Melasma Treatment

In order to treat melasma, combination or specially formulated creams with hydroquinone, a phenolic hypopigmenting agent, azelaic acid, and retinoic acid (tretinoin), nonphenolic bleaching agents, and/or kojic acid may be prescribed. For severe cases of melasma, creams with a higher concentration of HQ or combining HQ with other ingredients such as tretinoin, corticosteroids, or glycolic acid may be effective in lightening the skin.

•     Azelaic acid 15%-20% (Azelex, Finacea)
•     Retinoic acid 0.025%-0.1% (tretinoin)
•     Tazarotene 0.5%-0.1% (Tazorac cream or gel)
•     Adapalene 0.1%-0.3% (Differin gel)
•     Kojic acid
•     Lactic acid lotions 12% (Lac-Hydrin or Am-Lactin)
•     Glycolic acid 10%-20% creams (Citrix cream, NeoStrata)
•     Glycolic acid peels 10%-70%

Contact ISAAC dermatologist for better treatment.