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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Of Dark Patches On Face?

Hi I am 58 years. I have had melasma for the past 12-15 years. I have tried a range of products and home remedies but with no results. I have also had chemical peels done on my face.
I have the melasma on both my cheeks right up to the corner of my eyes on both sides of my face and on my forehead. I have generally good skin, no breakouts but a bit oily.

I would like your expert advice on how I can rid or minimize the dark patches
Tue, 18 Mar 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Melasma is a difficult condition to cure. It can recur once treated and sometimes it might not go away completely, though much improved, even with treatment.

If I was your treating doctor I would have advised you to use a broad spectrum sunscreen, that which offers both UVA and UVB protection, throughout the day. Sun protection is an essential part of melasma treatment.

A skin lightening cream containing one or more of the skin lightening agents e.g Kojic acid, hydroquinone, Glycolic acid can be used once or twice daily. A triple combination cream containing tretinoin+hydroquinone+fluocinolone acetonide can be used initially for 1-2 months for faster results, but only under the supervision of a dermatologist before switching to kojic acid/hydroquinone or glycolic acid containing cream.

Chemical peel sessions can be spaced appropriately in order to avoid irritation when on topical treatment for melasma

regards
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How To Get Rid Of Dark Patches On Face?

Hello and welcome to healthcaremagic Melasma is a difficult condition to cure. It can recur once treated and sometimes it might not go away completely, though much improved, even with treatment. If I was your treating doctor I would have advised you to use a broad spectrum sunscreen, that which offers both UVA and UVB protection, throughout the day. Sun protection is an essential part of melasma treatment. A skin lightening cream containing one or more of the skin lightening agents e.g Kojic acid, hydroquinone, Glycolic acid can be used once or twice daily. A triple combination cream containing tretinoin+hydroquinone+fluocinolone acetonide can be used initially for 1-2 months for faster results, but only under the supervision of a dermatologist before switching to kojic acid/hydroquinone or glycolic acid containing cream. Chemical peel sessions can be spaced appropriately in order to avoid irritation when on topical treatment for melasma regards