There is still a lack of particularly effective treatments for melasma.The basic strategies are: avoiding triggering factors, emphasizing sun protection, focusing on moisturizing and repairing the skin barrier, rationally choosing topical medications; and appropriately combining systemic medications, laser and TCM treatments. According to the consensus of Chinese chloasma treatment experts, the treatment methods are summarized as follows:

(i) Basic treatment:

1. Avoid triggering factors and adjust your lifestyle:Avoid drugs that cause changes in glucocorticoid hormone levels; avoid photosensitizing drugs; combine work and rest to ensure adequate sleep; adjust your state of mind to relieve tension and anxiety; and eat regularly and appropriately.

2. Sun protection:A broad-spectrum (UAB+UBA) sunscreen with SPF ≥ 30 and PA+++ is recommended.

3. Repair of the skin barrier:It is recommended to use medical skin care products with anti-allergic and moisturizing effects under medical supervision to enhance skin tolerance and promote skin barrier repair.

4. Treatment of related diseases:Actively treat chronic diseases that may trigger or aggravate melasma, such as liver diseases and certain gynecological diseases.

(ii) Topical medication:

1. Hydroquinone and its glycoside derivatives:Medications that are considered first-line treatments for melasma, such as Chihuahua (hydroquinone cream).

2. mibuni acid:A 15% to 20% cream is commonly used clinically.

3. Chemical peeling with fruit acids:Fruit acids are an effective adjunct to the treatment of melasma at concentrations <35%.

4. Other:Topical L-vitamin C, arbutin, glutathione, lignin peroxidase, and tranexamic acid, all of which inhibit epidermal melanin synthesis, are available as topical preparations.

(c) Systemic drug therapy:

1. Vitamin C and vitamin E.

2. Glutathione: Glutathione is often combined with vitamin C.

3. Tranexamic acid: inhibits melanin synthesis and also inhibits blood vessel formation and reduces erythema.

(d) Chinese medicine:

1. Internal remedies:

(1) Liver Depression and Qi Stagnation Certificate:Facial skin is mostly dark brown, chest and hypochondriac pain, irritability, irregular menstruation, red tongue or purple spots, and stringy pulse. The treatment is to dredge the liver and regulate the qi, and the soup is to be added and subtracted by Yiwu San. Commonly used Chinese medicines include Yiwu Pill, Jiawei Yiwu Pill, Shu Liver San, and Chai Hu Shuo Liver San.

(2) Spleen Loss of Healthy Transportation Evidence:Facial skin is mostly dark or light yellowish brown, with loose stools, pale fat tongue, teeth marks, thin moss, and moist and thin pulse. The treatment is to strengthen the spleen and benefit the qi, and the soup should be combined with Sen Ling Bai Zhu San and Jian Zhong Yi Qi Tang with additions and subtractions, and the commonly used Chinese medicines are Ginseng Spleen Enhancement Pill, Sen Ling Bai Zhu Pill, Spleen Enhancement and Liver Shuffling Pill, and so on.

(3) Kidney qi deficiency syndromeThe symptoms include: dark brown spots in the shape of butterfly on the facial skin, soreness and weakness of the waist and knees, dizziness and tinnitus, heat in the hands and feet, cold limbs, and diarrhea at the fifth day of the month, pale or red tongue with little moss; and a fine, dull pulse. The treatment is to nourish the liver and kidney, and the soup is Six-flavored Di Huang Pill combined with Right Angelica Pill with additions and subtractions, and the commonly used Chinese patent medicines are Six-flavored Di Huang Pill, Zhi Bai Di Huang Pill, Jin Gui Kidney Qi Pill, Nourishing the Liver and Kidney Pill, and so on.

2. External treatments:There are more methods. Clinical use of powdered Chinese medicine is often made into creams and ointments for external application, face masks, or formulated into inverted film powder, or the dregs of medicines taken internally are smoked first and then applied wetly, and so on. Externally applied Chinese medicines include Bletilla hyacinthina, white aconite, white stalactites, pearl, Angelica sinensis, Ligusticum chuanxiong, motherwort, Ampelopsis japonica, smallpox pollen, Poria cocos, Coix lacryma, Thornybush, Donggua Ren, almonds, and Centella asiatica, and so on.

3. Other therapies:These include acupuncture, gua sha, umbilical cord patch, acupoint burrowing, cupping, Chinese medicine plasma introduction and Chinese medicine fumigation.

(v) Laser/intense pulsed light therapy:

The key to laser and Intense Pulsed Light (IPL) treatments for melasma lies in the control of the degree of inflammatory response to the lesion, and the parameters should be set relatively mildly whether laser or IPL is chosen.

(This answer was provided by Xin Li, Sun Yat-sen Memorial Hospital, Sun Yat-sen University)

Welcome to "Yixian Pharmacist", which contains articles on the rational use of medication for various diseases!

Getting rid of melasma, without much difficulty, these 4 small ways work oh! You can try

Many people say that chloasma is a common manifestation of human aging. In fact, more and more women develop chloasma in their youth, mostly after the age of 25. They continue to lose collagen as they age, plus they usually don't do a good enough job of sunscreen, and that's when chloasma floats up on their faces, so how can this be?

2 Causes of Melasma You Need to Know

Firstly, facial chloasma is mainly a symptom of excessive melanin precipitation and facial lesion. At this time, the skin of a person has decreased melanin metabolism because of excessive loss of collagen at an old age, so there is more pigmentation, resulting in the appearance of obvious chloasma.

Secondly, chloasma is aggravated by ultraviolet radiation, which tends to stimulate melanoblasts to produce melanin particles in excess, thus precipitating on the face as spots.

Melasma on the face is indeed detrimental to the face value, so after the appearance of melasma, what is the best way to lighten these melasma?

Remove melasma, no difficulty, these 4 small methods are very effective Oh!

1, internal use of spot c powder

As I said before, the key reason for chloasma is the generation and precipitation of melanin, so women with chloasma can inhibit and remove melanin by drinking some spot c powder for chloasma removal, and it contains rich and easily absorbed small molecule fish collagen, which also helps to replenish collagen in time to improve the metabolism of melanin!

2、Eat more antioxidant food

Dietary management suggests that women with pigmentation spots should eat more antioxidant foods, such as foods containing vitamin C, vitamin E or folic acid, fruits and vegetables or nutritional products. These antioxidant foods can help people remove excess free radicals in the body and eliminate melanin deposits, thus preventing melasma from forming after pigmentation.

3、Chinese medicine conditioning

However, some melasma is induced by some original diseases, such as liver qi depression, endocrine disorders, these physical reasons will lead to the growth of melasma, then this can not be directly inhibited first melanin light spots, are the first treatment of the original disease, through some traditional Chinese medicines to carry on the conditioning, detoxification of the liver and balance the level of endocrine hormones. This method is recommended to be carried out under the guidance of professional Chinese medicine practitioners, and should not be taken arbitrarily.

As people grow older, their bodies will gradually age, and many of them will have chloasma on their skin, so what can be done to lighten chloasma on the face?

The following methods can be tried to remove melasma:

Eggs to get rid of blemishes

Prepare a clean container, pour the appropriate amount of white vinegar, and then wash the eggs soaked in white vinegar, and then must be sealed, soak 7 days after the eggshell will become soft, then the eggs in a bowl, will be softened skin peeling, egg whites, yolks separate, once a day to use egg whites for coating the face, adhere to the use of spot effect is good. After applying egg white, you can use it together with some spot removal products.

Aloe Vera Cucumber Mask

Prepare aloe vera leaves with spots, reduce the thorns and wash them, cut the cucumber into three-centimeter segments, a quarter of an amount of egg white, two grams of pearl powder and some flour.

Method: Aloe vera, cucumber juice poured into a bowl, add egg whites, pearl powder, flour stirred into a paste, when used as a mask, can have the effect of spot.

Take more vitamin C

Consume more Vitamin C-rich fruits and vegetables, as Vitamin C can inhibit melanin production, prevent chloasma from becoming more frequent and lighten existing spots. Kiwifruit and tomato contain more Vitamin C, but people with weak spleen and stomach should not consume too much of them. Kiwifruit can be consumed two times a day, and tomato should be consumed after meals.

Fresh Ginger Spot Removal

There are many active ingredients in ginger, and gingerolenin has a strong anti-melasma effect. Ginger slice, put boiling water soak ten minutes, put some honey, a cup a day, insist on drinking, can have good results. Or chopped ginger, put salt, chili oil and other seasonings, often eat.

Luffa Honey Mask

Prepare loofah, honey and water. Dry the loofah in the sun and grind it into powder, put some honey, add the right amount of water and mix it into a paste. Wash your face clean, apply the homemade mask evenly on your face for 15 minutes, wash your face with water and then use spot removal products. This method can effectively lighten the spots.

Estrogen supplementation

If melasma is very serious, it may be related to endocrine, and the ovarian function may be lowered, so it is necessary to go to the doctor for examination and increase estrogen and progesterone treatment to improve melasma.

Dr. Chunyu is here to answer that question.

First.Melasma is an acquired form of hyperpigmentation of the skin that usually involves the sun-exposed areas of the face.

It is most common in darker-skinned women living in areas with high levels of ultraviolet radiation. Melasma can have a serious aesthetic impact and cause considerable psychological distress; quality of life studies have shown that melasma has a serious negative impact on emotional well-being, social life and leisure activities.

Melasma is more common in women, rare before puberty and most common in women of childbearing age. About 25% of melasma cases occur during pregnancy. In pregnant women, the prevalence of melasma is 15-50%.

The pathogenesis of melasma is still poorly understood. Pathogenic factors include darker skin color (especially yellow skin in Asians), ultraviolet radiation, hormonal factors (e.g., pregnancy, oral contraceptives), genetic predisposition, use of cosmetics, thyroid dysfunction, and antiepileptic drugs.

Patients with melasma present with irregularly shaped spots of hyperpigmentation on the face.

Melasma is difficult to treat because it is chronic and can recur.Treatments include skin lighteners (first-line treatments such as hydroquinone, azelaic acid, and various compounded preparations), chemical peels (skin peeling agents applied topically), and laser and light treatments.Since no single treatment has been proven to be effective for all patients with melasma, a combination of medications or treatments is often used, especially for refractory cases.

During the course of treatment: patients may require topical skin lighteners for up to 6 months before pigmentation is reduced. Cosmetic concealers are recommended to reduce social barriers when treatment is unsatisfactory. Patients should take sun protection measures during and after treatment, including avoiding sun exposure, wearing a wide-brimmed hat and using broad-spectrum sunscreen.

We recommend daily application of a broad-spectrum sunscreen with a sun protection factor (SPF) of 30 or higher for all types of melasma. Apply a full amount of sunscreen before going outside and reapply every 2 hours while outdoors.

In conclusion, melasma is a headache skin condition that requires long-term treatment and can only be seen with good results if the patient and doctor work well together!

I hope Dr. Chunyu's answer can help you, welcome to pay attention to the headline number [Dr. Chunyu] to get more health science knowledge yo.

Copyright: This article is the original manuscript of Dr. Chunyu, the copyright belongs to Dr. Chunyu, unauthorized reproduction is prohibited, 授权与合作事宜请联系reading@chunyu.me

(Welcome)Urban Health InformationI am a postgraduate student of Chinese and Western medicine [direction of men's medicine], the national third-level public nutritionist, can bePrivate message to ask men's medical questions，Please click on the upper right corner to follow）

Facial chloasma is simply the biggest enemy of young and middle-aged women's face, when the face is no longer young, gully, fishtail densely covered, yellow and black smoky skin wantonly flaunt, it is simply worse than worse, in the traditional Chinese women with white skin to cover a hundred ugly aesthetics, miserable is the best interpretation, even if Yang Guifei in the world, in the eyes of the men is a black fat man. And chloasma incidence rate is strangely high, in more than 30%, and then good bleaching powder is not helpful, and then good BB cream is just a cover up, not a treatment, once the opportunity to present the original shape, the man ran faster than a rabbit, don't blame the man reality, the man is basically like this, thousands of years, more than 90 men preferred to love the skin, if not, he may be a blind man ==!

Chloasma is a hyperpigmentation spot that mostly occurs on the cheeks and forehead of women of childbearing age, and is usually symmetrically distributed. It is usually symmetrically distributed. It can exist for a long time or develop chronically. Chinese medicine, also known as "liver spot'" sallow spot "and so on, the Three Kingdoms Zhuge Liang's wife skin is very black, very ugly, is estimated to be chloasma, visible Zhuge Liang is worthy of the saints, with his appearance and wise conditions, able to accept such a wife, so that our offspring worship, this must be true love.

Many people think that chloasma is only found in women, this is wrong, in fact, men also have chloasma, it is just that it is relatively rare in their life, and people don't notice it. Chloasma is related to those factors? For example, sunlight exposure, the deepening of melasma color after long-term exposure to ultraviolet rays will make it darker, poor sleep quality, anxiety and depression, and endocrine changes and other factors will make women's chloasma change, which coincides with the so-called traditional Chinese medicine (TCM) point of view that "women should nourish the liver" as a precursor. There is a certain reason for TCM to treat chloasma from the liver theory, and the effect is also good.

Do not abuse cosmetics whitening, many contain heavy metals, hormones, quite pitiful, in the clinic often see a lot of women because of the abuse of cosmetics lead to hormone face, cosmetic dermatitis, simply disfigurement, bring the consequences of chloasma is more serious than the chloasma, like drug addicts can not stay away from drugs, only to continue to use poor-quality cosmetics to cover up the facial problems.

How is melasma treated?

1. Remove the triggering factors of chloasma, as mentioned above, chloasma is related to sunlight exposure, sleep and emotion, therefore, direct sunlight should be avoided, anxiety and depression should be alleviated, and regular sleep habits should be developed.

2. Topical spot removing drugs: external hydroquinone cream, tretinoin cream and arbutin cream and other drugs, these externally applied drugs have the effect of whitening.

3 with oral vitamin C and vitamin E and glutathione, these drugs have an antioxidant effect, scavenging free radicals to achieve the role of the treatment of melasma, which is why women need to regularly take vitamin C and vitamin E both whitening, and anti-aging effect.

4. According to Chinese medicine, chloasma is mostly caused by deficiency of yin and blood in the liver and kidney, depression of liver qi, weakness of spleen qi, and dysfunction of transportation and transformation, resulting in loss of glorification of the face and lack of splendor of the skin. In the treatment of chloasma, there are six flavors of dihuang pill, peach red four things soup, plus or minus free pill.

5. Physical treatments include laser and intense pulsed light for chloasma.

(Welcome)Urban Health InformationI am a postgraduate student of Chinese and Western medicine [direction of men's medicine], and a national third-grade public dietitian.You can ask your men's questions in a private message，Please click on the upper right corner to follow）

Whatever discoloration appears, it can only be faded and improved, and even if it can temporarily disappear, it may still reappear.

Skin discoloration is mainly the result of pigment cells in the underlying layers of the skin secreting large amounts of melanin, and overactive pigment cells in certain locations will cause localized discoloration to appear. It is usually believed that ultraviolet rays are the exogenous cause of pigmentation, in which UVA will enter the dermis layer of the skin and stimulate the pigment cells to secrete melanin in large quantities. Therefore, no matter what type of pigmentation, it is a good idea to pay strict attention to sun protection and use sunscreen with SPF30 PA+++ or above every day, no matter whether it is indoor or outdoor, cloudy or rainy! Another point is to use some whitening skincare products, which can reduce the excessive secretion of pigment cells, thus to some extent lighten the discoloration that has appeared.

The cause of melasma is not only ultraviolet rays, but also related to estrogen secretion, inflammatory response of the underlying skin layer and barrier damage, so it is quite complicated to improve. Besides skincare products, some topical medications can be used to improve the condition, which need to be used under the guidance of doctors, and even some oral medications are needed to control the discoloration. Medical treatments can also improve melasma, such as Q-tuned laser and picosecond laser.

Usually, melasma induces melanin agitation from the inside out, and external light and heat can cause the skin to secrete a large amount of melanin. A whitening serum is certainly indispensable, but moisturizing, anti-inflammatory, antioxidant and other repairing actions should also be done together. So check to see if you have the perfect care routine in place? If so, with the whitening serum products with national whitening special certificate, you can find that the color of the spots will not easily deepen and darken again.

If it is the body endocrine problems, well with the physician's instructions, properly adjust the body, the surface of the skin condition, but also the body issued by the warning signs of illness, if you are really anxious to lighten, seek medical assistance is also a good way.

Finally, pigment fading is done, but you need to be patient and persistent, every day to do a good job of moisturizing + whitening essence + sunscreen, the skin's translucent feeling will gradually become better. Too many unscrupulous operators on the market to launch over-exaggerated effects of the product, resulting in consumer skin damage to hormone face, this is definitely not the old cow happy to see oh.

For more skincare knowledge, please pay attention to WeChat public number: Niuer Skincare Column

If someone tells you that you can get rid of melasma in a very simple way, he must be a big liar.

I remember a female colleague who was using **Ting's products herself and I could clearly see the change in her facial spots. I couldn't resist the temptation and asked her to buy a set for me. I used about ten days to find that the face really become white, skin also brightened. But because of the white too fast did not dare to continue to use. She kept asking me why it didn't work. I had to tell her I had a skin allergy after using it. But she has been using it all the time and her skin is really good. But a few days ago, the Internet broke out that the product she used lead and mercury exceeded the standard by more than 1400 times.

Recently drank half a year of Chinese medicine health tea slowly conditioning. Skin condition is too much better, the spot also faded, the overall feeling of people spirit, the skin also white a few degrees, it seems to completely get rid of it within reach ah!

Hello everyone, I am now a standard mom of a 1 year old baby. I used to work for a mobile company and then took a leave of absence when I got pregnant. Since the beginning of the 3rd month of pregnancy, the face began to grow spots, and later identified as chloasma, went to the hospital to see a few times, the doctor said that it was because of excessive estrogen secretion caused by pigmentation, at that time because of the pregnancy in the body, did not dare to eat Chinese medicine, and did not use skincare products and some of the prescriptions, such as the child was born successfully, I began to get rid of the spot big battle, the first ate 2 months of traditional Chinese medicine, and then a variety of prescriptions, mashed potatoes, apple cider vinegar, etc., used every day, lasted 3 months, a little effect has not been. etc., used every day, lasted 3 months, a little bit of effect is not, this time had to shift the idea, began to use the spot skin care products, we really this is not an advertisement, really have the effect, anyway, I don't know with which see the effect of, I'll just say that I use nearly a dozen skin care products, anyway, now chloasma is really no longer, to ensure that the truth.

1 SK-II New Essence Spot Correcting Serum

The price is too arrogant, using people meat pain. As a SK-II brainwashed powder one, whitening effect is quite good, light spot effect is also OK, but not too obvious, with a very comfortable, hydrating moisturizing effect is also good, the price if you can be cheaper on the good.

2 Xuanzhi Snail Serum

I think this to get rid of my chloasma has a lot of credit, Xuanzhi snail essence liquid this is a natural snail liquid from Henan, China, Henan, China, the Yellow River Basin of the high-quality environment breeding the world's best snail liquid, this company for South Korea and France and other manufacturers to provide nearly 10 years of raw materials of snail liquid, because of the production of raw materials in the past, in China's popularity is relatively low, but in the United States and Europe countries But by a lot of skin care professionals love, natural snail liquid is known as skin care gold liquid, light spots to remove fine lines to tighten the skin anti-aging effect than any skin care products have a good effect.

3 Kiehl's Intensive Brightening Balancing Brightening Spot Correcting Serum

The main ingredient is vitamin C. Unique small molecule vitality vitamin C, deep repair and brightening, effectively lighten the spots, prevent the generation of spots, even skin tone, skin more flawless and moisturizing white.

4 Xiangyi Herbal Blemish Cleansing Cream

The price is not bad, the main spot removing ingredient is arbutin, contains arbutin whitening factor, supplemented by Panax ginseng, angelica ingredients, reduce the surface dullness and lack of light, in-depth underlying decomposition of melanin, lighten pigmentation, even brighten skin tone.

5 Bihada Pearl Powder Whitening Mask

Pearl powder ingredients, used hydration is not bad, light spot effect feel general.

6 Clinique Brightening Spot Correcting Emulsion

Clinique hand in hand with the world's top dermatologists, continue to challenge the limit of light spots, found a breakthrough effective light spot ingredients CL302, see these introductions is quite powerful, I and my sister at the beginning of the use of this, the effect is truly general.

7 Shiseido New Edition New Whitening Beauty Brightening Emulsion

Shiseido's products have always been of good quality. The rich, brightening moisturizing lotion restructures skin texture and more effectively inhibits melanin formation, reducing the visibility of pigmentation and dullness of the skin tone, resulting in a smooth, even and luminous complexion.

8 Daiso Whitening Spot Correction Beauty Serum

This inexpensive, but also rely on VC for spot whitening, whitening serum usually contains pure VC ingredients as well as some with photosensitivity, daytime use by the sun will make the efficacy of a big discount, the night is the golden time of the skin's metabolism, which helps to play the essence of the maximum effect.

9 Kobayashi Pharmaceutical VC Whitening Cream

Effectively inhibit the formation of melanin and prevent sun spots and freckles. Combined with Vitamin C inducer, it can penetrate into the stratum corneum and lighten the skin's freckles, sunspots, chloasma, acne scars, etc., to achieve whitening and freckle removal effect.

10 Jiu Duoyun Blemish Cream

Follow the trend to buy, remember a while is very hot, followed the purchase, indeed the effect is not very good, and now no one to buy.

The cause of chloasma is complex, I have never had spots on my face before, so I never took any protective measures when many people were actively preventing the sun, so unfortunately, at the age of 38, I started to grow a big spot on my face, which really scared me when I found it, so I started to actively prevent the sun this summer and started to strengthen my fitness program because of my age, and I insisted on it for 8 months, and the length of my workout was between 2500-3300 minutes every month. I've been working out for 8 months, and I've been working out for 2500-3300 minutes a month, yes, basically 1-2 hours a day, and it's been amazing, the fast spots on my face have lightened up a lot, and now I don't look too closely at them, they're almost impossible to see, and I always think it's because the exercise strengthens the metabolism and takes away some of the pigmentation, and the spots lighten up naturally. Purely personal experience, no theoretical basis, just for reference.