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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Persistent Cheeks Melasma Causing Depression Be Treated?

i am 37 years old ..after my second delivery in august 2007 i had developed melasma on my cheeks .for that i consulted the doctor in september 2008 .doctor gave me some cream and lotion with that it was lightened .but when i stopped using that cream it appeared again .again i consulted another doctor in june 2009 ,that doctor gave me hydroquinone cream and one lotion and multivitamin capsules ...with that it lightened to some extent but doctor did not advised me to use sunscreen so becoz of my job i had to go in sun it appeared again and this time it is very very dark ...i tried again hydroquinone cream but of no use it is not at all going ...could you please suggest me some remedy ...i am very depressed.. what to do
Mon, 19 Jan 2015
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Dermatologist 's  Response
hi,
apply kligman's formula cream (Hydroquinone+tretinoin+flucinolone) at night in small quantity. never use this combination for more than 4 week.
apply sunscreen with SPF 30 or more every 2 hr at 9:00AM, 11:00AM & 1:00PM. Dont stop using sunscreen .
as the melasma clears use kojic acid cream for maintenance twice daily.

wash your face with glycolic acid containing face wash.
multivitamin containing b carotene 30mg acts as systemic sunscreen but this is not a substitute of topical one.

hope this is helpful.
thanks
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How Can Persistent Cheeks Melasma Causing Depression Be Treated?

hi, apply kligman s formula cream (Hydroquinone+tretinoin+flucinolone) at night in small quantity. never use this combination for more than 4 week. apply sunscreen with SPF 30 or more every 2 hr at 9:00AM, 11:00AM & 1:00PM. Dont stop using sunscreen . as the melasma clears use kojic acid cream for maintenance twice daily. wash your face with glycolic acid containing face wash. multivitamin containing b carotene 30mg acts as systemic sunscreen but this is not a substitute of topical one. hope this is helpful. thanks