Our expert says:
Thank you for the question and my sincerest apologies for not
answering sooner. We normally receive an email notification when a question has
been asked but there seems to have been an IT glitch and I never received a
message that your question was asked.
Melasma is difficult to treat and your best option would be
to see a dermatologist who can discuss the various treatment options.
A topical approach will include sun avoidance and applying a
good SPF 30 or higher that contains zinc oxide and/or titanium dioxide. Generally
speaking, we do see good results with a combination of topical vitamin C and
vitamin A, and one may have to add hydroquinone 2% or 4% to this regime. Unfortunately,
hydroquinone may have side effects such as sun sensitivity and even allergic
One may also consider fractional laser to lighten the Melasma.
Dr Alek Nikolic
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