It's tricky, but it can be done.
Because they remove the top layer of skin, "microdermabrasion or microneedling may help the condition by helping the other ingredients to penetrate the skin surface," Shim says. However, Samolitis cautions that "peels and microdermabrasion must also be done carefully to prevent worsening melasma."
Another in-office treatment that must be performed carefully and correctly in order to treat — rather than worsen — melasma isHowever, lasers also utilize heat energy, which can worsen melasma or cause rebound pigmentation. All of the experts we spoke to cite one type of laser, the Clear + Brilliant, as the safest and most effective option for treating melasma.Tranexamic acid can also be prescribed orally to treat melasma.
Similar to hydroquinone, tranexamic acid "is meant for short-term therapy, but produces results relatively quickly, often within the first month."Out of all the experts we spoke to, the most emphasized piece of advice for melasma sufferers is this: Use sun protection — and a lot of it, every single day.
Just how important is sun protection? We can't underscore it enough: Very, very important. So important that "if you're not going to use good sun protection, you should not waste your money on other treatments," according to
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