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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Melasma. Used Lactic Acid Chemical Peel. Do Not Want To Use It Long Term. Recommendation?

52 year old, olive complexion . I ve had melasma (hormonal) for 10 years, I ve used sunscreen for the last 20 years, have now only use zinc oxide . Finally, I came across lactic acid 12%, and it has removed a good part of it, like 50% over all, and have been using it for about a month and a half, plus one lactic acid chemical peel at strength of 88%, thus far... I don t want to use this for long term, so I am looking for something to maintain it. Hydroquinone, backfired on me, and made it worse. I also, use an antioxidant cream, under my sunscreen, and/or moisturizer. Tried Melederm, renova, Sheisdo, many others to no avail. I was wondering, if Demelan could be used long term. It contains, 10% glycolic acid, 5% arbutin, 2% kojic acid. Or is their something else you would recommend. Thanking you in advance.
Mon, 30 Sep 2013
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Dermatologist 's  Response
Hi,
Melasma is a common problem especially in females.You do not worry about the spots. It is is the normal sequel dark shade because of the activity of melanocytes. You can apply Kojic acid or glycolic acid or azelaic acid cream over the affected area. Use a good sunscreen and protect form direct sun exposure.
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Have Melasma. Used Lactic Acid Chemical Peel. Do Not Want To Use It Long Term. Recommendation?

Hi, Melasma is a common problem especially in females.You do not worry about the spots. It is is the normal sequel dark shade because of the activity of melanocytes. You can apply Kojic acid or glycolic acid or azelaic acid cream over the affected area. Use a good sunscreen and protect form direct sun exposure.