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How to get rid of melasma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 28-year-old male. I am having melasma over the last eight years. I am using Lookbrite cream at night and Melalite and Dermadew lotion in the morning with Suncros sunscreen SPF 26. But when I stop using it, the melasma increases. It becomes darker on the cheeks and nose. Please suggest any medicine to get rid of these ugly spots.

Thank you.
Answered by Dr. Kakkar

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

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Hi,

Welcome to icliniq.com.

I have read your question and understood your concern. Melasma can relapse. Therefore, you must continue with a maintenance regime once your melasma clears. I suggest you to use a higher SPF sunscreen like Sebamed sunscreen like Sebamed sunscreen SPF 50+. In addition I would suggest you to use Aziderm 20% gel (Azelaic acid) twice daily for dark spots. In morning use Aziderm after washing face and after 30 minutes, apply sunscreen over it. At night apply Aziderm and leave it overnight. Aziderm is slower acting, but it is safe. It can also be used for maintenance therapy. Melalite (Hydroquinone) and Lookbrite (combination of Hydroquinone, Tretinoin and Mometasone furoate) are steroid based creams and cannot be used for more than a month as they can have side effects.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

The creams which I mentioned above were used two years back. Now 15 days ago I visited a dermatologist. He gave an injection on dark spots and prescribed me Kojivit gel. Can I use this? Will it be effective?

Please help.

Answered by Dr. Kakkar

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Yes, (Kojic acid) Kojivit gel is fine. You can try that.

Thank you.

Answered by Dr. Kakkar
Medically reviewed by iCliniq medical review team
Published At March 11, 2016
Reviewed At October 8, 2024

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kakkar
Dr. Kakkar

Dermatology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sushil Kakkar is an experienced Dermatologist specializing in Dermatology, Venereology, and Leprosy. He has expertise in treating a wide range of skin, hair, and nail conditions, as well as sexually transmitted infections and leprosy-related skin disorders. Dr. Kakkar is skilled in clinical diagnosis, advanced dermatological procedures, and personalized treatment plans. He is committed to delivering compassionate, evidence-based care for long-term skin health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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