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Suggest Treatment For Melasma

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Posted on Mon, 4 May 2015
Question: Hello doctor I have blemishes on my cheeks. I use many home made packs also but results r not too gud.my friend suggest me lobate cream. Is it ok or I shud use another medicated cream???
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Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Sunscreen and pigment reducing creams

Detailed Answer:
Hello. Thank you for writing to us

You seem to have Melasma.
Melasma presents as patches of pigmentation on face, particularly malar area/cheeks, dorum of nose.
Sometimes forehead and upper lip may also be affected.

The cream that you have been using is a potent steroid and is not to be used on face. It is not a treatment for melasma.

Home remedies too would not provide any significant improvement in melasma.

Sunscreen is an essential part of treatment in melasma.
I suggest you to use a broad sunscreen throughout the day.
A sunscreen with spf 30 or more is considered broad spectrum and would be suitable for use.
Neutrogena Ultrasheer dry touch sunblock has an spf of 50 and can be obtained OTC from a nearby drug store.
It should be reapplied every 2-3 hours.

At night you may use a pigment reducing cream containing one or more of the following active ingredients like kojic acid, hydroquinone, glycolic acid, arbutin, tretinoin, fluocinolone acetonide etc.

The mechanism of action of these active ingredients is either inhibition of synthesis of new pigment Or exfoliation of existing pigment Or both.

Apart from the topical treatment you may also opt for a few sessions of glycolic peeling from a dermatologist.

regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Melasma

Brief Answer: Sunscreen and pigment reducing creams Detailed Answer: Hello. Thank you for writing to us You seem to have Melasma. Melasma presents as patches of pigmentation on face, particularly malar area/cheeks, dorum of nose. Sometimes forehead and upper lip may also be affected. The cream that you have been using is a potent steroid and is not to be used on face. It is not a treatment for melasma. Home remedies too would not provide any significant improvement in melasma. Sunscreen is an essential part of treatment in melasma. I suggest you to use a broad sunscreen throughout the day. A sunscreen with spf 30 or more is considered broad spectrum and would be suitable for use. Neutrogena Ultrasheer dry touch sunblock has an spf of 50 and can be obtained OTC from a nearby drug store. It should be reapplied every 2-3 hours. At night you may use a pigment reducing cream containing one or more of the following active ingredients like kojic acid, hydroquinone, glycolic acid, arbutin, tretinoin, fluocinolone acetonide etc. The mechanism of action of these active ingredients is either inhibition of synthesis of new pigment Or exfoliation of existing pigment Or both. Apart from the topical treatment you may also opt for a few sessions of glycolic peeling from a dermatologist. regards