

In general, home remedies aren't incredibly effective at improving melasma. A few alternative remedies, like turmeric and aloe vera, have shown at least some success at improving melasma.Mar 7, 2021

What are the strongest iron tablets?

Best High Dose: Nature Made Iron 65 mg Tablets We like Nature Made's ferrous sulfate because it is a high-dose, well-absorbed supplement that has been verified by two reputable third-party organizations—ConsumerLab.com and USP.Mar 18, 2022

Why is it important to use a whitening product?

The reason it is important to use a whitening product is that this will not only lighten the affected areas of skin but will also make your complexion evener. Formulation Types.

How to prevent melasma?

Sun Protection. The most common reason for the development of Melasma is sunlight. By protecting your skin from harsh UVA and UVB rays , you can effectively limit the exacerbation of your Melasma. Whitening. Whitening products are developed to help you achieve a lighter tone of your skin color.

What is Admire My Skin Ultra Potent Brightening Serum?

As one of the most powerful products available on the market, Admire My Skin Ultra-Potent Brightening Serum has easily earned its spot as the best treatment for Melasma. The product contains 2% hydroquinone which is a powerful skin bleaching agent that works away dark pigments to reveal lighter, even toned skin.

What does it mean when you have dark skin around your neck?

If you have irregularly shaped areas of darker skin around your face, neck, and arms, you might have Melasma. Don’t worry – this common skin condition isn’t a serious health threat and is really nothing more than an aesthetic disturbance. Often, Melasma develops as a harmless side-effect of pregnancy, but it can also occur in people who are often ...

What is the downside of Melasma?

The only downside is that they might also cause unwanted side-effects and adverse reactions along the way. Solution Form. Creams, lotions, serums, and peels are common forms of Melasma treatments. Each one is different, and choosing the right one mostly depends on your preferences. Creams and Lotions.

What is the best treatment for melasma?

Creams and Lotions. The most common type of Melasma treatment, these products are applied topically and massaged gently into the skin for several minutes. They’re easily absorbed into the skin; however, they do require multiple uses throughout the day for maximum effect. Serums.

What is the best ingredient in a face mask?

Another well-known ingredient in the formulation is salicylic acid. This common skincare staple is used to help work away impurities and blemishes to smoothen out your complexion further. The product also incorporates high amounts of Vitamin C and lactic acid which are ideal for nourishing the skin. 2.

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.

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 triple cream?

This medicine may be tretinoin or a corticosteroid. Sometimes a medicine contains three medicines (hydroquinone, tretinoin, and a corticosteroid) in one cream. This is often called a triple cream. Other topical (applied to the skin) medicines: Your dermatologist may prescribe azelaic acid or kojic acid to help lighten melasma.

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.

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.

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.

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).

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 the name of the drug that inhibits tyrosinase?

Nearly 20 of the clinical trials in the review represented novel therapies, including the topical Lumixyl (Envy Medical), an oligopeptide that inhibits tyrosinase; cysteamine, an amino acid thought to inhibit melanogenesis; as well as 75% mulberry extract oil and others.

How does hydroquinone work?

Hydroquinone works by inhibiting the tyrosinase enzyme in melanin’s production. Researchers have also found triple combination creams effectively treat melasma. The most recent such FDA-approved cream being Tri-Luma (Galderma), which is hydroquinone 4%, tretinoin 0.05% and 0.1% fluocinolone acetonide.

What laser is used for melasma?

The author adds the FDA approved nonablative fractional 1550/1540 nm laser for melasma treatment in 2005, and in 2012 approved Lutronic’s Spectra laser, a Q-switched laser for melasma.

How long should I take tranexamic acid for melasma?

Spierings suggests a melasma treatment ladder starting with topical hydroquinone and retinoid-based products as first line for the first three months , at least. If there are no contraindications she recommends also adding oral tranexamic acid 250 mg daily to the first-line treatment.

What is the best treatment for melasma?

There’s strong evidence supporting the use of hydroquinone as a first-line treatment for melasma. The science suggests tranexamic acid is a very promising melasma treatment.

When was Melasma published?

That’s according to a literature review on clinical trial evidence for melasma treatments, published October 11, 2019, in the Journal of Cosmetic Dermatology.

Is 1550 nm laser safe?

The laser to avoid is the 1550 nm, which clinical trials suggest is neither efficacious nor safe for melasma treatment, according to the paper. There isn’t enough evidence to recommend fractional CO2 lasers for melasma treatment.

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 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.

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.

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.

What is an AHA peel?

AHA (Alpha Hydroxy Acid): These are a family of compounds that are used in chemical peels, as well as in products that reduce wrinkles and lines. One example of an AHA is Glycolic Acid, which is usually derived from sugar cane.

What is ISME cosmetics?

ISME is a Thai cosmetic company, established in 1990 in Bangkok, Thailand. They produce a wide range of herbal cosmetics and spa products. They make creams for oral health, facial and hair care, body care, oils, and balms. They make creams that whiten and cleanse the skin.

Where are porcelain skin products made?

They are produced by the company Naked Face. Health Priority Natural Products are located in San Diego, California.

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