What can a dermatologist do 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.

Can dermatologist remove melasma?

Procedures for melasma include a chemical peel (such as glycolic acid), microdermabrasion, and dermabrasion. A dermatologist should perfrom these procedures.

What do dermatologist give for melasma?

Hydroquinone: This medication is a common first treatment for melasma. Tretinoin and corticosteroids: To enhance skin lightening, your dermatologist may prescribe a second medicine. Other topical (applied to the skin) medicines: Your dermatologist may prescribe azelaic acid or kojic acid to help reduce melasma.

How can I permanently cure 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 over the counter, but a doctor can also prescribe stronger creams.

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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.

Does melasma come back after hydroquinone?

ANSWER: The skin condition melasma can be challenging to get rid of completely, and as a chronic condition, it can come back after treatment. With the treatment you mention, intense-pulsed light or IPL, melasma often reappears quickly.

Can hydroquinone make melasma worse?

Treatment. Hydroquinone may be helpful in epidermal-type melasma. Concentrations vary from 2% to 10% and hydroquinone may be used twice daily for 12 weeks. Hydroquinone may cause local skin irritation, however, and thereby leading to post-inflammatory hyperpigmentation, making the skin pigmentation worse.

Can laser remove melasma?

Laser treatments can be a good option for treating melasma that’s resistant to other treatment options, like skin-lightening agents or chemical peels. Lasers permeate your outer layer of skin, resulting in cell renewal for brighter, more even skin.

Does retinol help melasma?

Cream-based retinoid treatments are effective when addressing melasma as well, since the inflammatory risk is so low.

Is melasma covered by insurance?

Because melasma treatment is not medically necessary, most insurers will not cover drugs or procedures used to treat it. However, 2% hydroquinone creams are available over the counter. These typically range in cost $5-$40 or more.

Does vitamin C help with melasma?

Vitamin C is also a “great ingredient” for anyone with acne-prone skin for several reasons, according to Joshua Zeichner, MD, a board-certified dermatologist: It can help neutralize inflation and prevent breakouts, brighten dark spots left behind when pimples heal — it can also treat melasma (dark patches on the skin) …

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How can I reverse melasma naturally?

Apple cider vinegar

  1. Combine equal parts apple cider vinegar and water in a container.
  2. Apply to your dark patches and leave on two to three minutes.
  3. Rinse using lukewarm water.
  4. Repeat twice daily you achieve the results you desire.

Is microdermabrasion good for melasma?

In conjunction with topical and/or oral treatment, microdermabrasion is considered to be an effective treatment for melasma. Combination therapy is an effective approach toward melasma because it addresses the plurality of underlying causes.

How can I hide melasma?

How to Apply Makeup to Conceal Melasma

  1. Moisturize: Starting with clean, dry skin, apply moisturizer. …
  2. Apply SPF: If you’re applying makeup during the day, apply sunscreen (even if your foundation has SPF in it).
  3. Apply Primer: Primer creates a smooth base for makeup to sit on and ensures a long-lasting finish.

Why does melasma happen?

What causes melasma? Sun exposure: Ultraviolet (UV) light from the sun stimulates the melanocytes. A change in hormones: Pregnant women often get melasma. Skin care products: If a product irritates your skin, melasma can worsen.