I am 46, female with melasma. Can I use Kojitin for long?

Question

Hi doctor,

I am a 46-year-old female. I have been suffering from melasma for the last four years. It is only small patches on the cheekbones but very dark. I have been told it is dermal which is very stubborn and does not go easily. I took lots of treatment from good dermatologists, using topical creams like hydroquinones, retinoids, etc. Few chemical peels are done but no effect and that area became thin and wrinkled. What treatment should I go for? Currently, I am using only Kojitin. Is it safe to use it for a long time? I hope it will not make my skin thinner.

Thank you.

Answer 1

Hi,

Welcome to our portal.

I have seen your query. With your descriptions, it seems you have developed dermal melasma. Kojivit is safe, and it is non-steroidal. It does not cause skin thinning and is safe for long-term use. Besides this, use sunscreen like Blynds sunscreen daily in the morning and use Dermadew glow face wash twice daily. Also, take an antioxidant tablet once daily. Protect from UV (ultraviolet) radiation, and repeat sunscreen after four hours if you are going out.

Thank you.

Answer 2

Hi,

Welcome back to our portal.

I have seen your query and examined your pictures (attachment removed to protect patient identity). The good part in your case is the area of involvement is very less. See cosmelan treatment is a cocktail of different types of peel ingredients. I suggest you go for glycolic peel once in three weeks, along with daily Kojivit treatment. It should be started with short-duration contact and less concentration to gradually increase contact time and concentration. But during this period, you must follow absolute sun protection with daily sunscreen application for good cosmetic results. You can continue antioxidants for a few more months.

Thank you.

Answer 3

Hi,

Welcome to our portal.

I have seen your query. Until now, injection glutathione is not FDA approved. It has severe side effects like Steven Johnson syndrome, so I will not suggest you go for this glycolic peel are comparably safe and quite effective.

Thank you.

Answer 4

Hi,

Welcome to our portal.

I have seen your query and examined your given picture (attachment removed for patient identity protection). It seems you have developed hormonal acne. You can use topical Faceclin gel (Clindamycin) during the morning and use Apgel 0.1 % local application daily during the night and use face care face wash twice daily. Please get a review with pictures of your boil for better evaluation and further treatment of your concerns.

Thank you.