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Does anyone know the best treatment for melasma (chloasma)? //

These are horrible brown spots on the skin such as hyperpigmentation, and I have to use a camouflage cream to cover.

Your first point of contact should be your doctor, but according to wikipedia has several options: topical depigmenting agents, such as hydroquinone (HQ), or sales-(2%) or prescription (4%) strength. HQ is a chemical that inhibits tyrosinase, an enzyme involved in melanin production Tretinoin, an acid that increases cell the skin (keratinocytes) turnover. This treatment can not be used during pregnancy. Azelaic acid (20%), thought to decrease the activity of melanocytes. exfoliation facial with alpha hydroxy or glycolic acid chemical peels. Laser treatment. A Wood’s lamp examination should be used to determine whether melasma is the epidermis or dermis. If the melasma is dermal, laser (or “IPL”) will be dark and acually worsen the appearance of the spots. dermal melasma is usually respond to most treatments, and only found relief with products containing mandelic acid. In all these treatments the effects are gradual and a strict avoidance of sunlight is necessary. The use of broad-spectrum sunscreens with physical blockers like titanium dioxide and carbon dioxide Zinc is preferable to that with only chemical blockers.

Battling Melasma with Lasers, Skincare and More!
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