Chemical peels constitute the second-line of management in melasma, improving the epidermal component. However, peels are better avoided in dermal melasma, because of the chances of developing scars and post-inflammatory dyschromias.
Can chemical peels make melasma worse?
Using chemical peels for melasma takes a while — it’s a process that shouldn’t be rushed. By removing the pigment slowly, we prevent the pigment from becoming worse. Strong chemical peels can damage the skin enough that the skin wants to rebound and create more darkness and more pigment.
Is chemical peel effective for melasma?
The basic mechanism of the action of chemical peels in melasma is the removal of unwanted melanin by causing a controlled chemical burn to the skin.  Peels have proved to be useful agents for melasma both as a sole treatment as well as an adjunct to other topical therapies.
Can chemical peels cause hyperpigmentation?
A chemical peel can cause treated skin to become darker than normal (hyperpigmentation) or lighter than normal (hypopigmentation). Hyperpigmentation is more common after superficial peels, while hypopigmentation is more common after a deep peel.
Can skin peeling remove melasma?
A melasma peel is a type of chemical peel that can be used to treat melasma. The chemical solution applied to the affected area causes the top layer of skin to shed, removing with it the unwanted melanin causing the dark patches.
Why is my melasma getting worse?
Sun exposure: Exposure to the sun’s rays can make melasma worse and this includes being in the heat and visible light. It doesn’t have to be a very hot day out, but if the sun is beaming on your skin, the melasma can immediately get worse.
What peels are best for melasma?
“Melasma cannot be cured with any peel,” Dr. Rullan states, but a 30% salicylic peel can be appropriate. He describes it as the “safest peel,” one that provides a “very superficial” level of penetration.
How can I permanently cure melasma?
Doctors often use hydroquinone as the first line of treatment for melasma. Hydroquinone is available as a lotion, cream, or gel. A person can apply the hydroquinone product directly to the patches of skin that are discolored. Hydroquinone is available over the counter, but a doctor can also prescribe stronger creams.
What helps melasma on dark skin?
Hydroquinone is an over-the-counter (OTC) topical medication that lightens the skin. Although hydroquinone can help improve the appearance of melasma patches, it can cause side effects.
Other topical agents that may improve melasma include:
- azelaic acid.
- glycolic acid.
- kojic acid.
What type of peel is best for hyperpigmentation?
You can treat hyperpigmentation with chemical peels that contain ingredients like trichloroacetic acid or glycolic acid. The chemical peel will remove the top layer of skin cells and reveal a new layer of skin cells with more even pigmentation.
Are chemical peels good for pigmentation?
A course of chemical peels can lighten the appearance of dark discoloured skin caused by melasma. Hyperpigmentation- caused by excess skin pigment in the skin which can result in uneven skin tone. Chemical peels can lighten and even out the skin tone.
How do you fix hyperpigmentation after a chemical peel?
Topical tretinoin 0.1% has been effective in treating postinflammatory hyperpigmentation. GA peels, in combination with tretinoin and hydroquinone, are an effective treatment of postinflammatory hyperpigmentation in dark-complexioned individuals.
Are chemical peels good for darker skin?
Chemical peels are cheap, accessible, and highly effective treatment for black skin. In general, very superficial and superficial peels are well tolerated on black skin, medium peels can be performed with caution, and deep peels should be avoided, since the risk of dyschromia and scarring is high (Salam et al.
Can hydroquinone make melasma worse?
Treatment. Hydroquinone may be helpful in epidermal-type melasma. Concentrations vary from 2% to 10% and hydroquinone may be used twice daily for 12 weeks. Hydroquinone may cause local skin irritation, however, and thereby leading to post-inflammatory hyperpigmentation, making the skin pigmentation worse.
Can salicylic acid make melasma worse?
In addition to the sun’s UV rays, Dr. Engelman warns against using products with salicylic acid, as it can have a damaging effect on melasma-ridden skin. On top of that, your diet may also have an effect on melasma.
Does Kojic acid make melasma worse?
Yes, it’s safe to use kojic acid of 1% concentration to treat your melasma (Saeedi). However, it is not recommended for you to use raw kojic acid, since the high concentration may cause skin damage.