Rachel Maiman, MD, is a board-certified dermatologist at Marmur Medical in New York, NY and a clinical instructor at Mount Sinai hospital. The only upside to my life of brown patches? I'm now a self-proclaimed melasma expert, and I've tried virtually every melasma cream, face serum, and treatment in existence. So pls allow me (and four trusted doctors) to tell you legit everything you need to know about getting rid of melasma, including the best products, prescriptions, and treatments to try at home and at the dermatologist's office. Finally, my skin problems have purpose. Meet the experts: The Best Dark Spot Corrector for Post-Inflammatory Hyperpigmentation: SkinBetter Science Even Tone Correcting Serum Melasma happens when melanocytes—the cells that produce melanin in your skin—become overactive and produce an excessive amount of pigment," says Dr. Okereke. The overactivity can happen for any number of reasons (which is one of the reasons melasma is so hard to treat), but the two biggest causes are sun exposure and hormones, hence why you sometimes hear melasma referred to as a "sunstache" (sun!) or "pregnancy mask" (hormones!).

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LACTIC ACID 2.8% Naturally occurring AHA that speeds up cell turnover, as well stimulating cell renewal to improve skin texture and fade hyperpigmentation. Word from the wise: Give it time. “Use a product for at least three months before you look in the mirror, take before and after photos, and make the determination whether you feel this product has benefited your skin,” says Dr. Greenfield. “Often, you will see a result sooner, but it may take up to three months. So, hang tight, the skin is slow at responding.” The Best Dark Spot Correctors SACHA INCHI OIL 0.2% Regulates oil production and promotes a healthier looking complexion, whilst providing soothing anti-inflammatory benefits. Professional-strength chemical peels can help improve the superficial pigment associate with melasma, says Dr. Maiman, who recommends the medium-depth Jessner peel to her patients. "The Jessner peel traditionally features a mix of alpha and beta hydroxy acids in a specific ratio—14 percent of resorcinol, salicylic, and lactic acid—in an ethanol base." Most doctors find it to be safe in all skin tones when done correctly. Unlike dark marks and spots or post-inflammatory hyperpigmentation (which both look like small spots in concentrated areas of the face), melasma is often widespread, appearing as brown or grayish, mask-like patches on the cheeks, bridge of nose, chin, forehead, and above upper lip, explains dermatologist Uchenna R. Okereke, MD. Who can get melasma?There's also oral tranexamic acid, which when taken in low doses for a short period can help suppress pigment production and clear up melasma. It's generally thought of a last-resort medication, so if you've exhausted all your options with zero success, oral tranexamic may be worth bringing up to your doctor.

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ROSEHIP SEED OIL 0.3% Nourishes the skin’s natural barrier function and promote cell renewal, whilst brightening the complexion and fading signs of hyperpigmentation. You need to use the hydroquinone creams as prescribed by the health care physician. You can use it every night before going to bed at a cleaned face and only on the affected areas. That means if you love to lay out, skimp on sunscreen, use hormonal birth control, or are pregnant, you're a prime candidate for developing melasma. Other triggers? Certain medications (so talk to your doctor), inflammation (from pollution, products, irritation, etc.), excessive heat (from things like hot yoga or hanging in the steam room), and an overly harsh or an aggressive skincare routine. How to treat melasma at home: Uchenna R. Okereke, MD, is a board-certified dermatologist at Dermatology Associates in Canton, MA and Mystic Valley Dermatology in Medford, MA. She specializes in skin of color and hair loss. Naturally occurring AHA that speeds up cellturnover, as well stimulating cell renewal to improveskin texture and fade hyperpigmentation.One of the most common complexion gripes is dark spots (a.k.a. sun spots, age spots or hyperpigmentation), which can make skin appear uneven, less clear and dull. Dark spots can appear on your face as well as body areas such as hands and décolletage as a result of sun exposure, genetics, hormones and inflammation, says Howard Murad, M.D., board-certified dermatologist and founder of Murad Skincare, and often become more prevalent with age.

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Its use decreases the formation of Melanin in the skin which results in fading the melasma. How to use hydroquinone creams?Hello girls are you facing skin problems and looking for the best anti melasma creams in Pakistan, you are right here. Unlike pigment-targeting lasers that work by zapping excess melanin in the skin, microneedling helps treat melasma by creating tiny wounds in the skin which triggers a healing response. That healing response turn prompts your cells to make to make brand-new, fresh skin that hasn’t yet experienced the effects of hormones and sun, explains Dr. Maiman. The tiny wounds or holes made in the skin during the microneedling process also allow doctors to funnel brightening ingredients—like tranexamic acid, glutathione, vitamin C, and niacinamide—into the skin to reduce excess pigment as well, says Dr. Maiman. The final word: Let me put it this way: You have options—and a lot of ‘em. There are so many topical agents that can help brighten skin, even out tone, and fade discoloration. Perhaps the strongest—and most classic—ingredient is something called hydroquinone, which is a lightening agent that can only be used under the care of a dermatologist given potential side effects, such as mercury exposure. If you’re going the over-the-counter route, Dr. Greenfield recommends searching for an encapsulated algae complex, which “has demonstrated its ability to prevent the formation of dark spots.” Dr. King also recommends seeking out “ retinoids , arbutin, azelaic acid, kojic acid , vitamin C, phytic acid, tranexamic acid, and licorice root.” Some focus on speeding up cellular turnover, while others will provide antioxidant protection and a brightening effect. When Can I Expect Results? A superior humectant (with over twice the waterretaining properties of Glycerin) that helps skinretain moisture and prevent it from becoming dryand dehydrated.

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Melasma (also called Chloasma, or the Pregnancy Mask) is actually a skin issue in which brown or grey patches started to appear on the skin and make you look ugly. Melasma affects mostly the nose, forehead, cheeks and upper lips. Women mostly develop melasma as compared to men. In Women melasma can be due to pregnancy, birth control pills, excessive exposure to the sun, and most probably the use of wrong skin care products. Saya Obayan, MD, is a board-certified dermatologist at Skin Joy Dermatology in Austin, TX and the president of the Austin Dermatological Society.

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The second major cause is sun exposure, aka the enemy to good skin. The sun, in tandem with hormonal changes and genetic predisposition, can bring about brown or gray-ish patches called melasma. Too much vitamin D can also bring about lentigines, or sun spots. “They’re small, pigmented spots on the skin with a clearly defined edge, surrounded by normal-appearing skin,” says Dr. King. What to Look For in a Dark Spot Corrector Skincare products can contain ingredients that work in a variety of ways to mitigate the skin producing a darker pigment,” explains board-certified dermatologist at Schweiger Dermatology Group in New York City Dr. Nava Greenfield. Said ingredients range from hydroquinone, which is something you’ll have to get from your dermatologist, and retinoids to over-the-counter options including everything from vitamin C to licorice root. If your stubborn melasma isn't responding well to over-the-counter products, it's worth making an appointment with your doctor to talk through the different prescription options. Your derm may give you a compound custom cream that contains any number of different Rx-strength ingredients, like azelaic acid and arbutin, to help fade your melasma. Some derms may prescribe a cream with hydroquinone (a somewhat controversial, but very effective skin lightening ingredient) and others may prescribe Tri-Luma—a potent topical that combines hydrocortisone, hydroquinone, and tretinoin (aka Rx-strength retinol). Basically, your doctor will know what option is best for you. Melasma can be treated with the Clear and Brilliant’s Permea hand-piece, says Dr Maiman, which exclusively treats epidermal melasma and is considered safe in all skin tones because it reduces the likelihood of inadvertent damage to pigment-producing cells that sit deeper in the skin. The treatment is mostly painless and requires little-to-no downtime, but multiple treatments are necessary to see a significant reduction in melasma. "Typically, patients will need five Clear and Brilliant laser treatments spaced about a month a part," says Dr. Maiman. Microneedling