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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pigmentation During Pregnancy. Had Treatments, Used Creams And Facial Products With No Success. Any Suggestion?

Hi , I have been struggling with hyperpigmentation which developed during my pregnancy three years ago. I have been on chemical peel treatments once a month for almost 2 1/2 years now but the marks wont go away. I have waisted a lot of money on creams and facial products with no success. Yesterday I saw Demelan at Phamarcy and read a little bit about it and it sounds promising but I would just like to know what are the chances that it will work because I cant handle another disappointment and I am really frustrated with my face. Any other treatment or product that you can suggest?

RegardsVirginia
Thu, 14 Nov 2013
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Dermatologist 's  Response
hi You have a condition called Melasma/Chloasma. Its difficult to cure it completely and sometimes it can come back again after clearing. Its a frustrating condition bot for the patient and doctor equally. Anyways their are mutiple modalities available:

Ideally you should use a broadspectrum sunscreen with all forms of treatment, which protects you both from UVB and UVA rays and apply it every 3-4 hours.

A treatment plan which combines exfoliation of already existing pigment with that which reduces synthesis of new melanin works better than undergoing just exfoliation of existing pigment(like you are undergoing glycolic peels)

Demelan contains glycolic acid, which is exfoliating and will help reduce existing pigment and it contains kojic acid and arbutin, both of them help reduce synthesis of new pigment. So its a logical combination.

always usea broadspectrum sunscreen with any form of treatment
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Pigmentation During Pregnancy. Had Treatments, Used Creams And Facial Products With No Success. Any Suggestion?

hi You have a condition called Melasma/Chloasma. Its difficult to cure it completely and sometimes it can come back again after clearing. Its a frustrating condition bot for the patient and doctor equally. Anyways their are mutiple modalities available: Ideally you should use a broadspectrum sunscreen with all forms of treatment, which protects you both from UVB and UVA rays and apply it every 3-4 hours. A treatment plan which combines exfoliation of already existing pigment with that which reduces synthesis of new melanin works better than undergoing just exfoliation of existing pigment(like you are undergoing glycolic peels) Demelan contains glycolic acid, which is exfoliating and will help reduce existing pigment and it contains kojic acid and arbutin, both of them help reduce synthesis of new pigment. So its a logical combination. always usea broadspectrum sunscreen with any form of treatment