Whats the best way to get rid of melasma?
Treatment of melasma is always difficult I have found, as have most physicians who treat melasma, that nothing is a sure bet. We have used IPL, erbium lasers, q-switch lasers, photodynamic therapy with levulon as well as multiple topical preparations, all with limited success. I have found that the most effective therapy has been with topicals, such as Epiquin Micro by Skin Medica combined with the 1064 q-switch laser. The 1064 q-switch is designed to treat dark dermal pigmented lesions and as a result seems to lighten melasma. It takes multiple treatments, but it does work. A maintenance program with high quality cosmeceuticals including Epiquin Micro, a laser treatment every 3-4 months, and most importantly, sun protection with both an SPF and sunblock will give you a good chance at controlling your melasma. Good Luck!
