Treatment FAQ

what treatment is best for scars and.melasma

by Mossie Klocko Published 2 years ago Updated 2 years ago
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Your dermatologist may prescribe one or more of the following:
  • Hydroquinone: This is a common treatment for melasma. ...
  • Tretinoin and a mild corticosteroid: This combination contains a retinoid and an anti-inflammatory, which can even out skin tone.
Feb 15, 2022

Medication

Therapy

Self-care

Nutrition

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How do I get rid of melasma marks?

Treatment options for melasma can include:Hydroquinone. Doctors often use hydroquinone as the first line of treatment for melasma. ... Corticosteroids and tretinoin. Corticosteroids and tretinoin come in creams, lotions, or gels. ... Combined creams. ... Additional topical medications. ... Medical procedures.

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 permanent cure for melasma?

If you have wondered how to remove melasma permanently, then we unfortunately have bad news for you. Since this condition is chronic and does not currently have a cure, that means you may experience melasma flare-ups throughout your life.

How do you fade melasma fast?

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.

Which cream is best for 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.

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.

What vitamins are good for melasma?

Conclusions: Full-face iontophoresis of vitamin C appears to be an effective short-term treatment for melasma and postinflammatory hyperpigmentation.

What is the best soap for melasma?

The best facial scrub for melasma is Pidanti Smoothing Polish Face and Body Scrub, which gently removes dead skin cells and leaves a smooth, even-toned appearance.

Which laser treatment is best for melasma?

Low-fluence Q-switched (LFQS) Nd-YAG laser seems to be the best option for refractory cases of melasma, especially in individuals with darker skin tones.

Why won't my melasma go away?

If melasma doesn't fade or it bothers you, it can be treated. Your doctor will probably prescribe a cream that contains hydroquinone. Creams that combine hydroquinone with kojic acid, azelaic acid, tretinoin, corticosteroids, or glycolic acid can also treat melasma.

Does vitamin C help with melasma?

Vitamin C for Melasma Vitamin C is an effective natural melasma treatment as it is a tyrosinase inhibitor - one of the most common skincare ingredients to treat pigmentation. Tyrosinase is the enzyme the body needs to make melanin pigment, so when you inhibit tyrosinase, you can lighten the skin.

How can I remove melasma permanently at home?

Apple cider vinegarCombine 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 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 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.

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.

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 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 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?

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 .".

Types of Scars

There are several types of scars and different treatments depending on the type of scar and how mature the scar is.

Medical Reasons to Treat Scars

It’s perfectly normal to seek treatment for scars because you don’t like the way that they look. However, you may have some medical reasons for scar treatment:

What to Know Before Treatment

Before you embark on treatment for a scar, there are a few helpful things to know:

Home Remedies and Over-the-Counter Scar Treatments

You can try a few home remedies or over-the-counter treatments for scars.

Scar Treatments Provided by a Doctor

If over-the-counter treatments don’t help, or if the scar is particularly large or concerning, seek help from a doctor for your scar. Dermatologists and plastic surgeons have many treatment options nowadays, Hruza says. Your doctor will consider several factors to help steer treatment:

Do's and Don'ts of Shopping for Skin Care Products

The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists.

What Is Melasma?

Melasma is a pigmentation that causes discoloration on the affected area of the skin.

What Causes Melasma?

The two main causes of melasma are sun exposure and change in hormones.

What Does Melasma Looks Like?

Melasma often appears as a grayish-brown, mask-like patches on the cheeks, bridge of the nose, chin, forehead, and above upper lip. They can appear as flat patches or freckle-like spots

How To Treat Melasma

In order to tackle melasma squarely, you need a dedicated skincare routine for it. And that involves the best melasma treatment by incorporating heavy-hitter skin de-pigmenting and cell turnover or regeneration ingredients. But be warned: You don’t want to overdo it since inflammation can trigger melanocytes and end up worsening your melasma.

In Conclusion

Melasma is very stubborn to treat, therefore you need to apply the best melasma treatment by using multiple and concentrated skin de-pigmenting ingredients to get the job done.

Possible Questions & Answers

A: If you’re not new to retinoids, yes, you can replace retinol with tretinoin, but have in mind that tretinoin is the most potent of all retinoids therefore it can potentially irritate your skin if you’re not an experienced user.

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 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 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 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.

What is the best treatment for melasma?

triple cream (combination of hydroquinone, tretinoin, and a corticosteroid) azelaic acid. kojic acid. If topicals aren’t working, your dermatologist might recommend a procedure to treat your melasma, such as: chemical peel. dermabrasion.

How to prevent melasma from returning?

And once your melasma clears, your doctor might recommend maintenance therapy to prevent it from returning. No matter what treatment is the best option for you, remember prevention is key. Wear sunscreen every day and a wide-brimmed hat whenever you’re outside. Last medically reviewed on October 12, 2018.

How long does it take for melasma to clear?

You may have melasma if you have gray-brown patches of skin on your face. Your doctor can confirm a diagnosis and provide treatment. Be patient during treatment. It often takes months before results are seen. And once your melasma clears, your doctor might recommend maintenance therapy to prevent it from returning.

What are the causes of melasma?

Melasma can affect anyone, but it appears most often in women who have darker complexions. It’s been associated with female hormones. Melasma is also a common skin disorder for the following groups: 1 women using birth control pills 2 pregnant women 3 menopausal women using hormone replacement therapy

What is a melasma?

Overview. Melasma is a common skin disorder characterized by gray-brown discolored patches of skin on areas of the face exposed to the sun. Melasma can affect anyone, but it appears most often in women who have darker complexions. It’s been associated with female hormones. Melasma is also a common skin disorder for the following groups: ...

Can you get melasma at home?

Melasma home remedies. If your melasma is triggered by pregnancy or birth control pills, it’s possible the discolored patches will fade on their own after the pregnancy or if you stop taking the pills. You might consider treating your melasma at home, though. Here are some common home remedies:

Our 10 best treatment cream for melasmas Review

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Important Aspects to Consider When Choosing best treatment cream for melasmas

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How to get rid of melasma on face?

7. Moisturize your skin. Moisturizing your skin is essential to restore the lipid barrier and to protect it from damage. 8. Avoid using chemicals. The use of toiletries, cosmetics, and other skin products that contain chemicals such as parabens, alcohol, formaldehydes, and sulfates can worsen melasma. 9.

How to lighten melasma spots?

You can try various home remedies to help lighten melasma spots. In addition, you must take care of your skin by avoiding sun exposure to prevent worsening the condition. Since melasma spots can affect your confidence and self-esteem, visit a dermatologist if you are bothered by their appearance.

What acid is used to whiten skin?

Lactic, malic, and glycolic acids are alpha hydroxy acids that contribute to skin whitening by limiting the activity of tyrosinase enzyme. (4) Glycolic acid is popularly used medically in chemical peels, while lactic acid can be found in various natural ingredients and thus can be used as a home remedy for melasma.

What foods can cause melasma?

These include berries, leafy greens, and citrus fruits.

What causes dark spots on skin?

It is caused by the stimulation of melanocyte cells to produce excessive melanin locally. Various factors can contribute to the development of hyperpigmentation, including sun exposure and hormonal fluctuations.

How to get rid of melanin in the body?

(1) How to use: Mix 1–2 tbsp of lemon juice with water. You can also mix in vitamin E. (2) Apply the mixture to the affected areas using a cotton ball.

How to get rid of sun damage from lemon?

Apply the mixture to the affected areas using a cotton ball. Wash after 15 minutes. Note: Since the use of lemon can increase the risk of solar damage, avoid stepping out in the sun after using this remedy, or apply sunscreen and wear protective clothing. 2.

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