Treatment FAQ

what is the best treatment to get rid of melasma

by Watson Larkin Published 3 years ago Updated 2 years ago
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There is no one best treatment for melasma
Often, the most effective treatment combines sun protection with medications that you apply to your skin — and sometimes a procedure. If you want to treat melasma, be sure to ask your dermatologist about the cost of treatment.
Feb 15, 2022

How can I permanently remove melasma?

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.

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.

How I cured my melasma naturally?

Papaya Both raw and ripe papaya are used for curing various skin disorders. Papain, present in papayas, causes them to be the best home remedy for melasma. Mash a few pieces of papaya and mix it with honey. Apply the paste on affected areas and leave it for 20 minutes.Nov 21, 2019

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

What is the best treatment for melasma 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 as an extremely effective way to treat melasma flare-ups, especially via products that combine hydroquinone with other active ingredients like exfoliating acids.Oct 8, 2021

Which cream contains hydroquinone?

Here is my top list of creams that contain hydroquinone.Admire My Skin 2% Hydroquinone Dark Spot Corrector.Paula's Choice Triple-Action Dark Spot Eraser.Melloderm Anti-Melasma Hydroquinone 2% Cream.Divine Derriere Skin Lightening 2% Hydroquinone Bleaching Cream.PCA Skin Pigment Gel.More items...•Jan 25, 2020

What is the root cause of melasma?

Tanning beds: A tanning bed or sunlamp tends to produce stronger ultraviolet (UV) rays than sunlight. When you expose your skin to UV light, it triggers the body to produce more pigment. Sometimes, this pigment appears unevenly, causing the blotchy patches and freckle-like spots of melasma.Feb 15, 2022

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 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 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.

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 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 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 ...

Who is Michele Green?

Dr. Michele Green, MD is board certified cosmetic dermatologist based in the Upper East Side of NYC. She has been recognized by New York Magazine and Castle Connolly as one of the Best Doctors in New York.

Does retinol help with melasma?

Green tells us that retinol and retin- A turn over the skin cells, rejuvenate the skin, and produce new collagen as well. Depending on your level of melasma, you may be able to get away with OTC retinol, but if you have stubborn dark spots, you may want to consult your derm for a prescription dose of retin-A . 04 of 10.

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.

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).

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!).

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.

Who is the deputy beauty director of Cosmopolitan?

Lauren Balsamo Deputy Beauty Director Lauren Balsamo is the deputy beauty director at Cosmopolitan covering all things skin, hair, makeup, and nails for both the magazine and website. This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses.

How to diagnose melasma?

Your dermatologist or other healthcare provider will examine your skin to diagnose melasma. 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.

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.

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.

What are the spots on my face?

They can appear as flat patches or freckle-like spots. Commonly affected areas include your face, including the cheeks, upper lip and forehead, as well as the forearms .

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.

Why is melasma called the mask of pregnancy?

Melasma is sometimes called the “mask of pregnancy” because it frequently affects pregnant women. Melasma typically darkens and lightens over time, often getting worse in the summer and better in the winter. Another, less common name for melasma, is chloasma.

What is the deepest layer of the skin?

Your skin is made up of three layers. The outer layer is the epidermis, the middle is the dermis, and the deepest layer is the subcutis. It’s an organ – the largest organ – and it makes up about one-seventh of your body weight. Your skin is your barricade.

What is the best treatment for melasma?

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, and salicylic acid.

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 is the condition where you get dark patches on your face?

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, discolored patches on the face in a symmetrical fashion.

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.

Where does melasma appear?

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. It isn’t entirely clear what causes melasma.

How common is melasma?

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.

Can hydroquinone cause melasma?

Hydroquinone: While topical hydroquinone is an effective ingredient in treating melasma, it’s sometimes considered a last result because it can cause permanent skin discoloration if it’s too strong or not used correctly. You can take it internally by consuming berries, pears, wheat products, coffee, and tea.

Answer: Managing Melasma

Melasma is a condition that is managed. This overproduction of pigment is mostcommonly induced by hormones (pregnancy, thyroid conditions)and exacerbated by UV exposure (sunlight, tanning beds), medication (birth control pills) and even heat.

Answer: What is the best way to get rid of Melasma?

The first thing to understand about Melasma, is that it is a chronic condition that cannot be completely cured. However, there are still good options for managing Melasma that will lead to a noticeable improvement, which for many people will have important emotional consequences.

Answer: HOW TO TREAT MELASMA

Melasma is a chronic skin condition that usually relapses. However it can be treated successfully and can be controlled. First and foremost is avoiding sun exposure that triggers the overproduction of melanin that leads to the pigmentation seen on the face. Avoiding other triggers such as heat or hormones can help.

Answer: There is no cure for melasma just control

Our office sees patients with melasma from all over the world. We specialize in it. Melasma requires a comprehensive cream program, chemical peels, and sun avoidance. We have great success treating melasma this way and then maintaining creams to prevent the pigmentation from returning.

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Treatment

  • As hormones stabilize, the dark patches of melasma usually fade. Women who develop melasma as a result of pregnancy often see the patches fade months after the baby is born. Women who take oral contraceptives or hormone replacement therapy often see the patches fade once they stop taking the medications.A few options may help fade or treat dark patches: 1. Hydroquinon…
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  • The first step is to reduce your risk for developing melasma by applying sunscreen every day, all year long. The AAD recommends choosing a sunscreen that protects from both UVA and UVB rays and has a sun protection factor, or SPF, of 30 or more. You may also consider using zinc oxide and titanium oxide to block the sun when you’re outdoors for longer periods of time.
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Diagnosis

  • A doctor will diagnose melasma simply by looking at your skin. Your medical history will help to determine any factors that may have caused the disorder.Your doctor may use a special lamp that gives off ultraviolet light. This allows the doctor to see patterns and depth of skin discoloration more clearly.
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  • 1. Addison's disease. 2. Haemochromatosis. 3. Drug-induced photosensitivity. Drug reactions can cause hyperpigmentation via a number of processes. 4. Maturational dyschromia. (Age-related diffuse discolouration caused by cumulative ultraviolet exposure.) 5. Discoid lupus erythematosus. 6. Mastocytosis (mast cell proliferation and accumulation within various organs…
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Definition

  • Melasma is a condition in which patches of the skin darken and appear brown or gray-brown. Only 10 percent of those diagnosed with melasma are men, and while its cause is not known, family history, dark skin and exposure to the sun increase your risk, according to the American Academy of Dermatology.
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Prevention

  • The best way to prevent melasma is to limit skin exposure to the sun. If you go out in the sun, take these preventive measures: 1. Wear a hat with a brim to shade and protect your face. 2. Apply sun block (such as zinc oxide or titanium dioxide) to vulnerable areas. 3. Use sunscreen that protects against both ultraviolet A and ultraviolet B radiation. The sunscreen should have a sun protectio…
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Symptoms

  • Darker patches of skin appear on the forehead, temples, cheeks or above the upper lip. The symptoms are strictly cosmetic — you won't feel ill, and the darker skin won't be sore.
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Prognosis

  • Much of the discoloration will fade or disappear once hormones stabilize and you stay out of the sun. For people who find the discolorations unsightly, treatment may help to fade stubborn patches. You also can use cosmetics to even out the skin color.
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  • Melasma associated with pregnancy usually resolves spontaneously within a year. Many cases resolve eventually but can take a long time to do so. Few treatments are completely successful. Continued exposure to sunlight tends to hamper treatment and lead to recurrence.Melasma may negatively affect quality of life because of the effect on appearance, particularly because it tend…
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When To Call A Professional

  • See your doctor if you develop any unexplained discoloration of the skin. Although melasma does not require treatment, a doctor can distinguish melasma from other skin disorders that may need to be treated.
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Further Information

  • Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.Medical Disclaimer...
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Expected Duration

  • The dark patches typically last until the pregnancy ends or you stop taking the hormonal medications and protect from the sun. The patches gradually fade over many months. In some people, the discoloration never entirely disappears.
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Epidemiology

  • The exact incidence of melasma is unknown but it is a common condition. Prevalence varies significantly geographically. There is a female-to-male predilection in a ratio of 9:1, although this varies depending on the population studied. It is more common in darker skin types and less common in fair or very dark skin. It may occur in any population but is more common in those o…
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