Melasma treatment approach
Although there is no cure for melasma, combining a top down and bottom up approach “really improves a patient’s complexion and meets their expectations,” Dr. Battle says.
Long-term maintenance of melasma is critical, so patients must be willing to continue a home regimen, which includes gentle exfoliating, bleaching cream and “becoming sunscreen addicts,” Dr. Battle says. “Patients also need to occasionally come to the office for additional laser or peel treatments.”
Sun protection should be strongly encouraged in these patients who have a 6.7 times higher incidence of melasma without sunscreen, he said.