How To Treat Melasma At Home

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How To Treat Melasma At Home
Here are 5 expert-backed home remedies to cure melasma:

  1. Aloe vera gel. Aloe vera is known to relieve many inflammation issues in the skin.
  2. Lemon juice. Lemon juice helps to treat melasma similar to that of apple cider vinegar.
  3. Black tea. Black tea water can be used as a spot-lightening treatment.
  4. Turmeric.
  5. Tomato.

How can I remove melasma naturally?

6 completely natural ways to cure acute melasma – Blog What is melasma? Melasma is a skin disorder where your skin becomes brown and patchy. It most commonly appears on your cheeks, bridge of your nose, forehead, chin, or above your upper lip. It may also appear on the other parts of your body that are exposed to sunlight.

  • Apply sunscreen 20 minutes before stepping out.
  • Wear full sleeved tops and pants. Also, consider wearing a hat.
  • You could try to apply two layers of SPF infused sunscreen. Apply a layer of SPF 15 and SPF 30 for double protection.
  • If stress and hormonal imbalance are the reason behind melasma, try to make time for activities that help you relax, like walking or yoga.
  • Use skin lightening lotions that contain Kojic acid or melaplex. These ingredients slow down the production of skin darkening and make it difficult for melasma to set in.
  • Chemical peels are also a great way of lightening melasma. Thanks to the glycolic acid that’s available in a chemical peel, the first layer of skin that contains melasma will be peeled off.
  • Another option is laser treatments. However, if you decide to opt for one, go for a restorative or fractional dual laser. These lasers only target pigmentation that’s on the surface of the skin.

Tips for melasma treatment at home If you’re not okay with chemicals, then you can always go for natural treatment for melasma. Below are few common ways to do so.

  1. Turmeric Turmeric contains curcumin, a strong antioxidant that results in lighter skin. Using a 1:2 ratio, mix milk with turmeric powder and apply the mixture on the affected areas. Let the pack dry completely and then rinse it with lukewarm water. Repeat this procedure every day for best results.
  2. Lemon Lemon is one of the most popular natural remedies for skin related disorders. Lemon is also known as a natural bleaching agent. All you have to do is apply lemon juice on the affected areas and leave it on for about 20 minutes. Wash it off with lukewarm water. Do this twice a day and you will see a noticeable difference in 3 weeks.
  3. Papaya Both raw and ripe papaya are used for curing various skin disorders. Papain, present in papayas, causes them to be the best home remedy for melasma. Mash a few pieces of papaya and mix it with honey. Apply the paste on affected areas and leave it for 20 minutes. Wash this pack off after 20 minutes. Do this once a week and for about 2-3 months.
  4. Aloe vera Aloe vera is an ingredient used in many face related products. It’s always best to use fresh aloe vera. Apply the gel, fresh off the plant, twice a day and massage your face for roughly two minutes. Leave it on for 15 minutes and wash off with lukewarm water.
  5. Onion There are a lot of home remedies for melisma, and onion juice is one of the best amongst them. Because onion contains sulfoxides and cepaenes, it helps in getting rid of melasma while also removing the blemishes. Mash the onion and mix it with apple cider vinegar, use a cotton ball and dab it all over the affected areas. After about 20 minutes, wash it off with lukewarm water. Repeat this twice a day for better results.
  6. Cucumber Cucumber is another home remedy that can be used for removal of pigmentation. Because cucumber is high in water content it lightens the pigmented skin. You simply have to grate the cucumber and apply it on affected areas. Wash it off with warm water after 20 minutes. Repeat this process once every day for best results.

Kaya’s treatment for melasma Kaya products are natural and reliable. Below are few things you can do with Kaya’s products to help treat melasma:

  • Kaya’s Daily Moisturizing Sunscreen: Use Kaya’s Daily Moisturizing sunscreen before you step out. It contains SPF 30 that has both UVB and UVA protection. This lotion is grease free and absorbs into your skin well. Kaya’s Daily Moisturizing Sunscreen is suitable for all skin types and can be used every day.
  • Kaya’s Youth Protect Sunscreen: Kaya’s Youth Protect Sunscreen comes with SPF 50 and ensures highest UVB and UVA protection. This product is PABA free, non-greasy, and suitable for all skin types.
  • Kaya’s Pigmentation Reducing Complex: This cream reduces pigmentation marks and spots from your skin. It contains Azeloyl Diglycinate, Glyceryl Stearate, PEG-100 Stearate and Trimethyl Phenyl Silsesquioxane that prevents further darkening of the skin. The lotion absorbs really well into the skin and can be used for all skin types.
  • Kaya’s Intense Clarity Peel: This is a unique peel that combines derma peels and botanical actives. These peels will naturally reduce the pigmentation and lighten the skin. It’s suitable for all skin types and you’ll see visible results in about 6 sessions.
  • Kaya’s Insta Clarity Laser: This is Kaya’s latest technology that aims to reduce your pigmentation spots and marks. Kaya uses a Q-Switched laser that considered very safe for Indian skin. It’s an invisible beam that targets brown marks on the skin. The best part is you can return to your daily activities without any hassle. It’ll take about 6-8 sessions to see results.

For melasma, there are both, scientific and natural procedures that can be used for treatment. Kaya is a combination of both, offering scientifically proven products rooted in natural formulae to revive and rejuvenate your skin. : 6 completely natural ways to cure acute melasma – Blog

How can I remove melasma from my face permanently?

Is there a cure for melasma? – Melasma is hard to treat. To determine a treatment plan, your healthcare provider will have to first figure out what’s possibly causing the melasma. Is it sunlight? Your birth control? Genetics? Your soap? Too much screen time? 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.

  • Hormone treatments, specifically ones that involve estrogen.
  • Birth control, specifically oral contraceptive pills that contain estrogen and progesterone.
  • LED light from your television, laptop, cell phone and tablet.
  • Makeup you find irritating to your skin.
  • Medications that may cause or worsen melasma.
  • Scented soaps.
  • Skin care products that irritate your skin.
  • Tanning beds.
  • Waxing, which can aggravate the melasma.

What foods stop melasma?

2. What is the process of building a diet to treat melasma and freckles? – Can diet affect the skin and affect the appearance of melasma and freckles? These are questions that many people with hyperpigmentation ask. The answer is yes. For a good reason, the skin is considered the largest organ in the body – it covers all the rest.

  1. When ingested, a large amount of nutrients will be nourished skin cells.
  2. This means that if you put foods low in nutrients into your body, your skin will receive a low source of nutrients to grow and repair.
  3. Likewise, nutrient-rich foods rich in vitamins, zinc, calcium, magnesium, and manganese will provide the skin with high-quality energy to function.

So diet plays an important role in overall skin health. A healthy diet for glowing skin is a diet that is full of nutrients that are beneficial for the skin. Beautiful skin must be made up of healthy, elastic and vibrant skin cells when supplied with a constant supply of high-quality nutrients.

  • If you maintain a diet lacking in nutrients, your skin cells will soon starve and begin to look dull, old, and lifeless.
  • Some of the best foods for glowing skin are green vegetables, fatty fish like salmon, strawberries, broccoli, and citrus fruits rich in vitamin C.
  • When the skin suffers from hyperpigmentation problems such as melasma, freckles, sun spots and hyperpigmentation, diet can play a role in the treatment.

One cause of hyperpigmentation in most cases is cellular stress. When skin cells are under stress from exposure, hormonal imbalances and infections, following a healthy skin diet can help reduce the effects of these factors. Chế độ ăn dinh dưỡng cao giúp điều trị nám và tàn nhang Step 1 Consult a dermatologist about melasma and freckles. Your doctor may order blood tests to check for nutritional deficiencies and poor liver function that may be causing this condition. Besides, melasma can also be a side effect of a drug being taken.

  • Ask your doctor to confirm or rule this out.
  • Step 2 Choose foods rich in folate because melasma can also be caused by folate or folic acid deficiency.
  • Low levels of this B vitamin can occur in women who are pregnant or have an inadequate diet.
  • Citrus fruits, green vegetables, and whole grains are good choices for folate or folic acid supplements.

Your doctor may also prescribe folic acid supplements. Step 3 Balance the amount of copper mineral in the diet. High levels of this mineral can be indicated in melasma. Copper promotes melanin production in the skin and high levels can cause excess pigmentation.

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If you are taking a multivitamin that contains copper, do not take this mineral alone. Do not take more than the recommended daily intake of 900 mcg copper for adults, 1,000 mcg for pregnant women, and 1,300 mcg for nursing mothers. To reduce excess copper, eat foods high in vitamin C and iron or take a supplement with these nutrients.

Step 4 Increase your consumption of foods rich in vitamins C and E. These antioxidant nutrients help repair sun damage to the skin that can cause melasma. These vitamins are found in foods like citrus fruits, kiwis, nuts, almonds, brightly colored vegetables, and in fish. Trái cây họ cam quýt giúp giảm nám và tàn nhang

What is the root cause of melasma?

Sunlight: When sunlight hits our skin, it triggers the body to produce more melanin. This seems to explain why melasma develops on skin that gets the most sunlight like skin on the face, neck, and arms.

What vitamins are good for melasma?

Which Vitamins Are Good For Lightening Dark Spots? – Skin whitening or lightening is the most effective way to lighten dark spots. Vitamins can be used to lighten your skin and lighten dark spots. Three of the best vitamins for lightening dark spots are vitamin C, vitamin B12, and vitamin E.

Why is melasma difficult to treat?

Why is Melasma So Difficult to Treat? – Dr. Robert M. Paull | Edison, NJ As common as the patchy brown pigment of melasma is – a conservative estimate puts the number of women affected worldwide at at least a billion – it’s also one of the most difficult skin conditions to treat and, in turn, one of the most frustrating to live with.

  • Melasma is fueled by UV light, just like sunspots.
  • And it’s influenced by hormones, as with acne and the scarring it leaves behind.
  • But unlike them, melasma is far harder to tamp down.
  • In fact, the devices frequently used to eliminate the discoloration associated with sunspots and acne tend to make melasma worse.

That’s because their heat can trigger the formation of even more pigment in the weeks following treatment. Instead, dermatologists have come to rely on gentle chemical peels. Though, optimism is growing around a treatment that’s potentially even more effective.

  • New research indicates that microneedling can successfully mitigate melasma, across skin tones.
  • It appears the punctures serve as tiny portals, allowing select lightening agents to seep into the skin’s deeper layers, which are impossible to reach with ordinary creams.
  • And the benefits don’t appear to end there.

I’ll detail how microneedling can minimize melasma and highlight those other benefits in my next blog post. For now, I want to continue unpacking why melasma is so difficult to treat. After all, we didn’t arrive here overnight. Not all melasma is the same. Some kinds can strain the epidermis or the topmost layer of skin. That variety usually clears with lightening creams. However, melasma can also affect the deeper dermis. And it often affects both layers. In those instances, it’s really resistant to treatment.

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. That doesn’t mean there’s nothing that can’t be done, though.

Melasma is perpetuated by endogenous estrogen – your own supply of it, as well as outside sources, like birth control pills and hormone therapy. A dermatologist won’t meddle with inherent hormones, but they may recommend stopping the pill, if you can, and trying an alternate form of contraception.

That’s only a possibility if you’re not taking the pill as a treatment for a medical concern, like endometriosis. It’s not uncommon for a dermatologist to work with a patient’s gynecologist to transition a melasma sufferer to a low-dose pill, or if it’s safe and appropriate, wean them off the pill entirely in order to minimize its ability to spur pigment production.

Then there’s the sun. It’s so unrelenting during the summer that many dermatologists won’t even attempt to treat melasma with anything other than sunscreen and prescription creams during these months. A with a high SPF needs to be part of your year-round if you have melasma.

Why is melasma getting worse?

Shun the sun – The next step in treating melasma is to prevent the sun from aggravating the condition. This may require extreme diligence. “The sun is stronger than any medicine I can give you,” says Dr. Kourosh. The most important way to clear up melasma is by using a strict sunscreen regimen.

sunscreens that use chemicals, such as oxybenzone sunscreens that use physical blockers, such as zinc and titanium dioxide.

“You want to choose the non-chemical, blocking sunscreen, because that will stop all the light and different wavelengths from coming through,” says Dr. Kourosh. Luckily, these sunscreens have come a long way from older formulations that sat on your skin in a greasy, white layer.

  1. Today’s zinc and titanium dioxide formulas are micronized so they can sink into the skin, while still offering the same protection.
  2. You can buy them at your doctor’s office, skin care stores, or even the drugstore.
  3. I’m not loyal to any specific brand,” says Dr. Kourosh.
  4. Chemical sunscreens don’t offer the same protection for melasma, and in some instances, they may even trigger allergic reactions that can make melasma worse, she says.

You can provide added protection to your skin by following up with makeup that contains a second sunscreen to further block out the sun’s rays. Even in the fall and winter it’s a good idea to wear a hat that is designed to provide sun protection, if you’re going to be outside for an extended period of time.

Can retinol remove melasma?

How to Get Rid of Melasma – Finally, the last installment in the Out Damn Spot, Out, Out, I Say series on brown spots on the face, what they are and how to get rid of them. We have discussed brown spots from sun damage, raised brown age or liver spots, brown spots after acne, cosmetic skin procedures or injury.

So now, Lady Macbeth, we go on to the bane of the cosmetic dermatologist’s existence, melasma, I hate melasma. I really hate melasma. What is that you say? “That is a bit harsh Dr. Elaine, hating on a skin disease.” True. But here is why I hate melasma: I have had it. I treat it. It is really difficult to treat.

It is really difficult to treat because the factors that cause it are very hard to modify. The factors are hard to modify because they are factors that are part of life: sun exposure, hormones, and skin type. Add to that the fact that the medications that we use are really hard to get right now.

  • Often the treatments we use to treat it cause inflammation, and inflammation worsens melasma.
  • The women who get it often have more natural pigment, which makes them more likely to pigment with treatments for melasma.
  • Melasma is very persistent and sneaky, it often responds to treatment, but waits patiently for a tiny sliver of opportunity to start up again.

Then it does, and both patients and cosmetic dermatologists get frustrated. And that is why I hate melasma. To recap, here is what you see with melasma:

In the mirror: Large dark flat patches of discoloration, usually symmetrical, over cheeks, jawline, fore head and above the upper lip. It is often more obvious in low light settings, such as at sunset. It responds almost instantly to any sun exposure. It is hard to cover up with makeup.

Diagnosis: Melasma or “mask of pregnancy,” is caused by a combination of hormones, predominantly estrogen from pregnancy or birth control pills, and sun exposure. Once it starts, melasma tends to reoccur very easily with minimal amounts of sun exposure, even if the hormonal trigger is removed. I divide melasma into two types: “relatively easy” and “hard.” The difference is dependent on how deep in the skin the pigmentation is found, and whether both the hormonal stimulation and sun exposure can be reduced. Deeper pigment is always harder to improve.

Treatment: Involves both removing the triggers, and using creams and procedures to reduce existing pigment. Daily, year round, broad spectrum sun protection and avoidance of sun exposure is absolutely essential. Reducing hormonal triggers is often a challenge as pregnancy eventually ends, but often the need for birth control continues. Even if the hormonal trigger is removed, the melasma remains “turned on” and even tiny amounts of sunlight cause it to reoccur. Treatment at home with skin lighteners, prescription skin bleaches, retinoid creams, and sunscreen, combined with in-office chemical peels or SilkPeel microdermabrasion are tried first. “Relatively easy” melasma usually responds fairly well to this treatment. For more resistant cases, Intense Pulsed Light, laser, and deeper chemical peels under the supervision of a dermatologist experienced in treatment of pigment, are considered. Results are varied, and these procedures may actually make pigment worse.

Ease of treatment: Difficult-very difficult.

Melasma is almost exclusively a skin disorder in women, though very occasionally it occurs in men. It is caused by a combination of estrogen, and to a lesser extent, progesterone, hormones, found in birth control pills or devices, naturally occurring during pregnancy or just the hormones made by the body, in combination with sun exposure.

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It shows up as dark patches of brown pigmentation most commonly on the sides of the face, the forehead, above the upper lip, on the chin, and on the sides of the neck. Mild melasma appears as small faint brown splotches, but more severe melasma surfaces as patches of light brown skin pigmentation. There is a genetic susceptibility to melasma, and it is more common in women with skin that pigments easily.

It is especially common in women with Asian, Hispanic or African American skin type. There are more active pigment producing cells called melanocytes, and the melanocytes are more easily triggered to produce melanin. The excess melanin is stimulated most significantly by sun exposure, but also by heat, and anything that irritates the skin like facial scrubs, brushes, irritating skin creams, medications or treatments.

Once melasma is triggered on, even minimal amounts of sun exposure will cause it to darken or return after successful treatment. It is more apparent during and after periods of sun exposure and less obvious in the winter months. Melasma can occur at either the surface level (superficial melasma) or in the deeper layers of skin (dermal or deep melasma), giving it more of a spread-out appearance.

One way to determine whether your melasma is superficial or deep is to stretch the skin. If you stretch out the brown patch and it appears lighter than when the skin is not stretched, then the hyperpigmentation is superficial. If it’s darker when stretched than it is when not stretched, then the pigmentation is deeper.

I pigment moderately easily, and had a decade or so dealing with melasma. It is often in a pattern, which is why it is also called the “mask of pregnancy” and I had a delightful set of horns above my eyebrows and a brown pigment moustache. Melasma drives women crazy, and is incredibly frustrating. I was no exception.

Usually it finally burns out, and mine did. There are two reasons that melasma is so hard to treat. The first reason melasma is so hard to treat is because even minor amounts of sun exposure can darken or reactivate it. It is hard to avoid all sun exposure, especially in women in the age group most commonly affected, 25-40, who may have children with outdoor activities.

The other reason is that estrogen and progesterone hormones go along with being female. And women in that age group are faced with the decision to either be on birth control pills, or be pregnant, both of which are triggers. There is no single treatment that works for all melasma patients; therefore, we develop an individualized treatment plan for each patient.

Combination therapy usually is needed and recommended. Because the melanocytes are easily irritated, and when irritated they produce more pigment, we avoid aggressive treatments that may lead to more pigmentation, white blotches, or scarring. Treatment options range from topical bleaching and prescription medications to techniques such as IPL, chemical peels and microdermabrasion as well as lasers and light sources.

We plan a stepwise approach to treatment beginning with home treatment, stepping up to office procedures as needed if results to home treatment are unsuccessful. If office procedures are needed, they should only be performed by cosmetic dermatologists with extensive experience in treating pigment problems.

Because of the difficulty in reducing pigment, the ongoing hormonal issues, and the tendency for melasma to reoccur we discuss in detail the lengthy treatment times and commitment needed to success­fully treat melasma to help manage unrealistic expec­tations.

Daily Sun Protection: Is absolutely essential for successful melasma treatment and should start early and continue throughout treatment and also after melasma has improved to help prevent recurrence. Exposure to UV radiation and even visible light activates melanocytes and causes melanin to deposit in the skin. Sun protection with a broad spectrum sunscreen which covers both UVB and UVA with a SPF of 30 or greater used every single day, year round, and reapplied every 2 hours during sun exposure is essential. And that goes for all skin types, even patients with darker skin types who do not routinely use sun protection. But you have to remember that no sunscreen will block out all UV rays, so you cannot put on sunscreen in the morning and go out all day. Patients must limit time in the sun, and wear a hat whenever possible if sun exposure cannot be avoided. As a matter of fact, it is so important, that if you are not willing to modify your sun exposure, stop reading and go play on Facebook.

None of the other treatments may be used during pregnancy. If you are pregnant and at risk for melasma, start immediately to protect your skin from sun exposure to prevent melasma. If you are pregnant and have melasma, scrupulous sun exposure will help keep melasma from becoming more established.

Prescription Hydroquinone (HQ) skin bleach: Hydroquinone is skin bleach that has been used for years. It inhibits the enzyme tyrosinase which is essential in pigment production. It comes in an over the counter 2% concentration, and stronger and more effective 4% prescription concentration. It is effective for approximately 20 weeks of treatment, then the skin becomes used to it, and effectiveness decreases. If used longer than 4-5 months, rarely an irreversible darkening of pigment occurs, especially in patients with darker skin types. It is usually applied twice daily and should be applied to the entire face because bull’s-eye areas of discolor­ation can develop from localized or spot treatments. Unfortunately it is irritating to the skin and if irritation occurs it can actually cause darkening of pigment. It has been very helpful in the treatment of pigment problems, but has recently come under fire from consumer groups and the FDA because of safety testing concerns. The most effective of the prescription forms, in my opinion, was Tri-Luma cream, which is a combination of HQ, a topical steroid, and tretinoin. It can only be used for 2 months at a time because the topical steroid component can cause dilated blood vessels and thinning of the skin if used longer. Currently it is not being produced, and has been unavailable for the last year. Intermittently other prescription HQ products are available, and then they disappear. HQ at 4% concentration is a prescription product, and recently the FDA has been cracking down on products available without prescription that contain 4% HQ. Time will tell if HQ will be banned by the FDA, approved by the FDA, and if so, will a company produce it. After about three to four months, the body increases tyrosinase production and overrides the effects of HQ. Because of this, HQ is used is a pulsed manner, usually 4 months on, 2 months off, to allow it to work again. HQ cannot be used in pregnancy.

Prescription retinoid creams such as Retin-A, Retin-A Micro, Refissa, Renova, Differin, and Tazorac: Topical HQ often is combined with a topical retinoid, such as tretinoin, which exfoliates the skin and allows for the ingredient to penetrate properly. Unfortunately, they can be irritating, and irritation increases pigment. So they need to be used cautiously. Retinoid irritation can be reduced by titrating the dosage, changing the dosage to alternate days, and diluting the tretinoin with a moisturizer base. Creams or micro sponge formulations are much easier to tolerate than gels. The key is to have your face completely dry before you put it on at night, and use it on a regular basis, not intermittently. When your face is damp you absorb more and it is more irritating. You can apply it every other night or even every third night to start and work up. If you are having irritation, apply an oil free moisturizer first then the retinoid.

Over the counter Retinol: The prescription retinoids discussed above are forms of retinoic acid, and are stronger than retinol. Non- prescription, over the counter retinol can be helpful in melasma treatment as long as it doesn’t cause irritation.

Mequinol such as Solage solution (mequinol 2% and tretinoin 0.01%): If HQ causes the patient too much irritation, a deriva­tive alternative is mequinol.

Over the counter or natural skin lighteners: include aloesin, arbutin, azelaic acid, bearberry extract, dimethylmethoxy chroman palmitate (Chromabright), ferulic acid, kojic acid, lactic acid, licorice root, lignin peroxidase, mulberry bark extract, N -acetylglucosamine, niacinamide, soy protein, various peptides, and vitamin C especially magnesium ascorbyl phosphate or L-ascorbic acid. These lighteners have various actions including inhibiting the pigment producing enzyme tyrosinase, dispersing pigment, and exfoliating pigment. They can be used for extended periods of time and can be used with other lightening ingredients to speed up the process.

Every dermatologist and skin care company has their favorite combination. Our Antioxidant Skin Lightener contains aloesin, licorice root, bearberry, niacinamide, the form of active vitamin C magnesium ascorbyl phosphate, (Melfade-J) and dimethylmethoxy chroman palmitate (Chromabright). We use it with our Correcting Serums containing glycolic and salicylic acids, fruit acids, aloesin, and our Antioxidant Enzyme Peel containing papaya to exfoliate abnormal pigment.

Office Treatment: Office treatments are used if topical creams don’t give enough improvement and to speed results. They must be done very carefully or they can cause increased pigmentation, especially in patients with darker skin types. They should be done very carefully, and by a physician who is experienced in treating pigment problems and skin of color, in other words by a cosmetic dermatologist.

Chemical Peels: A series of in-office light chemical peels can improve discoloration by peeling off the top layer of pigmented skin cells, and allowing better penetration of other surface treatments. Glycolic acid peels are most commonly used but others include salicylic acid, superficial trichloracetic acid, lactic acid, tretinoin, 14% HQ, and resorcinol peels. They are best when used with home retinoids, prescription hydroquinone or other skin lighteners. Skin may be red, dry and flaky for up to 5 days.

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Intense Pulsed Light (IPL): A series of 3-5 Intense Pulsed Light treatments (IPL, Photofacial, or Photorejuvenation) at a lower intensity than is used to improve sun damage induced dilated blood vessels and age spots can be helpful.

Particle Free Precision Microdermabrasion/Dermal Infusion such as SilkPeel: SilkPeel particle-free microdermabrasion uses a treatment tip to exfoliate the skin accompanied by application of the skin brightening peptide Decapeptide-12 (Lumixyl) at controlled intensity. It removes surface pigment, and allows better penetration of prescribed home skin treatments. A plus is that there is no redness or flaking after treatment.

LED Treatments: GentleWaves LED Photomodulation uses a painless light emitting diode treatment and is used to reduce inflammation with other melasma treatments.

Nonablative Laser Treatments: The Q switched 1064-nm Nd:YAG laser and the fractional lasers Fraxel Restore and Mosaic may be used in patients who don’t respond well to the treatments above or who also desire improvements in mild to moderate wrinkles, large pores, surface irregularities, or acne scarring.

Ablative Lasers: Multiple treatment sessions with the Pearl 2790-nm Er:YSGG laser combined with IPL and topical treatments in carefully controlled protocols may be used in carefully chosen patients with skin types I-IV if melasma does not respond to other measures.

Sometimes things that seem that they should be easy are not. This is one of those times. With diligence and time melasma can be significantly improved or resolved. But I still hate melasma.

Is vitamin C good for melasma?

Page 5 – to the 10% mandelic/10% malic acid formula following a few weeks of conditioning with the lower concentration. The pH of both products is 3.1 to 3.3. The personal experience of one author (M.B.T.) has shown mandelic/malic acid to be a less irritating α-hydroxy acid than glycolic acid and better tolerated in PIH-sensitive darker skin types.

This study supports the safe and effective use of a full-face iontophoresis mask for treatment of melasma as an important method for obtaining sufficient concentrations of vitamin C at therapeutic levels and skin depth to effect a favorable clinical response. The long-term use of a novel mandelic and malic acid skin care regimen further supports sustained improvement (mean, 26 months) when used in combination with a strict sun-protection protocol.

Compliance with a strict regimen of sun protection and avoidance is difficult to measure. It is assumed that the patients in this study were much less than 100% compliant; however, a satisfactory improvement in melasma and PIH was still achieved. Dr. Taylor has an equity interest in Cosmion LLC and MCK Labs.

Pathak MA, Riley FC, Fitzpatrick TB. Melanogenesis in human skin following exposure to long-wave ultraviolet and visible light. J Invest Dermatol.1962;39:435-443. Mahmoud BH, Ruvolo E, Nexsel CL, et al. Impact of long-wavelength UVA and visible light on melanocompetent skin. Poster presented at: 2008 American Society for Laser Medicine and Surgery Annual Meeting; April 2-6, 2008; Kissimmee, FL. Sharquie KE, Al-Tikreety MM, Al-Mashhadani SA. Lactic acid as a new therapeutic peeling agent in melasma. Dermatol Surg.2005;31(2):149-154. Faghihi G, Shahingohar A, Siadat AH. Comparison between 1% tretinoin peeling versus 70% glycolic acid peeling in the treatment of female patients with melasma. J Drugs Dermatol.2011;10(12):1439-1442. Mahmoud BH, Nexsel CL, Hamzavi IH, Lim HW. Effects of visible light on the skin. Photochem Photobiol.2008;84(2):450-462. Sheth VM, Pandya AG. Melasma: a comprehensive update: part I. J Am Acad Dermatol.2011;65(4):689-697. Sheth VM, Pandya AG. Melasma: a comprehensive update: part II. J Am Acad Dermatol.2011;65(4):699-714. Lakhdar H, Zouhair K, Khadir K, et al. Evaluation of the effectiveness of broad-spectrum sunscreen in the prevention of chloasma in pregnant women. J Eur Acad Dermatol Venereol.2007;21(6):738-742. Khadir K, Amal S, Hafi F, et al. Les signes dermatologiques physiologiques de la grossesse, Ann Dermatol Venereol.1999;126:15-19. Woolery-Lloyd H, Kammer JN. Treatment of hyperpigmentation. Semin Cutan Med Surg.2011;30(3):171-175. Lawrence N, Bligard CA, Reed R, Perret WJ. Exogenous ochronosis in the United States. J Am Acad Dermatol.1988;18(5 Pt 2):1207-1211. Draelos ZD. Skin lightening preparations and the hydroquinone controversy. Dermatol Ther.2007;20(5):308-313. Comeau M, Brummett R. Anesthesia of the human tympanic membrane by iontophoresis of a local anesthetic. Laryngoscope.1978;88(2 Pt 1):277-285. Glass JM, Stephen RL, Jacobson SC. The quantity and distribution of radiolabeled dexamethasone delivered to tissue by iontophoresis. Int J Dermatol.19(9):519-525. Scientific Evidence page. http://www.activatekinc.com/technology/scientific-evidence. Accessed August 2008. Choi YK, Rho YK, Yoo KH, et al. Effects of vitamin C vs. multivitamin on melanogenesis; comparative study in vitro and in vivo. Int J Dermatol.2010;49(2):218-226. Huh CH, Seo KI, Park JY, Lim JG, Eun HC, Park KC. A randomized, double-blind, placebo-controlled trial of vitamin C iontophoresis in melasma. Dermatology.2003;206(4):316-320.

What vitamins are good for melasma?

How to Prevent Melasma – Limit sun exposure and apply sunscreen daily to prevent or avoid melasma worsening. Try to reduce your stress levels because stress raises cortisol levels, which can worsen melasma. To do so, sleep 7-8 hours every day and try meditation.

  • Inflammation promotes pigmentation.
  • Antioxidant and anti-inflammatory vitamins assist in preventing melasma by counteracting its effects.
  • Antioxidants also help repair UV damage that causes melasma.
  • Therefore, eat as many vitamins and antioxidant-rich things as possible, particularly foods high in vitamin C and E like citrus fruits, kiwis, pistachios, almonds, flaxseeds, colorful vegetables and fish (especially salmon).

In addition, eat foods high in folate because a folic acid deficiency can lead to melasma. Foods high in folate include citrus fruits, green leafy vegetables, nuts and whole grains. You may also need to adjust your copper intake. This is because copper causes extra skin pigmentation by promoting melanin production.

Can lemon remove melasma?

Lemon juice – The idea behind lemon juice to treat melasma is similar to that of apple cider vinegar. Many sites recommend rubbing the dark patches of skin with lemon juice and leaving it to dry before rinsing with water. Lemon juice is thought to lighten the skin because it is a bleaching agent.

Lemon juice is a popular DIY trick for brightening your laundry, but your skin is not your favorite shirt! Just like apple cider vinegar, the acidity from lemons can be harsh on the skin and cause irritation that may worsen your melasma. It isn’t clear whether lemon juice helps or harms your journey to a clear complexion since there haven’t been any studies about the effectiveness of this type of treatment.

However, this treatment may be harsh on your skin and cause more harm than good.

Can vitamin C help melasma?

Page 5 – to the 10% mandelic/10% malic acid formula following a few weeks of conditioning with the lower concentration. The pH of both products is 3.1 to 3.3. The personal experience of one author (M.B.T.) has shown mandelic/malic acid to be a less irritating α-hydroxy acid than glycolic acid and better tolerated in PIH-sensitive darker skin types.

This study supports the safe and effective use of a full-face iontophoresis mask for treatment of melasma as an important method for obtaining sufficient concentrations of vitamin C at therapeutic levels and skin depth to effect a favorable clinical response. The long-term use of a novel mandelic and malic acid skin care regimen further supports sustained improvement (mean, 26 months) when used in combination with a strict sun-protection protocol.

Compliance with a strict regimen of sun protection and avoidance is difficult to measure. It is assumed that the patients in this study were much less than 100% compliant; however, a satisfactory improvement in melasma and PIH was still achieved. Dr. Taylor has an equity interest in Cosmion LLC and MCK Labs.

Pathak MA, Riley FC, Fitzpatrick TB. Melanogenesis in human skin following exposure to long-wave ultraviolet and visible light. J Invest Dermatol.1962;39:435-443. Mahmoud BH, Ruvolo E, Nexsel CL, et al. Impact of long-wavelength UVA and visible light on melanocompetent skin. Poster presented at: 2008 American Society for Laser Medicine and Surgery Annual Meeting; April 2-6, 2008; Kissimmee, FL. Sharquie KE, Al-Tikreety MM, Al-Mashhadani SA. Lactic acid as a new therapeutic peeling agent in melasma. Dermatol Surg.2005;31(2):149-154. Faghihi G, Shahingohar A, Siadat AH. Comparison between 1% tretinoin peeling versus 70% glycolic acid peeling in the treatment of female patients with melasma. J Drugs Dermatol.2011;10(12):1439-1442. Mahmoud BH, Nexsel CL, Hamzavi IH, Lim HW. Effects of visible light on the skin. Photochem Photobiol.2008;84(2):450-462. Sheth VM, Pandya AG. Melasma: a comprehensive update: part I. J Am Acad Dermatol.2011;65(4):689-697. Sheth VM, Pandya AG. Melasma: a comprehensive update: part II. J Am Acad Dermatol.2011;65(4):699-714. Lakhdar H, Zouhair K, Khadir K, et al. Evaluation of the effectiveness of broad-spectrum sunscreen in the prevention of chloasma in pregnant women. J Eur Acad Dermatol Venereol.2007;21(6):738-742. Khadir K, Amal S, Hafi F, et al. Les signes dermatologiques physiologiques de la grossesse, Ann Dermatol Venereol.1999;126:15-19. Woolery-Lloyd H, Kammer JN. Treatment of hyperpigmentation. Semin Cutan Med Surg.2011;30(3):171-175. Lawrence N, Bligard CA, Reed R, Perret WJ. Exogenous ochronosis in the United States. J Am Acad Dermatol.1988;18(5 Pt 2):1207-1211. Draelos ZD. Skin lightening preparations and the hydroquinone controversy. Dermatol Ther.2007;20(5):308-313. Comeau M, Brummett R. Anesthesia of the human tympanic membrane by iontophoresis of a local anesthetic. Laryngoscope.1978;88(2 Pt 1):277-285. Glass JM, Stephen RL, Jacobson SC. The quantity and distribution of radiolabeled dexamethasone delivered to tissue by iontophoresis. Int J Dermatol.19(9):519-525. Scientific Evidence page. http://www.activatekinc.com/technology/scientific-evidence. Accessed August 2008. Choi YK, Rho YK, Yoo KH, et al. Effects of vitamin C vs. multivitamin on melanogenesis; comparative study in vitro and in vivo. Int J Dermatol.2010;49(2):218-226. Huh CH, Seo KI, Park JY, Lim JG, Eun HC, Park KC. A randomized, double-blind, placebo-controlled trial of vitamin C iontophoresis in melasma. Dermatology.2003;206(4):316-320.