A Dermatologist’s Guide to treating Melasma - Update!!!

Treating melasma is challenging but very satisfying. As a physician, when we get a new tool, it’s always fascinating to see real-life results after reading something in the literature. In today’s video I talk about what I’m doing in the clinic with my melasma patients, the latest advances in treatment and I highlight the important long-term behaviours to focus on with your skincare.
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As always thank you so much for watching and for all your support!
Disclaimer: The content seen in this video is provided only for medical educational purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek professional help individually if you suffer from any dermatological condition. Due to the volume of patients seen in the clinic, and to the unique nature of skin, Dr Bunting is unable to respond to every query on these videos.

[@nicoledouglas420]

I had very stubborn and melasma. My dermatologist finally prescribed Tranexamic acid. My results just using tranexamic acid were amazing. I saw results within the first three weeks and after two months my melasma was 90% gone. Of course I also am very religious about wearing a mineral sunscreen everyday, even indoors. I also resumed Retin-A after the first month. I know that I will have to continue some sort of maintenance regimen for the foreseeable future, at least I don’t feel self-conscious when I am not wearing make up.

[@madhurigautam7554]

R you still taking T. Acid. How long we can take this. Any side affects you get.

[@channel-nb4he]

Hey did your melesma returned ??? Please consider replying

[@aasthajain5765]

Plz reply

[@srishtisharmxa]

Hi, any updates?

[@mariac.delgado6780]

Hi Sam, ¡a great tutorial!, this is a problem very frequent in certain ethnic groups.Thank you very much and loves😘

[@drdavinlim]

Spot on Sam... T.acid for VEGF 1 modulation. Works wonders especially for the ETR variant of melasma. Unless contraindications, its my go to oral medication. Safe, effective, cost effective. ....Friday, is my melasma day, 6 patents in an afternoon! zzzzzzzzzz

[@marianalostaunau1854]

Dr. Lim, if I take Tranexamic will it prompt white hair? Thanks

[@rossanaschofield7068]

What is that please?

[@carolinecheng2653]

Hi Dr. David Lim . Where can I buythe Traxesamic?

[@nisahaidari1209]

Hey doctor where can i find u perth

[@taramagalski1]

Can you use while trying to get pregnant?

[@lywc82185]

Hi, as a GP I find your videos really informative and help me communicate this useful information to patients.looking forward to the next one!

[@agatagaw]

Dr.Sam could please make a video about improving skin elasticity. What do you think about microcurrent facial treatments or other non invasive facelift divice/ treatments? Thanks so much for today’s video as always great and very informative

[@adamluman1483]

The audio is so much better today compared to normal!

[@Youwinmeta]

Thanks so much for this update!!!!!!

[@artidevi3582]

Awesome thanks for guides

[@davidfletcher3638]

I like when you get technical!

[@charlybrady9974]

Really love your shirt, that is also a great color on you. I have Melasma and rosacea and found this video very helpful thank you. I live in the states and would love to get hold of your skin cleanser. Also interested if you will adding new products such as moisturizer, spf etc.

[@pkaur773]

Hi, I have melasma on my face,could you please recommend me your useful you tube video please.

[@serenamarchiori8685]

great video and great advice 😍😍 but please also tell us some products that contains the active ingredients you have indicated! Please!!!!

[@audrey_023]

can you talk about how the pill might affect the skin? Would love to learn that!

[@ErikaHamilton1]

Thank you Dr. Sam for the video.

[@IamBerrii]

Hi! I wonder what you feel about dermarollering at home? For melasma or really dark hyperpigmentation on African American skin.

[@eboulter]

I am very certain that extreme stress at work triggered my melasma.

[@Tammy8823]

Your skin is beautiful, Dr. Sam...and I move your blouse! I’m on the hunt for a similar one, but one with 🐱 kittens.

[@ekaterinakozlovskaia8082]

Dear dr Sam. Please please make and updated video on your wardrobe! Your blouse is gorgeous. And thank you for the useful video of course.

[@pinkyvashisht2730]

I love her blouses too

[@qazinaseer3494]

I like her blouse very good design....

[@qazinaseer3494]

I like the way you write her you are very sweet.......Ekaterina ...

[@sabrinamorgan8491]

How would you cycle these products from day to night? Would you use retinoids at night and hydroquinone and vitamin C during the day?

[@elenag3084]

Many thanks

[@nours38300]

Hello, could you please do a video about the proper skincare routine for those who go to the gym early A.M and/or late P.M ? (Cleanse, Moisturize, SPF pre or post-workout?) Thank you !

[@littlevoice_11]

Clinique brought out a range specifically for those who go to the gym

[@AliMsBeauty]

Hi Dr Sam I just want to say thank you as I saw a previous video and introduced azaelic acid to my routine. I also started using the foreo ufo using green light at the same time so not sure if that had an impact (would love to hear your views on the efficacy of that). My melasma is finally calming down after years of chucking expensive creams with promises at it with no effect. Thank you so much. Just one question in a previous video you mentioned a glo therapeutics product which doesn’t appear to be available any more. Any good alternatives?

[@dynamitedynamite2737]

Hi has azelaic acid helped your melasma or hyperpigmentation?

[@adelaidebunny]

Please make a video about your blouses. I love all your blouses!

[@diannabloyce1744]

Hi Dr Sam I am currently using Pigaorm for 2 month now within improvement do i continue for more than three months??

[@dynamitedynamite2737]

Ho how long can you use products with arbutin or liquorice in them , do you need rest breaks with arbutin as it’s a derivative of hydroquinone or can you safely apply twice a day indefinitely, should you take rest breaks with tyrosinase inhibitors?

[@joeanna1100]

love your cleanser. less packaging would be nice, x

[@kam0406]

I just checked and it looks like it isn't approved in the USA yet. I wonder if the doctor will approve it for off label use? I've had melasma since I was pregnant 17 years ago! It has faded, but I still have noticeable spots. I've tried everything and nothing has made much of a difference. The only "good" thing about melasma is that I've used sunscreen religiously since I was diagnosed with it and learned that sun exposure makes it worse. I would like to be rid of this for good. Especially now that I'm in my 40s and am battling other skin woes .

[@navichouhan8334]

Very nice information last year my dr recommended me Trexanmic acid capsules i stopped after one month when I read it is used for heavy blood flow, because i have scanty periods, how it effects blood flow?

[@karouinadia9813]

Hi interesting video 😊 since I’m concerning with melasma ☹️ do you recommend the ordinary skincare for this purpose ? If yes what are the products you recommend ? Thank you 🙏🏻🙏🏻🙏🏻

[@chaudhryfamily8193]

i have before but now i get very gd cream contact me my isthagram id sweta25561

[@rachel6805]

Hi Dr Sam! Why is physical sunblock better than chemical? The ppd is usually higher with chemical sunscreens with newer filters (tinosorbs, etc), so im a bit confused as to what to choose (im prone to pigmentation). Thank you!

[@nataliee3764]

Rachel Dr Dray did a good video on this topic.

[@anneallen9282]

Where did you get your blouse? Beautiful!

[@lunarsular]

I haven’t found anything that really works for me. It is impossible to hide from the sun in summer. You can’t wear a big hat everyday specially going for lunch on a day to work. I find that every treatment is just a temporary effect if there is any positive improvement at all.

[@syedirfanshah6]

True

[@qazinaseer3494]

Dr.Sam I have seen your vedio is very informative my skin is dry and I have the Malsema on the forehead kindly suggest the best medicine........ You have describe in the cream hyroquinen is good there some side effects............... ...

[@dynamitedynamite2737]

Try lightning cream with kojic acid , arbutin , vitamin c , niacinamide and use a retinoid at night , if your a beginner to retinoid then try differin adapalene gel 0.1% every night to increase cell turnover

[@farzanashammi210]

Hi I am using right now vitamin c for my melasma.Can I use hydroquinone and vitamin c serum same time.

[@neethas1819]

Is there any changes

[@prayonkreutz2398]

I had my thyroid removed in July. My PCP put me on thyroid replacement hormone therapy. Can I still take tranexamic acid while on HRT?

[@luodani5837]

What is HRT

[@Peony-sn8qk]

Is it true that you have to avoid any form of heat such as hot yoga in treating melasma?

[@xDomglmao]

afaik it's a UVB problem - so heat shouldn't be an issue if you get told something else please let me know!

[@ya_boi_chrish]

I use glycolic acid a couple nights a week at night. Can I use hydroquinone on top of my AHA?

[@nodramamomma8691]

Pretty sure you can, but not simultaneously. Like, my doc told me to use Retin-A in morning and Hydroquinone at night(even though it's supposed to be twice a day).

[@PassionPno]

@@nodramamomma8691 Retin-A in the morning???

[@SanchelleLee]

If I’m still on the pill and having issues with malasma, is it worth treating it while remaining on the pill? I was told by my doctor that as long as I’m on the pill it’s not going to go away. So treating it with using retinoids for example is pointless until I’m off the pill. Can you please give me your opinion! Many thanks in advance.

[@chaudhryfamily8193]

i have before but now is clear as per guranteed i can say it will remove contact me my istha id sweta25561

[@kenyagrooves]

What if your melasma is in the dermis rather than on the epidermis, will topicals work on those?

[@MohammadAsif-tu2os]

No, topicals don't work for dermal melasma as creams cannot reach the inner layers of skin

[@MohammadAsif-tu2os]

Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@michelledb8989]

Hi Dr Sam. How long would you recommend the hydroquinone free cycle for ? I have been using mine for just under 3 months and unsure how long the break should be before I use it again. 1 month ? 3 months ?thanks x

[@tnt01]

I would love to know as well :)

[@mayacarmel8510]

Me too

[@dynamitedynamite2737]

Michelle Bailey usually after 3 months you break then start again after 2-3 months

[@saminasaeed7017]

@@MohammadAsif-tu2os Hi Can u help me with malasma Thanks

[@MohammadAsif-tu2os]

@@saminasaeed7017 where are you from?

[@marianalostaunau1854]

Hi Dr. Sam, if I take Tranexamic will it make my hair go white? Since hair color needs melanin and Tranexamic stops melnin of being produced.

[@sophornsok6888]

I was wondering the same thing , some people report hair lose and that their hair getting grey after they stop using the pills . My doctor. Prescribe me the med and I am still debating whether I take it Or not .

[@harrystyles8059]

@@sophornsok6888 exactly my thought this pill can have serious side effects that no body discussing

[@MohammadAsif-tu2os]

@@harrystyles8059 yes, hairfall and bloating and as soon as you stop tranexamic acid your melasma will return it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@MohammadAsif-tu2os]

@@sophornsok6888 yes, hairfall and bloating and as soon as you stop tranexamic acid your melasma will return it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@MohammadAsif-tu2os]

yes, hairfall and bloating and as soon as you stop tranexamic acid your melasma will return it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@karynamg]

Hydroquinone worked for me the first time but melasma came back...and hydroquinone made it darker. I am now using kojic acid with other components I don't remember in a cream named lasderma, no change still. And of course using tons of sunscreen. Does someone has some advise that works? Dr. Sam never responds =(

[@amylee9]

Did you find any answers for your melasma? I just started my journey with this problem

[@kritikachugh96]

@@amylee9 same here

[@shirleydavid09]

Can I use hydroquinone on my freckles? Specially on upper part of cheeks n nose.. thank u

[@xDomglmao]

freckles are cute!

[@namasterising]

3:48 melanocyte suppressors

[@nodramamomma8691]

What about it?? Is it a pill? Do they work?

[@ramats7748]

Can we give tranexamic oral forpost inflammatory pigmentation

[@angelinacarraway3576]

When I was preg w my 7 yr old I got melasma on my forehead n lil on my check 6 weeks after giving birth it went away than I got preg w my 5 yr old n it came back same place but after birth it didn’t go away Instead it spread all over my face n for a yr now I hav used Hydroquinone n other topical melasma products n see no difference whatsoever why isn’t anything working? What else can I do?

[@MohammadAsif-tu2os]

Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@mrsgaray9794]

I have melasma To have a good coverage does my mineral sunscreen need to contain both zinc and titanium ? I’ve noticed that some mineral sunscreen contain zinc with other ingredients but no titanium. Would I still get good protection with a sunscreen with that no titanium on it.

[@dynamitedynamite2737]

As long as it says uva uvb on the box , and visible light , infrared

[@MohammadAsif-tu2os]

it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@eweepurburger]

Hi Sam. I'm not quite your perfect target audience being a male...sorry! I am 51 and in the last 5 years or so, I've developed quite pronounced melasma...nose bridge, cheeks and very symmetrical pattern on the forehead. I am termed olive skinned I believe. I think as I am of tenuous Indian decent and with holidays of the past with out protection I'm quite prone now. I have used hydroquinone but stopped due to fear and now trying Meladerm and P20 protection spray./cream, but it seems the results are minimal if nothing. My question is do you have experience of melasma in males and if so, any advice? Can a male take the oral you mention? Also is there help from the NHS in this respect? (melasma) I feel distressed with it daily, particularly as I can't cover it with makeup to any degree. Thanks for listening. Neil.

[@MohammadAsif-tu2os]

Yes, men can get this too and there is a complete cure! it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels can increase melasma, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@AG-nn8lp]

Mine came on after stopping progestin only pill....2 years and it's still here :( don't understand why it goes away for aome and not others! Makes no sense. Done all active ingredients and hasn't budged at all.

[@MohammadAsif-tu2os]

It's hormonal and yes it has a cure.. A permanent cure.. No peels, no lasers.. Melasma tends to return after peeling and lasers.. It also return when u stop tranexamic acid Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@syedirfanshah6]

Hello...I m a boy and I have melasma I try many of treatment but it doesn't recover......

[@lavidhillon9783]

Hi Can Retinol be started while breastfeeding?? My baby is 10 months old now!!! I have melasma!

[@flipbookscratchandcrafts-a9477]

Hey Lavi Dillon 🤗 I am not a certified esthecian or dermatologist but I have read and researched on the topic well for my mom and from all that research , I have found that 1) melasma in your case is most likely due to all that hormonal imbalance after or during pregnancy or due to lack of b complex or sometimes even thyroid imbalance. 2) it mostly likely gets cured after pregnancy but one has to prevent their skin from sun damage as it's known to further more aggravate the pigmented skin issue. 3)Also, it's a known fact that retinoids like Retin-A can cause more good than harm to the baby and even the mother itself since it's known to have damaging effects on the fertility of the mother and the baby itself can have the added risk of developing disorders like depression and anxiety. On a concluding note, try to just avoid using retinoids especially in oral forms since you can risk putting your baby and your health in danger .. Hope that helps 😊

[@IceQueenKimberly]

I just noticed this condition in the past few yrs, my youngest is 21 so its chronic, but wonder why i never noticed it before?

[@MohammadAsif-tu2os]

Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@mrijazkhan3530]

How to remove burn scar from the skin?

[@Hemanyprajapati]

Need to know about aha gel hq by fcl

[@marcyren]

Oral tranexamic acid is the only thing that helped my mostly dermal melasma. Unfortunately, it started to come back almost immediately after stopping the pills, so topicals are important to continue. Melasma is such a pain, but luckily (for me at least) it has faded considerably as I've gotten older.

[@alexa121]

I had the same experience. It faded substantially while I was taking the tranexemic acid and then starts to darken almost immediately once I stopped taking.

[@dynamitedynamite2737]

You tried topical tranexamic acid ?

[@marcyren]

@@dynamitedynamite2737 I didn't try the topical tranexamic acid because it isn't available where I live. At least not that I'm aware of.

[@dynamitedynamite2737]

Marcy W skinceuticals have discolouration defense with tranexamic acid and kojic acid , you can buy online

[@sophornsok6888]

What is the side effect when you use the pill ? I am still debating whether to take the pill or not . But if it come back when you stop taking the pill , I rather find other alternative remedies

[@sarat8577]

Oral gluthathione is the only thing that helped me!

[@krishnarijal8409]

Will it come back ? How long you need to take gluthathione..

[@MohammadAsif-tu2os]

yes, hairfall and bloating and as soon as you stop tranexamic acid your melasma will return it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@wilmauribe7056]

Thank you so much! I’ve tried hydroquinone, and the melasma lightens while using it, but comes back after the 3 months. I have olive skin, so I’m worried about lasers. I’m off the hydroquinone for 3-4 months and want to go back. Is it safe? My dr didn’t even want to make a follow up appt!

[@halfamo2422]

Bounce-back for melasma seems to be a real problem. Mine's def a LOT worse. Dr Sam, have you any advice on this for us, please?

[@neelamsajid6043]

Same with me

[@omzsters]

Did you carry on using suncream?

[@MohammadAsif-tu2os]

No, as soon as u stop hydroquinone melasma will return.. So, it's better to treat the underlying cause.. Melasma is an internal issue! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! With tranexamic acid melasma returns as soon as u stop with , so with peels and lasers! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@saminasaeed7017]

@@MohammadAsif-tu2os Hi Can u help me with malasma Please would be greatful Thanks

[@Aliya-ig7bb]

What do you think of the dermamelan treatment?

[@Haydee483]

Nothing is wrong for me 😓😓

[@alicedsouza2528]

Does the concentration of uv filters affects the efficacy of sunscreen and how do we determine or estimate that from their position in the ingredient list because I have seen many uv filters come after solvents such as butylene glycol in the ingredients section Please help

[@firnheledien]

It is more important to look at the overall formulation of the finished product rather than individual filters. Solvents are important to solubilize the sunscreen filters.

[@alicedsouza2528]

firnheledien thanks for the information but I am still skeptical about the fact that how 2% zinc oxide in my sunscreen provide me adequate uva protection

[@firnheledien]

@@alicedsouza2528 look up the Instagram of kindofstephen. He is a cosmetic chemist who goes over this particular question. Apart from concentration of filters, the form (size, shape, encapsulation) also affects how evenly the filter particles are distributed and this in turn affects the UVA protection.

[@alicedsouza2528]

thanks firnheledien

[@zabethsansa1512]

Can you pls spell the oral acid medicine !! I couldnt get ur words?

[@elhimmelstein1913]

Re play the video and click CC at the bottom right which is subtitles/closed caption.

[@nisajutt9912]

Alas poor dermatology has no cure for Melasma yet! !! As it has become their business too .

[@MohammadAsif-tu2os]

Melasma can be cured from inside!! Contact this guy at insta@yourhealthexpert.007 He will address the root cause like how dairy, soy, etc etc are bad for melasma. How copper levels and copper iud can affect your skin, how zinc can help u with melasma and why inflammation has a role to play and why it is bad idea to go for lasers and peels. When u talk to him you will know it. He charges but you only pay him if you are convinced by his logics, evidence and knowledge. Otherwise don't seek his medication and don't give him a penny 🙂 he will tell u how excessive melanin is produced in body, how hormones affect your skin and how healthy diet and supplements can cure you without wasting money! Just search @yourhealthexpert.007 or yourhealthexpert.007

[@LaRondaRasmussen]

@@MohammadAsif-tu2os Did the name of the account change? Can't find it.

[@destinychild4659]

It's so annoying to hear it be about pregnance, too much sun, the pill etc. These same things are mentioned in every video. None of this has anything to do with me. Never been pregnant, hasn't used pill for long time, haven't had any sunbathing. Have had too much sun 1-2 times but that was 20 years ago. 😎 😎 😎

[@lm8088]

Hydroquinone @ 4% made my melasma worse and ruined my skin when I stopped using it!!! Never again

[@mariac.delgado6780]

Laura Meadows, where do you live?, ¿do you apply and reapply sunscreen?, ¿use hat, sunglasses and umbrella?, because these skincare habits are crucial to lighten the melasma, I hope your reply🙂

[@lm8088]

@@mariac.delgado6780 yes I wear sunscreen every day, never go in the sun and always wear a hat when sunny. I live in the north of England too. I have had melasma for 5 years and used hq 2 years ago. After that I have managed to lighten it myself with vit c, retinol, niacinamide and latic acid and of course sun cream daily but it has taken alot of time and money to get my skin texture back to normal as it ruined my skin. I truly believe hq is not safe to use whatever the circumstances

[@elizabethsmith9624]

Laura Meadows you’re only supposed to be on hydroquinone for a very limited time

[@mariac.delgado6780]

Laura Meadows, I live in the tropic, ideal ha?, I've asked you those questions, because although I've followed all my dermatologist recommendations, I've noticed that everytime I use hydroquinone 4%, my spots have taken a darken brown color, but ¿what do you mean by it changed the texture of your skin?, it hasn't changed the texture of mine, has worsen the color of my spots, ¡enough for me,!, really I don't understand why our skin behaves in a different way with it, I congratulate you because the other treatments you used have worked for you, did your dermatologist apply laser to you? Thank you for your reply and loves😘

[@elenag3084]

Used hydroquinone and it removed my pigmentation but with summer it came back. Now they don't sell it in my country. So I suffer repeatedly. Was very satisfied with Cosmolan clinic procedure, skin got clear. But pigmentation keep coming back with spring

[@damaavandalborz1949]

Brief and precise would have been better. Too much talking.

[@haystackstv5979]

I need help. I cant go out because my melasma is right on my face and i hate it. I dont want to be alive looking liike this. Tried creams and nothing works. Just staying inside like a freak and cant even go to the shops. I have to get shopping delivered. If theres no cure for this then I would honestly rather be dead. Scarred by the sun at a time my long term girlfriend left me. This has ruined any hope of meeting anyone new. Just an ugly freak with weird shit stains on my face.....not my arms or anywhere on my body where it wouldn't really bother me....no it's right under both eyes where it can't be covered up. I'm 38 and my life is basically over.

[@chantelle5170]

have u had ur blood tested?

[@eweepurburger]

Hi Sam. I'm not quite your perfect target audience being a male...sorry! I am 51 and in the last 5 years or so, I've developed quite pronounced melasma...nose bridge, cheeks and very symmetrical pattern on the forehead. I am termed olive skinned I believe. I think as I am of tenuous Indian decent and with holidays of the past with out protection I'm quite prone now. I have used hydroquinone but stopped due to fear and now trying Meladerm and P20 protection spray./cream, but it seems the results are minimal if nothing. My question is do you have experience of melasma in males and if so, any advice? Can a male take the oral you mention? Also is there help from the NHS in this respect? (melasma) I feel distressed with it daily, particularly as I can't cover it with makeup to any degree. Thanks for listening. Neil.

[@dynamitedynamite2737]

eweepurburger try covering with a colour corrector first like peach or orange then apply foundation

[@syedirfanshah6]

Hello...I m a boy and I have melasma I try many of treatment but it doesn't recover......