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Melasma Pigmentation Treatment

Melasma Pigmentation Treatment

Melasma Pigmentation Treatment: Various treatments for the melasma to fade the discolored patches includes the followings: •Topical depigmenting agents.  •	Tretinoin.  •	Steroid cream •	Azelaic acid (20%). •	Oral Tranexamic acid. •	Chemical peels.   •	Microdermabrasion to dermabrasion (light to deep).   •	Galvanic or ultrasound facials.   •	Laser but not IPL (IPL can make the melasma darker).

Melasma Pigmentation Treatment: Various treatments for the melasma to fade the discolored patches includes the followings:
• Topical depigmenting agents.
• Tretinoin.
• Steroid cream
• Azelaic acid (20%).
• Oral Tranexamic acid.
• Chemical peels.
• Microdermabrasion to dermabrasion (light to deep).
• Galvanic or ultrasound facials.
• Laser but not IPL (IPL can make the melasma darker). Note that of all the above, topical remains the mainstay of treatment.

 

 

 

The treatment for melasma can be very notorious. It is slow to response. Its response is unpredictable. Its treatment can only control It cannot cures. The uneven skin tone will remain to some extent.

The discoloration of melasma usually disappears spontaneously by itself over a period of several months:

  • after giving birth, or
  • after stopping the oral contraceptives, or hormone replacement therapy.

Treatments are often ineffective.

  • Melasma usually comes back with continued exposure to the sun. Both UVA and UVB can stimulates the melanocyte to produce melanin.
  • Assessment by your aesthetic doctor will help  to decide on the further treatment. The assessment may include the use of a Woods lamp to determine depth of the melasma pigment.

Various treatments for the melasma to fade the discolored patches includes the followings:

  • Topical depigmenting agents; these includes such agent like hydroquinone (HQ), tretinoin and hydrocortisone. The hydroquinone is either in over-the-counter (2%) or prescription (4%) strength. HQ is a chemical that inhibits tyrosinase, an enzyme involved in the production of melanin. The metabolic synthesis pathway will be blocked.
  • Tretinoin, which is a special modified vitmin A. It is an acid that increases skin cell (keratinocyte) turnover. When there is increased turnover, the cell produced are new younger one, giving the appearance of blemish free skin. However, this treatment cannot be used during pregnancy as it has the potential of causing teratogenic fetal development.
  • Steroid cream: hydrocortisone cream is use to prevent redness or irritation caused by Retin A cream. When used together with hydroquinone, and tretinoin, it is called a Climent Formulation. It is tri-ingredient formula.
  • Azelaic acid (20%): it is thought to decrease the activity of melanocytes. It can be quite effective in decreasing the melisma intensity.
  • Oral Tranexamic acid: When given, has shown to provide rapid and sustained lightening in melasma by decreasing melanogenesis in epidermal melanocytes.
  • Chemical peels. From superficial to medium and deep peel, they are effective in reducing melasma.
  • Microdermabrasion to dermabrasion (light to deep). This is not so effective by itself. But in helps to increase cream absorption.
  • Galvanic or ultrasound facials with a combination of a topical crème/gel. The procedure helps to push the ingredient into the skin making the ligtening agent more effective. This is used either in an aesthetician’s office or as a home massager unit.
  • Laser but not IPL (IPL can make the melasma darker). However, the response is variable.

 

Melasma Pigmentation Treatment: Various treatments for the melasma to fade the discolored patches includes the followings: •Topical depigmenting agents.  •	Tretinoin.  •	Steroid cream •	Azelaic acid (20%). •	Oral Tranexamic acid. •	Chemical peels.   •	Microdermabrasion to dermabrasion (light to deep).   •	Galvanic or ultrasound facials.   •	Laser but not IPL (IPL can make the melasma darker).

Melasma Pigmentation Treatment: Various treatments for the melasma to fade the discolored patches includes the followings:
• Topical depigmenting agents.
• Tretinoin.
• Steroid cream
• Azelaic acid (20%).
• Oral Tranexamic acid.
• Chemical peels.
• Microdermabrasion to dermabrasion (light to deep).
• Galvanic or ultrasound facials.
• Laser but not IPL (IPL can make the melasma darker). Note that melasma is distributed over mostly on the cheek, but also on forehead, nose, lips, chin & temple. 

 

 

A word of caution

  • Absolute sun avoidance: In all of these treatments the effects are gradual and a strict avoidance of sunlight is required.
  • Sun block: The use of broad-spectrum sunscreens with physical blockers, such as titanium dioxide and zinc dioxide is preferred over that with only chemical blockers. This is because UV-A, UV-B and visible lights are all capable of stimulating pigment production.
  • No hormone supplement: Patients should avoid other precipitants including hormonal triggers. Off all OCP and hormone therapy. The maxim “either has beauty or health” is still valid.
  • Concealer: Cosmetic camouflage can also be used to hide melasma. Use the concealer, foundation, etc.