How I transformed my melasma patient's skin in 4 months!

My #melasma treatment pearls:

🔸 MOST IMPORTANT: Sun protection education. You cannot assume that your patient knows every sun protective practice. Review the importance of WHAT sunscreen to use, HOW often to apply, and other ways to sun protect aside from SPF — wide brim hats, limiting outdoor time during peak sun, and explaining that even a single episode of unprotected sun exposure can reset all melasma progress.

🔸 Review a patient’s medications to ensure they’re not taking something that could worsen their melasma such as a sun-sensitizing medication or certain types of birth control.

🔸 If using hydroquinone (HQ) consider a higher concentration such as 8% or 12%. So often I see melasma that is under-treated. Hit melasma hard and fast and then taper down once you’ve achieved control. HQ can often be compounded with other helpful ingredients like tretinoin, vitamin C, kojic acid, niacinamide, etc.

🔸 Consider oral tranexamic acid. This is probably my all-time favorite melasma fighter because over 85% of patients will see improvement on this medication. Only prescribe if you also feel comfortable performing an appropriate medical screening to ensure that your patient can be on this medication safely.

What melasma questions do you have?

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DISCLAIMER: The information in this video is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician. Some of the links in this description may be affiliate links (marked with *). Affiliate links help support my YouTube channel so I can continue to create fun, informational skincare videos for you. Also, some products may have been received as PR. Thanks for watching!

[Rubye]

Amazing transformation! 😮
Seeing a derm in real life is really life changing when you have a more severe skin condition. Even, when it’s really frustrating that you have to see you derm regularly and other people could just wash their faces with dish soap. I‘m on tretinoin for my acne and I only could maintain „perfect skin“ when I go to a medical esthetician one a month.

[susanmcf]

Can you talk about her maintenance regimen?

[cdanieldance]

Omg. The results are incredible. I just started my dermatica script with tretinoin and hydroquinone. Let's go...

[kiren]

You BOTH did it. It takes time and effort to consistently follow a skin regimen.

[egreenarrow]

Am I alone in thinking her skin in the before image looks just as nice as in the after image? They look different, yes, but what is better about the second image?

[BlobNeon]

What is the maintenance regimen??? This is the part that always sets me back after I have to come off HQ for a couple months.

[fjp]

when using hydroquinone, do you only apply it to the spots affected as a spot treatment or all over the face? not asking about specifically her case since hers was all over her face but just in general. excellent job helping her with her melasma.

[vickygoode]

What is her after care regimen and can people with rosacea do you clear and brilliant?

[starinajar]

Is the Clear and Brilliant laser safe for darker skin? Would the other treatments you used give a similar result and are they safe for dark skin?

[plainsong]

When using triluma (I mix Tretinoin, desonide, and hydroquinone 4%- wish I had 8%), what is the length of time you need to refrain after the four months (I was told no more than three) so as to avoid rebound / greater hyperpigmentation?

[beyondskin]

So interesting!! It looks like an incense in freckles to the lay person

[zoespil]

Hi, can you please answer to this and help me? I have gotten triamcinolone acetonide with azaleic acid for my melasma. I am 24 and have a lot of spots. I am very sad and can't find anywhere if the cream I got does something for anyone with melasma. Does someone know this? I can't use Hydroquinone because I am between skiptype 1-3...

[mamtaarora]

Do you consult online as well? If yes pls let me know. Thanks.

[sarahhorn]

Can you please speak on the brands Eminence, Peach and Lily, Sunday Riley, Drunk Elephant, Indie Lee, and Lancome?? I'm having a hard time picking skin care and I like all of them but I don't know if any are better than the other or worth the money. I'm doing a lot of research but I'd like to know your input!!

[reinaavila]

I have freckles and some pigmentation. In order to use any products do you recommend I see a dermatologist before trying any over the counter?

[lovepain]

I have to much hair fall in every day i loss my 500 hairs plz help me

[skinrituals]

Everyone knows hq is effective why people come to u n plus lazer rip her skin😢

[skinrituals]

Nw she will suffer more melasma 8 percent hq is crazy u out of yr mind you cant be a dermatologist 😂