Your prescription includes a morning and night treatment with antioxidants and skin lightening agents to decrease the appearance of melasma or hyperpigmentation in the skin. Often it takes 3-6 months to see results. In the morning, gently cleanse the skin and pat dry. Apply your AM medication to the area with the brown spots. In the evening, use a gentle cleanser, pat dry, and apply the PM medication to the area of the brown spots. Do not forget to apply moisturizer on top of both AM and PM medications, as these medications can cause dryness of the skin. Do not mix these medications with any additional toners, acids, exfoliants, or retinols. If redness, dryness, or irritation appears, drop down to using every other day. A daily SPF 50+ sunscreen is recommended. Sunscreen is an essential part of the treatment of melasma.
Niacinamide, Vitamin C, Vitamin E, Lactic acid
Melasma can occur in any skin type. Often, it is the result of age, sun exposure, hormones, and birth control pills. Medications that lighten melasma can cause redness, dryness or irritation if used in large amounts. Start by using these medications every other night, if irritation doesn't appear after 1-2 weeks then titrate up to using every night. Sun avoidance and sun protection are essential. If a sunscreen is not used with broad-spectrum SPF 50+, the melasma may not improve. Apply sunscreen every two hours and wear a hat if you are in the sun. Recommended skin care includes a serum with Vitamin C in the morning, a gentle brightening cleanser and as always layer a moisturizer on top of your serums and medications for hydration.
If you are frustrated with your skin and cannot find skincare that helps, see our online dermatologist for a customized prescription treatment
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