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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Has Melasma Spread In Different Areas After Using Skinlight Ointment?

Dear Doctor,
I am 39 year old male i am suffering problem of melasma i take treatment form many doctor no result
one doctor prescribe me skinlight ointment after that they spread more area of both chick and nose whole nose is cover by bark brown patch so. pls doctor first of tell me is it curable or not if it is curable then prescribe best treatment. At present I am using depiwhite cream at night and suncross sun cream
posted on Sat, 11 Jan 2014
Twitter Sat, 11 Jan 2014 Answered on
Twitter Mon, 13 Jan 2014 Last reviewed on
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Dermatologist,  's  Response
Hi. Thanks for posting your concern at HCM

Melasma is a chronic condition and it is prone to relapses. No one can guarantee a cure for it but with right form of treatment and strict adherence, it can be remarkably improved.

Skinlite cream contains mometasone, hydroquinone and tretinoin. It works wonderfully well on Melasma but it has limitataions like: It cannot be used on face for more than 2-3 months for fear of causing steroid related adverse effects.

Sunscreen is an important component of any skin lightening therapy. I advice my patients to use a broad spectrum sunscreen with protection against both UVA and UVB. It should be worn throughout the day.

I prefer to use non-steroid based creams like the ones containing kojic acid, hydroquinone, glycolic acid, arbutin, Azaleic acid, magnesium ascorbyl phosphate, liquorice etc in various combinations. They are safe to use on long term basis unlike steroid based creams.

I also combine chemical peeling sessions along with topical treatment in my patients of melasma for a faster response which can then be maintained with topical creams and sunscreens.
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Why Has Melasma Spread In Different Areas After Using Skinlight Ointment?

Hi. Thanks for posting your concern at HCM Melasma is a chronic condition and it is prone to relapses. No one can guarantee a cure for it but with right form of treatment and strict adherence, it can be remarkably improved. Skinlite cream contains mometasone, hydroquinone and tretinoin. It works wonderfully well on Melasma but it has limitataions like: It cannot be used on face for more than 2-3 months for fear of causing steroid related adverse effects. Sunscreen is an important component of any skin lightening therapy. I advice my patients to use a broad spectrum sunscreen with protection against both UVA and UVB. It should be worn throughout the day. I prefer to use non-steroid based creams like the ones containing kojic acid, hydroquinone, glycolic acid, arbutin, Azaleic acid, magnesium ascorbyl phosphate, liquorice etc in various combinations. They are safe to use on long term basis unlike steroid based creams. I also combine chemical peeling sessions along with topical treatment in my patients of melasma for a faster response which can then be maintained with topical creams and sunscreens.