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Best Treatments and Creams for Melasma to Get Rid of Hyperpigmentation

Melasma is most often cause by what?

“Melasma happens when melanocytes — the cells that produce melanin in your skin — become overactive and produce an exorbitant measure of color,” says Dr. Okereke. Overactivity can occur for a variety of reasons, which is one of the reasons melasma is so difficult to treat. However, sun exposure and hormones are the two main causes, which is why melasma is sometimes refer to as a “substance” (sun!). or a “mask for pregnancy” (hormones!).

This means that you’re more likely to get melasma if you like to lay out, don’t wear enough sunscreen, use hormonal contraception, or are pregnant. Any other factors? Inflammation (caused by pollution, products, irritation, etc.), certain medications (please consult your doctor), excessive heat from activities like hot yoga or spending time in the steam room, as well as a skincare routine that is either too harsh or too aggressive.

Melasma brightening serums and creams 

They will do all of the heavy lifting to fade your melasma. Choose a melasma serum or cream with vitamin C (ideally 10 to 20 percent), tranexamic acid, azelaic acid, arbutin, kojic acid, and/or niacinamide (the texture is entirely up to you). In addition to lightening melasma and evening out your skin tone, all of these ingredients suppress excess pigment production and are relatively gentle and safe for all skin tones, unlike other skin brighteners (like hydroquinone).

Clear and Brilliant laser 

Dr. Maiman says that the Clear and Brilliant laser Melasma can treat with the Permea handpiece, which only treats epidermal melasma and is consider safe for all skin tones because it lowers the risk of accidentally damaging pigment-producing cells that are deeper in the skin. Although multiple treatments are required to see a significant reduction in melasma, the treatment is generally painless and requires little to no downtime. According to Dr. Maiman, patients typically require five Clear and Brilliant laser treatments spaced approximately one month apart.

The finest melasma prescription medicine includes:

If the over-the-counter remedies are having little effect on your obstinate melasma, schedule a consultation with your doctor to discuss the numerous prescription possibilities. Your dermatologist might prescribe you a compound custom cream with a variety of various Rx-strength chemicals, such as arbutin and azelaic acid, to help you get rid of your melasma. Some specialists could suggest a cream with hydroquinone, a contentious but potent chemical for skin lightening, such as Tri-Luma cream, which combines hydrocortisone, hydroquinone, and tretinoin (commonly known as Rx-strength retinol). In essence, your doctor will be able to choose which course of action is best for you.

There is also oral tranexamic acid, which, when used briefly and in modest quantities, can help fade melasma and reduce pigmentation. Oral tranexamic may merit bringing up to your primary care physician if you have exhaust all of your options with no success because it is typically considered a last-resort medication.


Microneedling In contrast to pigment-targeting lasers, which eliminate excess melanin from the skin, micro-needling induces a healing response in the skin by creating tiny wounds. According to Dr. Maiman, that healing response turns on your cells making new, fresh skin that hasn’t yet affected by hormones or the sun. According to Dr. Maiman, doctors are able to funnel brightening ingredients like tranexamic acid, glutathione, vitamin C, and niacinamide into the skin through the tiny wounds or holes made in the skin during the micro-needling procedure to reduce excess pigment as well.

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