What is the best way to get rid of melasma on my face?

Question

Hello doctor,

I have terrible melasma on my face. What is the best way to remove it?

Please advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I am very sorry about your medical condition, and I am glad that you are paying close attention to the changes in your body. Do not worry; I am here to help take care of you.

Based on the details you shared, it appears you have developed hyperpigmented facial spots called melasma. Here is a breakdown of what might be causing it and how to manage it effectively rather than relying on temporary fixes.

Why your skin condition keeps coming back:

Hormonal imbalance: Especially if your acne worsens around your menstrual period, on your jawline or chin, or during times of stress.
Oily skin and clogged pores: If your skin is naturally oily, topical creams alone may not completely control it.
Incorrect skincare routine: Using harsh products or over-washing can damage your skin barrier.

Here are some long-term treatment options: Medical options (strong but effective):

Topical Tacrolimus 0.2% cream.
Topical Clobetasol 0.05% ointment (once daily).
Hydrocortisone 0.2% cream (twice daily for one month).

Consult your specialist doctor, discuss with them, and take the medicines with their consent.

Additionally, I recommend performing serum cortisol and renal function tests (to rule out any kidney-related issues).

Please feel free to reach out if you have any further concerns or questions.

I hope this was useful.

Thank you.