Melasma can be a difficult condition to treat and requires specialist dermatologist assessment. In the wrong hands, treatment can actually worsen the pigmentation – even if a treatment improves the melasma initially, it can result in an even more prominent, darker rebound-pigmentation.
Melasma can fade on its own. This often happens when the trigger causing it, such as a pregnancy or birth control pills, is removed.
At ENRICH, we usually use a combination approach to treating melasma. Because of our vast range of treatment options, we are able to tailor an individualised treatment plan for each patient.
Your treatments may include:
- Cessation of the combined oral contraceptive pill or hormone replacement
- Strict sun avoidance and applying a UVB and UVA 50+ sunblock 15 minutes before going outside and re-application every two hours
- Topical glycolic acid and gentle peels
- Topical vitamin C
- Bleaching preparations – ENRICH has a custom-made range of prescription-only bleaching preparations, formulated by Dr Michael Rich to assist in fading the pigment
- Topical vitamin A preparations, including ENRICH’s own vitamin A and bleaching preparation cream to reduce creams
- Anti-inflammatory agents including corticosteroids and tranexamic acid
- Regular treatments with low energy RevLite (Q-Switch Nd:YAG) (our preferred laser treatment for melasma as it has the lowest likelihood of rebound pigmentation)
- We sometimes use the Cutera Excel and Genesis as part of our treatment program for melasma, as the blood vessels can release mediators (chemicals) that enhance the melasma, so reducing the vascularity can assist
Because treating melasma can be intricate, treatments for melasma often require a commitment to participate in a prolonged treatment program.
Furthermore, should any redness, flaking, irritation, or darkening of the pigment occur from any of the prescribed treatments, the treating doctor needs to be advised and the treatment ceased or modified.