Melasma treatment requires a combination of treatments.
What Is Melasma?
Melasma is a skin pigmentation that appears as map like brown patches. It occurs most commonly on the forehead. It can also occur on the upper lip, cheeks and other face areas. Melasma is difficult to treat and requires persistence. The aim melasma treatment is to reduce it so it to a cosmetically acceptable level.
ESSENTIAL TO MELASMA TREATMENT: GOOD SUN PROTECTION
Melasma is caused by a combination of oestrogen + sun exposure.
- The oestrogen changes the way skin pigment responds to sun exposure.
- Contraceptive pills can worsen melasma
- Effective sun protection is ESSENTIAL.
- Prescription lightening agents and superficial chemical peels can be used.
- There are some lasers appropriate for treatment of melasma, however these are not without risks.
- it is best to trial topical treatments initially.
- Inappropriate treatment with IPL, lasers, deep chemical peels can worsen melasma.
Step 1. Avoid the factors that cause Melasma
- Sunscreen and sun protection.
- Discuss changing OCP with your General Practitioner. It is not always possible to change but this gives melasma the best chance to settle.
Step 2 – Decrease new melanin production.
The essential ingredients include Vitamin A PLUS Hydroquinone 4%.
Even with a strong creams, it still takes up to 4 weeks to notice fading.
Step 3 – Remove pigmentation
Clearing pigmentation from the skin with Chemical peels or Fractional Laser.
- Chemical peels clear melasma by exfoliation of the excess pigment.
- 10- 20% Lactic acid peels or Vitamin A peels.
- Chemical Peels are performed every 2 to 4 weeks and are well tolerated.
- There is no downtime with this type of peeling.
Fractionated treatments can give excellent results in resistant cases of melasma. Usually 2-6 treatments are needed. Laser treatment is NEVER the first line treatment of melasma, and should be reserved for cases where other treatments have failed. There can be complications of worsening of pigmentation in some cases.
Step 4 – Prevention of melasma
The last step of melasma treatment is to prevent the melasma returning.
- Ongoing sun protection is essential
- 2% hydroquinone or niacinamide over the hot summer months.
- Melasma is never cured so you may need to consider intermittent treatment.
No referral is required to our clinic and you will be booked in for a free assessment with our Cosmetic Nurse or therapist.
Call Us Today On 3350 5447 For A FREE Consultation.
If you do require prescription you will be referred to our Doctors. There is a consultation fee with this.