Melasma is a chronic skin condition, and the treatment is a combination of home care and clinic-based therapies. The backbone of the treatment is a broadspectrum sunscreen, topical skin lightening agents, and oral antioxidants. In addition, lifestyle modifications, reducing sun exposure during peak hours, and avoiding smoking can also help to prevent exacerbation of melasma. Dietary inclusions of bright colored fruits and vegetables, oral vitamin C, and antioxidant supplements help to reduce pigmentation.
Chemical peels work by removing the excess pigment and can be easily combined with the home care regimen. Treatments such as Dermaroller and PRP also provide optimal results in eliminating melasma. Tranexamic acid, when released into the skin through Mesotherapy, is also an effective option for treating melasma.