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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recommend Treatment For Melasma/dark Skin Pigmentation

Hi I m Sanju, I m 31 years old and i have melasma on my dark skinned face. I have been applying this skin bleaching cream (Hydroquinone USP) and a Tretinoin Cream that my dermotologist recomended for me. I have used them for more than 3 months and it didn t work for me. I have never used any birth control pills. And i tested to laser the small amount of my face, but it didn t work either. I m worried about my face so is there anything that you would recomend me to do?
Fri, 2 Jan 2015
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Dermatologist 's  Response
Hello,
Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight.
It treatment is challenging but with proper regimen good results can be achieved.
Usually the treatment is divided into clinic based treatment and home based.
At clinic, I suggest series of chemical peels like glycolic, Jessner, TCA with or without microdermabrasion.
At home you can apply cream containing kojic acid, arbutin, etc and vitamin C serum for maintenance.
Use high SPF sunscreen on regular basis.
Use glycolic acid based facewash.
Hope this will take care of your issue.
Dr Hardik Pitroda
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Recommend Treatment For Melasma/dark Skin Pigmentation

Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. It treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like glycolic, Jessner, TCA with or without microdermabrasion. At home you can apply cream containing kojic acid, arbutin, etc and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based facewash. Hope this will take care of your issue. Dr Hardik Pitroda