III. Melasma Treatment:

Do not use skin lighteners or bleaching creams containing steroids.  These can cause permanent skin damage including permanent redness, thinning and blood vessel streaks.  Also avoid skin lighteners or bleaching creams containing mercury as this is a poison.

A strong sun screen with SPF 45 should be applied to the face each morning.

Hydroquinone 4% cream (available by prescription or in several skin care products) applied to the face twice a day (in the morning before applying sun screen and later in the day) is the main melasma treatment.

Retin-A cream applied to the entire face each night before bed has been shown to be an effective melasma treatment.

The best, quickest and most effective melasma treatment is now non ablative no down-time laser treatments (Fotofacial).  However, maintenance with skin care products is essential to maintain a good result.  Please check our laser tab to find more information on this safe, no down-time approach.

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