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Hello, I’ve had melasma on my face for about five years. I have dark spots that haven’t improved, and I’m looking for a treatment that can effectively clear them. Could you please suggest something that works?
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Hello, I’ve had melasma on my face for about five years. I have dark spots that haven’t improved, and I’m looking for a treatment that can effectively clear them. Could you please suggest something that works?
Asked by Female, 40 · 6 days ago
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Namaste! Here's a clear overview of melasma and effective treatment options for your dark spots:
Understanding Melasma
- Melasma is a common skin condition causing tan or brown patches, usually on the face.
- It is influenced by sun exposure, hormonal changes (like pregnancy or birth control), and genetics.
Diagnosis and Evaluation
- It’s important to consult a dermatologist for an accurate diagnosis.
- They may use tools like a Wood’s lamp to determine the depth of pigmentation.
Treatment Options
- Topical Treatments: Prescription creams containing hydroquinone, tretinoin, azelaic acid, kojic acid, or mild corticosteroids can lighten dark spots. Combination creams (e.g., hydroquinone with tretinoin and corticosteroids) may be more effective.
- Chemical Peels: Superficial peels using glycolic acid or trichloroacetic acid can help reduce pigmentation but results vary.
- Laser and Light Therapies: These may be considered but carry a risk of worsening pigmentation and should be done cautiously by specialists.
- Sun Protection: Daily use of broad-spectrum sunscreen with SPF 30 or higher containing physical blockers like zinc oxide or titanium dioxide is essential to prevent worsening and recurrence.
Lifestyle and Preventive Measures
- Avoid excessive sun exposure by wearing hats and protective clothing.
- Avoid triggers such as hormonal medications if possible.
Follow-up and Patience
- Treatments often take several months to show improvement.
- Regular follow-up with your dermatologist is important to monitor progress and adjust treatment.
When to Seek Specialist Care
- Persistent or severe melasma should be managed by a dermatologist or skin specialist.
Medications Available in India
- Commonly prescribed topical agents include Melalite (hydroquinone) and Aziderm (azelaic acid).
Please consult a dermatologist to create a personalized treatment plan tailored to your skin type and condition. They can guide you safely through the options and help achieve the best results.
Answered 6 days ago