Get The Lowdown On Melasma From A Dermatologist

Everything You Need To Know About Melasma. Dermatologist Dr. Dray skincare tips for melasma and melasma triggers to avoid. Watch to learn about the best skincare for melasma and the best sunscreen for melasma. #melasma #hyperpigmentation #dermatologist
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Cyspera for melasma • Cyspera (cysteamine cr...
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Tranexamic acid for melasma • TRANEXAMIC ACID FOR ME...
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[@MuyBriana]

Dr. Dray, can you do a video about Thiamidol, which is patented by Beiersdorf? I wrote a literature review on Melasma for my scientific writing class and discovered studies on Thiamidol vs hydroquinone. I’ve been watching your channel for years and haven’t seen you mention it before. I would love to know your thoughts!

[@ChevyRae]

Scheduled my first Cosmelan MD peel at end of month and really looking forward to results after 10 years of dealing with recalcitrant melasma.

[@elizabethwilk9615]

I’ve used sunscreen religiously. I have now a big brown spots and some hyperpigmentation in both sides of my face. So sunscreen is not the only answer for me. My dermatologist doesn’t recommend lasers for my olive skin. Hydroquinone didn’t work with my mild rosecea - it triggered it. I tried La ser for darker skin tones - the first time it made things slightly better second time things got worse

[@gieslerbrad]

I would be interested to see a video about medication reactions to pharmaceuticals, antibiotics and infection etc causing things like Steven Johnson syndrome and acute generalized exanthematous pustulosis (AGEP.) A dermatologist diagnosed me with AGEP a few years ago but I didn’t have any of the suspected triggers. Treatment protocol included covering myself in triamcinolone ointment followed by a cold shower in my onesie. The rash literally went from my feet all the way up my neck and ended about at my jaw line. And I shouldn’t really say “rash” because it looked more like tiny little pimples (pustules) that covered almost my entire body, sparing my face. The underlying skin was red and hot to the touch. Finding information on it was difficult as it seems to be pretty rare and often of an idiopathic origin. The summary from the hospital said it was from antibiotics but I haven’t taken an antibiotic since childhood. I love your content but haven’t this topic covered, that I’m aware of. Thank you

[@candys5701]

My dermatologist treats melasma with thiamidol. I have used eucerin products with that component for 4 months and it works for me. What is your opinion on thiamidol?

[@mariafavoured4581]

Thank you

[@cggotr]

Dr dray my melasma amped up when I went through perimenopause when he estrogen dropped it got worst it’s a battle I tried hydroquinone and that did not help I think it made it worst, please talk about skin melasma during menopause and perimenopause

[@georgemoore2226]

Glad to have this new information. You are a wealth of knowledge. There is a huge need for more knowledge in the area of dermatology. Can you do a presentation for Grovers Disease (T.A.D.)?

[@marcelabeltran6216]

Thanks again for the help! have a great week end Dr Dray

[@ahsu0208]

Can you make videos talking about skin of different ethnicities? like common problems, tendencies, etc.

[@wigginoutswigreviews]

Can Red Light Therpay make malasma or Hyperpigmentation worse?

[@claraborges3371]

Wow the most explanatory video about melasma from all questions that I have - thanks for all the answers and explanations it opened my directions options .... let us know about IPL for melasma ... thanks

[@irisk934]

Thank you for another great educational video. Looking forward to tomorrow's vlog!😊

[@B.I.A11N]

What about those who don’t afford to spend hundreds of dollars at the dermatologist and the revisits you have to do afterwards. ?! Are they condemned to feel less pretty because they are poor ?! Could we get a video we’re you can lay down an affordable skin care for melasma available at the counter and work too?

[@anonsam7633]

There are some videos by some other dermatologists. Like the use of apple cider vinegar and aloa vera and other herbs that make a mask. Search melasma and you will find such videos.

[@Haifa-g8c]

Thanks Dr. Could you please talk about thiamidol

[@teresab4668]

I just came across your video, this is one of the most informative videos I've seen on melasma. Thank you so much for this. Can you make a video on sunscreens you recommend for melasma?

[@danielegagnon7920]

Happy Friday!

[@DrDrayzday]

Happy Friday!

[@Growstuff70]

Thank you Dr Dray!

[@Dandelion_flight]

Dr Drey, I really wonder if estrogen or progesterone cause melasma. I wonder if it’s perhaps pregnant women are usually feeling very hot during pregnancy 😂 or could there be other pregnancy hormones causing melasma?? I mean during pregnancy, women usually have the best skin hair and nail. Also lately people are talking about how estrogen cream is good for the skin 😅😂 OMG, then how is it that estrogen and progesterone cause melasma? Crazy world of science! Always have conflicting information. I really wish there’s true scientific data on this topic of melasma.

[@Jme112488]

Thank you for this video!

[@davidshabas3839]

Happy Friday Dr Dray so excited to be here I live for this ❤️

[@DrDrayzday]

Morning!

[@davidshabas9280]

@@DrDrayzday ❤

[@whitneybrown4067]

Greetings David Shabas hope u r well n Happy Friday😀👍💜….

[@davidshabas9280]

@@whitneybrown4067 Happy Friday Whitney👍

[@patriciaswetka3893]

This was such an EXCELLENT video and very timely for me personally. Thank you for sharing your knowledge and for your professionalism Dr. Dray!

[@realhousewifeoftransylvania1.0]

I'm in perimenopause and got a few patches of this crap! The upper lip was so annoying😠 so hard to get rid of it. Using retin a, adapalene and hydroquinone, and its better. Sunscreen every day! At least now its light enough for make up to help cover it up! Its true the hydroquinone burned my upper lip and made the starting line look worse if I didnt put heavy moisturizer, same with the retin a. Looked like lip liner😂😂😮

[@namastejulie]

Would you be willing to share with us some tips for nighttime skincare while wearing a cpap mask?

[@paulahatch9955]

Happy weekend Dr Dray…see you tomorrow x🤩💙

[@DrDrayzday]

You too 👍🏼

[@mhdebresser4085]

I’m struggling with melasma for 8 months now after starting the pill again. I’ve gone off it again for 5 months now but it hasn’t disappeared. I’ve tried a chemical peel + microneedling 2x but haven’t seen much improvement. I’m mixed race and a surfer and I’m in the sun on a weekly basis - how the heck do I get my original face back with all the “cures” 😢requiring you to stay out of the sun. (I use sunscreen daily and zinc when I surf) is there any treatment out there that works for those that can’t really avoid the sun?

[@meggieprice]

Friday at last!!! 💜💜💜

[@DrDrayzday]

Happy Friday

[@jasonprashant6624]

U are the best DR

[@duchessdelarue5983]

Thanks again for the useful info! My dermatologist recommended a Halo laser. Do you have a video on different lasers for melasma? I tried a VI Peel which my aesthetician recommended and it actually made my melasma worse.

[@mbritt9738]

Have lupus, have worn sunscreen consistently for the past almost 30 years, wore hats and protective clothing, stayed out of the sun. Should have a beautiful complexion, right? Developed melasma in the past 10 years. So frustrating. Does sun exposure in early life contribute or is it solely hormonal? I feel I could get away without wearing makeup if it weren't for the stupid melasma!

[@LindaKayHolevas]

I also have lupus, (which has been in remission for 4 years, yay!) but I was a sun worshiper in my early years (I am now 59), & never wore sunscreen, but had perfect skin until my lupus kicked in in my early 30’s. I had terrible sores on my face & am now dealing with hyperpigmentation on one side of my face & melasma on the other. It is really frustrating! I totally believe that early sun exposure plays a role, just from personal experience, but I don’t know for sure. Great question!! I am sending you lots of healing energy. ❤

[@mbritt9738]

@@LindaKayHolevas You're so kind! I have been EXTREMELY fortunate with my lupus experience. Medications have kept things well under control, with just a few flares. I have led a very normal life except for the self-imposed hermiting from the sun, but I still played outside with my kids when they were young. So while I had rashes from time to time, it never got to the sore level. Thanks for giving me perspective and reminding me how fortunate I have been. I should not care what anyone thinks of my skin at this point as most people think I'm about 5-10 years younger than I am. Healing thoughts & hopeful thoughts that you're in remission FOREVER!!! ❤

[@LindaKayHolevas]

@@mbritt9738 ❤️❤️❤️❤️

[@memorieskho8833]

Thank you..i did assumed that my eyeglasses and even cooking affects or triggers my melasma…and observed this to a female cook who was having beautiful skin and after six months, her skin became scarred with melasma

[@alyxxa6182]

The perfect Derma peel plus plus. Period

[@KateHammond-j8v]

Hi, melasma newbie here. I’ve been using Elizabeth Arden city smart hydrating shield for approx 2 years thinking I’ve been protecting my face as it has spf 50 in it. Now I’m finding all this information out about melasma I’m not sure if I’ve unknowingly brought the melasma out by potentially using the wrong product. It’s so demoralising. Does anyone know if this product is suitable for melasma sufferers? Xxx

[@21972012145525]

So what helps hyperpigmentation in the deeper skin layer (dermis?)? How do we know if we have this? How exactly does a woods lamp work to discover this?

[@Abby-ll5yw]

I just picked up hydroquinone 4%. Is there anything to keep in mind about it? Thank you, Dr.

[@darleysivernaza3640]

Thank you so much 😊🙏🌷

[@Josielovee12]

What if I have malasma and cystic acne? I have been using the neutragena clear pore cleanser will that trigger my malasma?

[@Tttt28882]

Dr. Dray, I have no melasma, but my skin gets easily reactive to heat… Can I possibly benefit from wearing those plastic masks (those for the entire face that you put on like glasses) while cooking??

[@paulareis2571]

Can HRT potentially worsen melasma? Thx

[@magdalenabc567bc7]

Yes , I started December 2023 and month in which was Jan 2025 i started noticing it dark patches on my cheeks. I stoped hrt beginning of March and I am on the road on clearing it now with gentle skincare.

[@LinzSee]

I got melasma after my first pregnancy and it never faded as I was told by my gyno it would. I was ignorant to sun protection at the time. After several years when I asked my doctor for referral to a derm since it wasn’t fading, I was told no because it was a “cosmetic” concern and not medical 😤

[@mrs.jackson.]

So frustrating being told it’s cosmetic. I’ve had melasma for almost 15 yrs. I have Kaiser permanent insurance. Even though it’s my private insurance, I could never get a derm referral because it’s cosmetic. I finally got a referral this year for my scalp. I totally took advantage and asked him for help on my melasma and he did.

[@LinzSee]

@@mrs.jackson.I have Kaiser too!! I just ended up going through Agency to get a Tret and hydroquinone prescription and I’ve had a lot of improvement.

[@tatertotcasserolewithsalt]

First post pregnancy and the dermatologist told me it will fade on its own… but it’s not. I feel your pain

[@nancymartinez9123]

You have the right to ask for a referral from your doctor. Once you see a dermatologist they can determined what the plan of action will be to treat your skin. Either your doctor gives you a referral or find another one who listens to your needs. Been there !

[@mrs.jackson.]

@@nancymartinez9123 Some insurance companies need the doctor to say it’s medically necessary. Unfortunately melasma is considered cosmetic. Kaiser is an hmo and if your pcp doesn’t agree to a referral, you’ll need to pay out of pocket.

[@dianewristen]

THANK YOU

[@memoonasaeed4408]

Hi dr, can you please tell if one's acne get cleared after taking half of accumulative dosage of isotretinoin, the dosage of medicine can be reduced or is it most recommemded to get the accumulative dosage to not get acne back?

[@DrDrayzday]

not getting to the target cummulative dose is a common reason for failure

[@sudipakirtley2043]

I have deep dark circles under my eyes and a little of it migrating towards the cheek areas. I have darker olive complexion. I am seeing a dermatologist but her practice is 4 hours' drive from me. In my area I have no one who specializes in hyperpigmentation for darker skin tones. Dr. Dray, do you have any advice for me just from what I have mentioned? I am willing to try things and see if they help. I am using tretinoin, niacinamide, azelaic acid, and maelove serum...hoping to see a change.

[@elizabethwilk9615]

I have the same problem with dark circles and hyperpigmentation in that area and on cheeks 🙄tried everything and lasers made things worse. Will be trying micro needling.

[@SusanJ-jt5ny]

Sunscreen? Applying every 2 hours if outside or inside near a window

[@FatimaYama-ll9rg]

Dr dray !!! I used the triple confination cream for 3 months /once a week and i absolutly got lighter skin tone but my LOVELY MOLES ARE FADING !!!! 💔😂

[@arcelygerolangin1016]

@fatima can u share what kind of triple combination, it is over the counter??? Thanku

[@marie-claudesmith8709]

What do you recommande a night cream ?

[@lovely3873]

I also have melasma. Recently i went to dermatologist and she prescribed laser and heliocare purewhite radiance. Is laser the solution for stubborn melasma? How about heliocare, is this effective?

[@anuradhamore1393]

Heat will make it worse

[@tkhphamful]

Can we use Infrared sauna if we have melasma?

[@thelofipimp]

No

[@stephduddy3619]

ive been doing hot yoga for 2 years but i dont think it's making it worse.Its whenever i get a tan it gets bad. My problem is its starting to spread

[@rachaelmacnair7133]

Whooooooa.. ok ok... ok so i donr have access to a derm unless i wanna drive like 3.5 hours or go to a local guy who's.... sketchy.. Anyway! You mentioned the hormonal iud. I went on it like 10 years ago and my skin blew up aka *red af*... im on the pill now which helps but its still super red and i get acne. Ive been convinced its rosacea but.... can melasma and rosacea look similar?

[@db-gb5xi]

Rosacea can sometimes be confused for acne. It tends to be red raised bumps while melasma can be brown/tan or grayish spots or patches.

[@riseup2227]

My ex was on birth control pill. I think I got melasma from her. So men having unprotected S.x with woman on birth control pill can get meelasma.

[@pinkblossomsky]

Lol

[@Vegan_Vlogs]

Sure,bud 🤣

[@ladyfashionsoul]

I started doing hot yoga. Never had melasma before. After doing hot yoga 3-5 times a week for a couple of months I got melasma. I never thought that would be a thing! Huge bummer

[@elizabethwilk9615]

Heat triggers my rosecea and melasma

[@anuradhamore1393]

My melasma got worst because of the heater in the car

[@r8chlletters]

Melasma is simply something that happens as you age. I believe this is the result of cumulative progesterone.

[@ari-jv]

Sauna triggered mines. I had to stop

[@stephduddy3619]

I also do it. I'm not sure if it effects it. The sun worsens mine. When hydroquinone cream it lightens but every year mines spreads from the sun

[@stelatasheva4993]

I know this might sound stupid. And it is just my point of view, but my melasma flared aggressively due to prolonged exposure to blue light. I work on computer with 3 big monitors at which I am staring for a long period of time. Now all my screens are with blue light filter on. And also, I am wearing sunscreen when I work..

[@kimberlyj4538]

Dang, girl! You are so smart. So much information, presented clearly, fairly, pros/cons. Not only wicked smart but presentation is awesome, too. Thank you for your channel. So, so valuable.

[@akeleven]

Window glass means cars too. Years of driving in Arizona means the left side of my face is more damaged than the right.

[@maureengreen617]

My driver's side is worse too. At 66 I can't deny the difference.

[@cindychelsea784]

This is my situation too.. I’m going to get my car windows tinted

[@lids7641]

PSA. I know this may not be a common side effect, but I started getting melasma after I started taken melatonin to help me sleep. I took it every night and didn't think much of it since it's supposed to be natural. My face was almost completely covered with melasma and it took me years to figure out what it was. I realized I started getting melasma around the time I started taking melatonin. I had also started taking 5-HTP. I did a Google search on melatonin and melasma and found one post where someone said they got melasma after starting taking it. I stopped taking the melatonin and my melasma started going away. It's taken a few years for it to fade and is now almost completely gone. Again, this doesn't seem to be a common side effect, but if anyone started noticing melasma after taking melatonin, they should try to stop taking it.

[@lijawalton4697]

This is why melatonin is a prescription drug in UK and Australia. Because you can use it to Tan your body. You habe to have a valid sleep reaaon to need to get a script approved here to buy it. Melanotan tablets were once available without prescription too!

[@JackieUnfilteredASMR]

Systemic melatonin does NOT tan the skin. Melatonin is sometimes confused with Melanotan. Melanotan-II is given to produce erections in men with erectile dysfunction, tan the skin, and prevent skin cancers caused by sun exposure.

[@r8chlletters]

If you aren’t sleeping well this is also a sign of diminishing hormones…and melasma is common for women approaching menopause.

[@duchessdelarue5983]

oh wow! I never connected the 2! But melatonin is critical after a certain age.

[@Easilyamusedmuppet]

Oh wow thank you for mentioning this… I’ve been taking melatonin for a long time so I’m gonna see if it makes a difference if I stop.

[@susanmcf1]

I developed melasma from birth control pills and it never left. And good sunscreen wasn't around in my younger years (Sea & Ski spf 4). Plus all the irritating skincare I used that was promoted as beneficial, i.e, Clinique Clarifying lotion with denatured alcohol. Tranexamic acid does nothing for my hyper-pigmentation.

[@aquairene]

Have you tried taking TA orally for a few months?

[@JelenaP991]

How to tell difference between melasma and sun spots (or sun damage)? Can you treat both with same products?

[@db-gb5xi]

I'd check out her videos on sun damage.

[@SusanJ-jt5ny]

She explains that in the video

[@mrs.jackson.]

Great information Dr. Dray. I have been wanting an updated video on melasma. I myself have had melasma for almost 15 yrs now. My mother has is and my older brother does too. I have always wanted to try hydroquinone, but due to fear mongering on HQ, I never did. Until recently, a derm prescribed 4% for 3 months and take a month off. I just finished my 3 months and my melasma has never ever been as light as it is now. I also use Tretinoin. Heat affects my melasma bad. I wear Avene spf 50 daily no matter what and use a huge a visor everywhere I go! Rebound hyperpigmentation is my concern now.

[@drottnari]

What a timing you have. Was watching your video on hydroquinone from five years ago when this popped up 😊got prescribed hydroquinone today from my doctor

[@mrs.jackson.]

Good luck. I just completed 3 months on hydroquinone. Derm asked me to take a month off. Worked great for me.

[@kellyc3897]

This was a very comprehensive review of the topic, Dr. Dray. Thanks so much! I've found multi-active formulations to work best when combating melasma, in addition to the prescription triple therapy you outlined. It really requires lots of patience and dedication to treat ❤

[@aquairene]

Would be very curious to hear your opinion on tranexamic acid in a pill form

[@sanjatalic7262]

risk for blood clots

[@aquairene]

@@sanjatalic7262 Not in the lower dosages like 500 mg

[@SusanJ-jt5ny]

She mentions it in the video

[@MadSimple]

I heard you can get paid for donating melasma

[@DrDrayzday]

😂

[@LindaKayHolevas]

😂🤣😂🤣😂 wouldn’t that be wonderful, if true?? 😊

[@EumaePt]

Thank you so very much for all that you give us in terms of useful information, Dr. Dray, it’s so informative and no nonsense! I’m really thinking about investing in a LED mask but I m afraid of potential side effects on my melasma, would it harm it, because of the light or heat? Thank you so much for your help!

[@Soso-ok8jz]

Praying the one day insurance would cover at least two of this treatments. Because even something small as peeling is about 300 and up and if you have melasma you need at least 3 peeling sessions.

[@larasunshine7]

I'm a little confused about wether microneedling is safe is you have melasma. Does anyone have any info regarding this issue? I've heard mixed things.... Thank you!

[@SelaEscalante]

Thank you so much for providing information on melsma! Not to many people talk about this condition. I have it, and it's frustrating finding treatments to keep it at bay.

[@QManagerin]

Every skin is unique- but for me the daily use of a broad-spectrum sunscreen is what made the biggest difference in my melasma. It's still there- but the spots are so light you barely notice unless you look up-close. It takes time and consistency but it works.

[@alexleee3885]

Which sunscreen are u using ?

[@basiaka4967]

for me too, good filters are half the success, I use Avene, La Roche and Eucerin👍

[@Tttt28882]

Would you mind to tell how long have you been dealing with melasma and how long have you been treating it??

[@wallflower6942]

My mom also has melasma and she tried so many things (IPL, lasers, etc) in her 30'a which all helped but it would always come back. In the end the only thing that made and makes a lasting impact was years of using sunscreen consistently. She started using it in her 40's and now 15 years later, altough her skin aged it still looks very radiant, bright and healthy. Never too late to start using sunscreen guys!

[@NA-vb2iy]

Mineral works best for me

[@YT-bv7ke]

I’ve been to 2 dermatologists to treat my melasma and not one ever used a wood’s lamp to look at my melasma or tell me how much was epidermal or deeper. Maybe I need a new dermatologist. 😥

[@ry1965]

Very good video. I found oral Tranexamic works for me the best (Fitzpatrick 4). This is after 10 years of different types of topicals. Triluma was great - but I got a terrible rebound after weaning off it. Now I use oral Glutathione to help my liver and immunity, plus oral vitamin C. It is internal and external plus sunscreen. At night I use Suprafade by Hue.

[@janellemelbo4666]

I have had melasma and rosacea for about 15 years. I have used tretinoin as well as Tri Luma. The Tri Luma works the best, but my skin is SO sensitive. It can really aggravate my skin. Both VERY frustrating skin conditions 😢. Nothing really works, and it keeps popping up in new spots randomly. I am very leary about using tranexamic acid orally, has some bad side effects. I dont tolerate meds very well, i also have IBS

[@SDWits]

Thanks for discussing chemical vs mineral SPF. I veered away from it bc I worried it could make my melasma worse. Glad to hear that's not the case. How many times would one need to get microneedling w/ PRP to see results? Is 1 time enough?

[@alise1973]

Really helpful! I am currently being treated for Melasma at a dermatologist but i don't think they are specialized in it. I am currently using a compound cream but are coming up on my second round of "break time" from it. My patches are still here but way lighter and now the vascularization is more apparent. So needed some info on what to use during breaks.

[@NETOHEATHLIFESTYLE-ul5kc]

Hi guys,I want to share what I found. Today I discovered what seems to be a a powerful solution against hyperpigmentation. I have melasm for over 20 years and only today I found about this treatment. It is called Glutathione with high dose of vitamin C and can be administered either as a drip or a push Glutathione benefits (for the skin) Glutathione has many benefits for the skin including: Skin brightening and nourishing - it helps you achieve a healthy glow Improves the appearance of the skin (including complexion, dark spots, freckles, uneven skin tone, blemishes, liver spots, and signs of ageing) Capable of reversing the dark melanin pigments in the skin (hyperpigmentation) Evens out melasma Improves pigmentation from sun-damaged skin. Improves discolouration across the entire body Improves collagen and elastin production

[@Youwinmeta]

Can you talk about the pico pro laser?

[@samanthariley6822]

Is melasma actually harmful to the skin, or is it just an aesthetic concern? I've had melasma intermittently since I was 25 despite religious sunscreen use but it's never really bothered me, I actually think the "mask" pigment pattern is kinda cute on myself and others.

[@ashandblake]

That’s so funny that you say it’s kind of cute- my husband always tells me he thinks it looks exotic on my skin- light ish olive here- and says it’s like a beautiful spotted pony🤣🤣

[@javadivawithdog]

Thank you! Need any melasma pep talk I can get7

[@annaheinrich9814]

Can you do a video on what dermatologists can give you for melasma

[@abouttoday8229]

In Philippines you can easily buy tritinoin with hydroquinone in pharmacy. Like maxi-peel brand,and irs very effective,just follow the rules in using it. Like dr. Dray’s advise

[@nancymartinez9123]

I developed melasma when I was around 40-42 yrs old. I have tried LOTS OF THINGS. I now have been using the skinceuticals defense discoloration line and I can see a difference on my skin. Specially around my cheeks. I have also done a couple of micro needling treatments and I signed up for IPL treatments as well. This is my third treatment and I can see a difference. When it comes to IPL. how often do you recommend to do them ??

[@KateHammond-j8v]

Hi, melasma newbie here. I’ve been using Elizabeth Arden city smart hydrating shield for approx 2 years thinking I’ve been protecting my face as it has spf 50 in it. Now I’m finding all this information out about melasma I’m not sure if I’ve unknowingly brought the melasma out by potentially using the wrong product. It’s so demoralising. Does anyone know if this product is suitable for melasma sufferers?

[@catherinelynnfraser2001]

Great information. Thank you, as always ❤

[@DrDrayzday]

Thanks for watching!

[@Muddafekkenjones]

I guess I will have to live with melasma and follow Dr. Drays excellent advice. I will not be able to afford treatments other than the common topical solutions and sunscreen. Thank you so much for this video post.

[@Aaafff662]

When I gave birth to my son I had zero stretch marks, zero weight gain, zero body changes… except for Malasma 😂😂😂

[@tatertotcasserolewithsalt]

Lucky!! I have all three 😂

[@kleptomelly]

The oral Tranexamic acid is what has helped me most. I alternate with the HQ and Tranexamic acid, and also use tretinoin and SPF daily. It's still very noticeable to me but it has gotten better.

[@wutangkillabee8598]

where did you get oral Tranexamic acid? I tried to ask my dermatologist to prescribe it and they don't prescribe it.

[@neizomepfhiio2664]

Did oral Tranexamic not lead you to hair loss?

[@Dandelion_flight]

OMG IUD can cause melasma for some women? I learnt that IUD like Mirena only sends progesterone within the uterus. Does it travel to other parts of the body?? I am now having second thoughts about doing HRT at menopausal age. I don't have melsama myself but my mother does but she has never done HRT after menopause. She still gets melasma though. No sun care until I taught her at 70. She is currently using prescribed HQ and it does her melasma a lot of good but not sure if it is a good thing to keep going with it.

[@Aurora-Sky]

Dr. Drey touches on the subject of using HQ for a while & stopping for a few months - check out that video. In the meantime, help your mother select a sunscreen she likes & will use on a daily basis.You are a good daughter to look after your mother. The information you gainin helping your mom will also be helpful for you.😊

[@Dandelion_flight]

@@Aurora-SkyHi yes that’s what we are doing right now… use few months stop and repeat. And yes she is using sunscreen too. :)

[@ellnine66]

Mine is mostly heat driven. I can and do wear spf 50 all day even indoors and if I get over heated in any way, it darkens.

[@slwyee54]

During covid, with the mask on during the summer months, my face started to feel hot and humid and I developed some hyperpigmented patches.

[@hoacam5694]

Me too.

[@akiranyc1]

Thanks for the comprehensive review! I have melasma and look for tinted sunscreens but the strongest I found is SPF50. Between La Roche Anthelios mineral tinted SPF50 and Melt-in milk body chemical SPF100 which is more ideal for melasma skin? I am planning to go to the beach resort and I want to be fully prepared, beyond staying in shade and wearing a hat etc.

[@NETOHEATHLIFESTYLE-ul5kc]

I use the brand Ultrasun 50% tinted honey. Best I ever used. It is made on Switzerland. Buy on their website or Amazon

[@f.shabnam]

Hydroquinone ruined my face .....it worse my melasma

[@mtaylor8387]

I grew up in Australia in the 70s/80s. 😭🌞

[@nutellaluis683]

My melasma mustache plus on my cheeks is being treated with cyspera nightly and pico laser ever month. I'm satisfied with the result

[@Youwinmeta]

Can you talk about your pico laser experience?

[@nutellaluis683]

Pico laser feels like you're frying a fish and the oil splatters on your face.😅 that's how I felt but it depends on one's pain threshold..it lightened my age spots. Derma said it really won't go away coz mine are really deep seated..sunscreen is a must

[@shwetavaghela1984]

Thank you for this informative video!!!😊

[@huyentonnungocbich3360]

Does sauna heat cause melasma too?

[@aliyahaviyah7792]

👍

[@marim248]

Thank you for the detailed video! Could you please talk about the pathophysiology of the skin in Ehlers-Danlos patients to give more visibility to these rare syndromes?

[@kiramiftari9486]

Yes please 🙏 The EDS skin is supposedly softer and ages slower, but is also super prone to sag due to fhe faulty collagen being produced.

[@JoR00ke]

Hey Doc is Poikiloderma of Civatte a type of melasma or just straight up sun damage? Great video x

[@db-gb5xi]

I'd check out her video on poikilderma of civatte.

[@Adamantfan2563]

I got melasma on my cheeks after menopause.

[@Aurora-Sky]

I too developed malasma during the years leading up to & upon reaching menopause. I've tried most of the recommendations mentioned. Currently I am in phase 3 of 4 peel treatments under a Derm & I've noticed an improvement. It's an ongoing battle but it's nice to know that there is hope.😊

[@kale-bopp]

I started getting melasma a couple of years ago, despite diligent sun protection. My dad has it, so some of it must be genetic. But I didn’t realize the contribution of HEAT to the condition until recently. I was a sauna lover for years! I’d go several times a week for 30+ minutes at a time. I had no idea that could negatively affect skin, I thought it was the opposite. I also learned recently that chemical sunscreen creates heat in the skin, so physical sunscreen is a better option.

[@Olivia_BG]

I just to know chemical sunscreen will turn heat into skin after I got melasma and use chemical sunscreen more then 1 years.

[@noopurmonga]

does heat on the face due to cardio exercise also increases melasma ?

[@vickyscott8224]

Would like to know about it too….

[@margieryne6220]

Thank you for another great video! Have a great weekend!🥰

[@joyousenoful]

Thanks for making this! I also have that redness under my melasma. In fact, after I mostly cleared up the most stubborn melasma on my cheeks, the redness didn’t go away. I had one PDL session to get rid of some blood vessels which helped a bit. Now I don’t really mind a bit of redness, I think it looks healthy and I don’t have to wear blush 😅

[@madhubhandari9074]

How u treated melashma

[@tinamoore5497]

I have melasma and cystic acne, can you do a video on cystic acne

[@emilytate8953]

Can you please do a video on skin care for children? My 9 year old has a few blackheads on his nose and I don’t want to use any harsh chemicals on him. Thank you.

[@db-gb5xi]

You can ask your pediatrician. Pediatricians deal with skin conditions for kids like acne.

[@LinzSee]

Jude Chao (Fiddy Snails) recently did a video on this

[@whitneybrown4067]

Greetings Dr Dray hope u r well n 🖐Hello Every1 n Happy Friday😀n what a Wonderful Vid…. thanks n This is Gonna b so Helpful🔥👍n Continued Blessings to All💜….

[@DrDrayzday]

Happy Friday!

[@db-gb5xi]

Happy Friday Whitney Brown. Have a lovely day and be well. Hope you enjoy your weekend.

[@whitneybrown4067]

Greetings d b hope u r well n Happy Friday😀👍💜….