What is the best treatment for deep melasma?

Triple combination cream (hydroquinone

hydroquinone

Hydroquinone cream is the standard depigmentation or skin lightening agent. Clinically it is used to treat areas of dyschromia, such as in melasma, chloasma, solar lentigines, freckles, and post-inflammatory hyperpigmentation.

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Hydroquinone - StatPearls - NCBI Bookshelf

, 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 do I get rid of deep melasma?

Common melasma treatments

The most commonly used treatments for melasma are skin lightening medications that are applied topically. These include medications such as hydroquinone, azelaic acid, kojic acid, niacinamide, cysteamine, rucinol, and tranexamic acid.

What treatment actually works for melasma?

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.

What is the latest treatment for melasma 2022?

The authors concluded that TCC cream remains the gold-standard treatment for melasma. TCC is a 'triple combination cream' that contains three medicines: a corticosteroid, tretinoin and hydroquinone. Hydroquinone and tretinoin alone were also effective, but not as effective as TCC.

Why is it so hard to get rid of melasma?

Because the condition is fueled primarily by sunlight and female hormones, there's no true way to cut off the stimulus for melasma. In other words, you may get encouraging results from a gentle chemical peel, but they're likely to be short-lived. Eventually, nature will regain the upper hand.

How to treat MELASMA at Home - Treat DARK SPOTS

What is the fastest way to remove melasma?

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

What are 3 different types of melasma?

Historically, melasma has been classified as having three histologic variants: epidermal, dermal, and mixed [1].

Which vitamin is best for melasma?

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

Can melasma be cured permanently by laser?

In summary, it is important to know that using laser should only be considered with other treatments fail. The choice of laser is critical for safe and effective treatments. Melasma cannot be cured but it can definitely be significantly improved in the majority of cases.

Which doctor is best for melasma?

Can you treat melasma internally?

Is There a Melasma Pill To Cure Melasma From the Inside? Tranexamic acid is a prescription medication that has gained popularity in the last few years as a melasma treatment and is even found in some topical serums for melasma. It is much more effective orally than topically.

Can PicoSure make melasma worse?

Can PicoSure Make Melasma Worse? The risk with all types of laser treatments is causing further damage and making melasma worse. With extended heat-based lasers, there is a chance of exacerbating skin issues, so while treatment may remove melasma, it can also lead to other unsightly blemishes in the future.

What is the root cause of melasma?

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.

What is the most effective laser for melasma?

Can you get rid of melasma completely?

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.

Do lasers make melasma worse?

The key to clearing melasma, Dr. Kauvar maintains, is avoiding high-energy laser treatment such as non-ablative or ablative fractional lasers, IPL or high-energy, Q-switched laser treatment. “Those can actually exacerbate melasma and cause hypopigmentation in darker phototype skin,” Dr. Kauvar cautions.

What hormone imbalance causes melasma?

Melasma is often associated with the female hormones estrogen and progesterone. It is common in: Pregnant women. Women taking birth control pills (oral contraceptives)

What foods trigger melasma?

So, when you want to eat something to treat melasma and freckles, eliminate suspected allergenic foods such as eggs, milk and dairy products, soy and soy products, wheat gluten , marine fish and shellfish, peanuts. For many people, melasma and freckles are hormonal triggers.

What should you avoid with melasma?

What is the difference between superficial and deep melasma?

Epidermal melasma means the pigment (melanin) is in the more superficial layers of the skin called the epidermis. Dermal melasma means that the pigment is in the deeper layers of the skin. This distinction is important because epidermal melasma responds more quickly to treatment.

What color cancels out melasma?

Peach or pink color concealers are highly effective in hiding hyperpigmented spots for light to medium skin tone. And, deeper orange or red color concealers can cover the dark spots for people with a darker complexion.

Will retinol make melasma worse?

There's a catch, though: Retinol can be irritating (which we know can end up making melasma worse), so start with a gentle retinol formula and use it slowly at first: One night a week for one week, two nights a week for two weeks, three nights a week for three weeks, then every other night indefinitely.

Is microneedling or laser better for melasma?

Lasers are generally great for eviscerating excess melanin. But the heat they generate can make melasma worse, triggering the formation of even more discoloration in the weeks following treatment. By contrast, mechanical microneedling generates no such heat.

How many PicoSure treatments are needed for melasma?

Once you've completed a PicoSure laser treatment for melasma, you may notice that your pigment looks darker initially, which will fade over the next two weeks. We typically recommend four treatments, four weeks apart as well as maintenance treatments every six months or so.