I have been battling with Melasma since 2000 and I finally have results in 8 months. My doctor said it would happen at the time that I finally saw results. I was so discouraged but when it started to fade away I was beyond words!! My daughter who is 20 said she couldn't believe the change. My husband who never saw me without my Melasma covered............saw the difference because I had to wait 20 minutes to apply the cream before bed (long story, but he got to see me without make up).
I actually get up in the morning and NOT run to my foundation before I lay in bed with my husband. I actually have days where I don't wear foundation. Well just in the house........I still don't have the full confidence to go outside without full coverage on my face. But I do know...soon!!!!!!!!!!!!!!
I had a glycolic peel once a month...with the strenght increasing each time. I started at 10% and went to 70%.
After each peel, I waited one week then I applied Retin A in the evening and Ultraquin in the morning until my next peel. I had 8 peels in all. Then my doctor precribed a compound cream..........hydroquinone, retin A and betaderm. The peels were to prepare my face for the cream to penetrate. So NO results were seen from the peels. This took from December to June. I started the cream in June. Six weeks into the cream...my melasma faded at least 90%.
Major face sunblock is required for the rest of my life. Any type of tan or burn on my face will absolutely bring my Melasma back. But I don't have a problem with that because I used sunblock on my face ever since my Melasma started in 2002. I use sunblock, hats, visors and yes..........umbrellas when in the sun.