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Suggest Treatment For Severe Melasma
Hello Doctor, I had a severe melsma which covered my cheeks and chin area. I was asked to use Look brite cream , malalumin and difflo cream along with the sunscreen and a facewash. i was reading on of the reviews where these creams are said to have steroid and which have side effects. please advise how to maintain my skin for long and not get side effect on the skin. Many thanks
Tue, 25 Aug 2020
Hi,
As per your complain Melasma leads to formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances. It can occur due to causes like:
-Intake of Birth Control Pills
-Pregnancy and child birth
-Hormone Replacement Therapy
-Hypothyroidism
-Exposure to UV rays i.e overexposure to the sun.
I would suggest you consult a Dermatologist and get evaluated and he can do a thorough clinical evaluation and investigations like Wood Lamp's Test, hormonal assy and at times Biopsy to confirm the diagnosis. Melasma is slow to respond to treatment and generally, the depigmentation creams can lighten the pigmentation and do not resolve it completely.
In case if it is due to hormonal imbalances correction of the same can help. Cessation of hormone replacement therapy if you take any can be helpfum in improvement. Limit sun exposure and always apply sunscreen lotion when exposed to sun. As a part of treatment you can be advised Hydroquinone containing creams. Azelic acid and Kojic acid containing Creams are helpful. Vitamin C oral as well as topical can helpful. Metamizol containing ointments can also help.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Honey Arora, Dentist
As per your complain Melasma leads to formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances. It can occur due to causes like:
-Intake of Birth Control Pills
-Pregnancy and child birth
-Hormone Replacement Therapy
-Hypothyroidism
-Exposure to UV rays i.e overexposure to the sun.
I would suggest you consult a Dermatologist and get evaluated and he can do a thorough clinical evaluation and investigations like Wood Lamp's Test, hormonal assy and at times Biopsy to confirm the diagnosis. Melasma is slow to respond to treatment and generally, the depigmentation creams can lighten the pigmentation and do not resolve it completely.
In case if it is due to hormonal imbalances correction of the same can help. Cessation of hormone replacement therapy if you take any can be helpfum in improvement. Limit sun exposure and always apply sunscreen lotion when exposed to sun. As a part of treatment you can be advised Hydroquinone containing creams. Azelic acid and Kojic acid containing Creams are helpful. Vitamin C oral as well as topical can helpful. Metamizol containing ointments can also help.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Honey Arora, Dentist
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