Our expert says:
Hi Loula, thank you for the question.
Pigmentation that is aggravated or associated with hormonal changes is known as Melasma or Chloasma (Mask of Pregnancy).
Dianne is a good oral contraceptive for treating acne but should NEVER be used in a patient suffering from Melasma as this will increase the pigmentation. Furthermore, microdermabrasion will not help Melasma and my advice would not to do any more microdermabrasion treatments.
This form of pigmentation is not easy to treat but a number of options do exist.
Your treatment options are as follows:
SPF 50 or higher that contains zinc oxide and/or titanium dioxide applied several times daily (my personal preference is Heliocare)
Sun avoidance (hat, umbrella, etc.)
NeoStrata Renewal Cream (Vitamin A), Ultra Smoothing Day Cream, Pigment Lightening Gel, and Brightening Cream SPF 15.
NeoStrata Glycolic Acid Peels with booster pads (3 to 6 months)
Technology Based Treatments:
Laser (Fraxel, Ultrapulse FX, Palomar Starlux 500)
IPL and Bi-Polar Radiofrequency (Syneron eMax or eLight)
Please note that results are operator dependent and treatment for Melasma should be performed by a medical doctor only with experience in treating this form of pigmentation.
Your best option would be to consult a cosmetic dermatologist or an aesthetic practitioner with a special interest in treating various forms of pigmentation. More information on Melasma and its treatment may be found on my web page: www.aestheticfacialenhancement.co.za
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