How do dermatologists treat 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.

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 you ever get rid of melasma?

Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment within a few months. Most cases of melasma will fade away with time and especially with good protection from sunlight and other sources of light.

How do dermatologists treat hyperpigmentation?

Dermatologists consider prescription-strength hydroquinone, alone or combined with other lighteners, to be the gold standard for fading dark spots because it slows the production of pigment.

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How can I permanently remove melasma from my 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 over the counter, but a doctor can also prescribe stronger creams.

What do doctors prescribe 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.

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 retinol help melasma?

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

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 a dermatologist help with dark spots on face?

A dermatologist can offer creams or procedures to lighten dark spots, or in some cases, remove them. Procedures are more expensive than creams and are more likely to cause side effects, though they tend to work faster.

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Can hyperpigmentation be cured completely?

Hyperpigmentation is a harmless skin condition that people can get rid of using removal techniques such as cosmetic treatments, creams, and home remedies. If a person notices other symptoms alongside hyperpigmentation, they should seek advice from their doctor.

Can hyperpigmentation be permanent?

Keep in mind that hyperpigmentation does not always fade. Even with treatment, some hyperpigmentation will be permanent. Without any treatment at all, it can take 3 to 24 months to see improvement.

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.

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. A protocol of strict sun avoidance in combination with a mandelic/malic acid skin care regimen appears to be useful in maintaining the improvement.

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.