Melasma Treatment Before and After


This is a melasma treatment before and after . This is the most current melasma treatment that will chronicle the before, during and after photos where my client agreed to show her photos.

Believe it or not, it isEXTREMELYdifficult to get clients to show their faces on the internet so I truly appreciate my clients who are so open and giving of themselves to show others their before and after photos.

Melasma Treatment BEFORE:

This is Melinda and she is an executive assistant in her 50’s from Texas. She found me on youtube after struggling with melasma for over 10 years.

Her past treatment history included:

-Microdermabrasion-one treatment

-Broad Band Light Laser Therapy- 5 sessions

-Several acid peels

-She had seen 3 different dermatologists in over 6 years and the most recent one in 2020 was an online dermatologist.

The results of the microdermabrasion and the laser were disappointing. There was NO RESULTS and over time, her melasma appeared to be getting worse over time.

This is the photo of she submitted in the initial consultation:

Melasma Treatment with Tretinoin and Hydroquinone:

After the consultation with an online dermatologist, she began using M+ Spot Cream by Musely.

This formulation had a combination of:

12% Hydroquinone

.05% Tretinoin

6% Kojic Acid

2% Niacinimide

2.5% Hydrocortisone

She began to see results where the melasma began to lighten and break apart.

However, over time, she began to notice that her skin began to increase in dryness and sensitivity.

She also noticed that her skin began to appear red and blotchy all the time and her sensitivity to products increased over time.

After awhile, even though the pigmentation improved, it soon it began to just look red and inflamed over time.

Soon afterward, she couldn’t tell if the redness was making her pigmentation darker or it was just appearing darker.

Melasma Treatment at home:

Because she was doing an melasma treatment under supervision from home, I had to emphasize that it was going to take a while because the FIRST FOCUS was NOT to add anymore lightening skin care products to her regimen but to DECREASE inflammation and INCREASE hydration so her skin would be healthy enough to introduce clinical skin actives later in the protocol.

First Step in the Protocol:

In order to treat hyperpigmentation, especially Melasma, effectively, the skin must be in a healthy state. If the skin is inflamed, irritated, sensitive, extremely dry, or has open lesions, the treatment cannot begin.

In Melinda’s case, we had to reduce inflammation FIRST, then increase hydration levels on her skin . We did not know how long this would take.

However, I changed out ALL her skin care products, including discontinuing the use of the M+ Muselyt spot cream, and asked her to check in with me one month later.

This was the photo she had submitted for the follow up consultation.

As you can see, her skin had calmed down, although her skin still showed some pink, overall, her skin improved significantly and her skin had increased in hydration and her skin was glowing.

Taken 1 month after the change of her skin care protocol.

Although Diet does play a role in skin health, based on Melinda’s past treatments, her melasma seemed to become worse after several of these invasive treatments she had done in the past and her skin became increasingly more sensitive when she started using Musely the Spot Cream with

-12% Hydroquinone

-.05% Tretinoin

-6% Kojic Acid

-2% Niacinimide

-2.5% Hydrocortisone

Her skin started to lighten up in some areas but her skin became increasingly sensitive and the darkened areas were becoming pink and even red in some areas. Her skin became so highly sensitive that she stopped using it. After awhile, the pigmentation slowly started coming back and soon the brown patches appeared even darker.

During our initial consultation, after going through the extensive consultation, I recommended a protocol completely opposite of what she was trying. Instead of using stronger lightening products to help lighten the even darker patches, the protocol I started her off with was COMPLETELY OPPOSITE .

Counterintuitively, her skin care protocol was focused NOT on lightening her pigmentation but on reducing inflammation.

Her protocol emphasized reducing inflammation and increasing hydration in her skin.

Melasma Treatment AFTER:

I gave her plenty of warning that this was going to take awhile since her skin was so darkened by the inflammation of her skin.

She was incredibly patient and understood that this was going to be a slow process.

Melinda’s protocol went back and forth with active ingredients as we slowly introduced them since her skin became quite sensitive from using all the lightening products.

After 9 months, her skin was able to tolerate exfoliation and her skin was healthy enough to introduce some natural actives into her skin care protocol.

What to do with STUBBORN Melasma: Melasma Treatment Before and After

Most of her skin lightened up but she still had some areas where the outline of her pigmentation was still apparent. So I introduced her to the MD DERMACEUTICAL PRO SHIELD MAX.

After a few months, we could see the improvement in her skin. Not only in the tone but also her moisture level. She was NOT experiencing dryness like she once was.

This is her AFTER photo when she was began using skin care actives (no HQ or Tretinoin).

This photo was taken Jan 21, 2023. It is a selfie taken with NO MAKE UP on her phone and she sent it to me.

If you have tried countless products, had professional treatment such laser, used tretinoin/HQ, only for the pigmentation to come back, and maybe even return much darker, and you would like more information on if you should consider professional treatment done WITHOUT any Big pharma topical drugs, then please take the MELASMA QUIZ

Based on your answers, you may only need the correct products for your skin condition or it may tell you that you need professional help. Either way, the quiz is free.

Here are more Melasma Treatment Before and After Treatments:

Treating Hyperpigmentation Naturally (Look for these ingredients)


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