Dermatologist Shereene Idriss explains melasma treatment: hydroquinone is the prescription gold standard, oral tranexamic acid works for some patients, and lasers can backfire by causing flare-ups. Stick with a consistent skincare routine to keep results when you stop treatment.
Your melasma is acting up. Is there anything else you can do? Am I doomed? Melasma is a tricky bitch and the truly the only way you're going to treat your melasma is by going to see a board certified dermatologist who's going to prescribe one of many different things. But hydroquinone is the gold standard when it comes to prescriptions for your melasma. If that doesn't work and if you are the right candidate there are oral medications like tranexamic acid which have been shown to help. I personally do not like to push lasers on people with melasma because I think it could trigger a flare up that worsens over time. And last you do need to have a solid skincare routine with OTC ingredients over the counter ingredients that you are incorporating every single day into your routine because when you go off the medications like hydroquinone since you cannot be on them forever you want to make sure your skin is staying calm and suppressed so you don't produce pigment.
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