We have tried chemical peeling and we have tried a variety of different bleaching agents, but more recently there was a drug that was approved for the treatment of melasma - a combination of components that include hydroquinone, tretinoin and fluocinolone - that has demonstrated efficacy in the treatment of post-inflammatory hyperpigmentation. "In the past, there has been some use of drugs called hydroquinones. If they have another condition that may lead to hyperpigmentation, then you need to access and treat that first and then look into other approaches to treat the hyperpigmentation problem. "For example, if a patient has acne, then you really need to get the acne under control. "First of all, you have to see if there is anything that is causing the inflammation and/or ongoing cause of inflammation," Dr. Treatment remains individualized to the patient's underlying condition.
#Triluma cream skin
Overall, anything that causes inflammation, especially in patients with darker skin types, can lead to persistent hyperpigmentation," he says. "Sometimes if a patient has an allergic reaction to something - contact dermatitis - hyperpigmentation may develop. Also, if a patient develops a burn or scrape they can develop hyperpigmentation. "It can develop if a patient had acne, especially in patients with darker skin types. "Post-inflammatory hyperpigmentation occurs after the skin has been inflamed for some reason," Dr. It is most often seen in patients with darker skin types and is more common in women. Do not use other medicines or products unless your doctor approves them.Post-inflammatory hyperpigmentation can develop from many conditions, including acne, eczema, contact dermatitis, burn injury and psoriasis. Only your doctor or dermatologist knows which other medicines or products may be helpful during treatment and will tell you about them if needed. Do not stop use without maintenace to avoid redarkening. ***Once you get your results do ask your doctor or dermatologist for maintenance routines. After stopping treatment with Tri-Luma® Cream, continue to protect your skin from sunlight. If you do get sunburned, stop using Tri-Luma® Cream until your skin is healed. It requires only a small amount of sunlight-not just a sunburn-to worsen melasma. Use a sunscreen of at least SPF 30 and a wide-brimmed hat over the treated areas. You may also use a moisturizer and cosmetics during the day. To help avoid skin dryness, you may use a moisturizer in the morning after you wash your face. Tri-Luma® Cream may also cause a gradual blue-black darkening of your skin if this happens, stop using the product immediately and speak to your doctor. If your skin gets too irritated, stop using Tri-Luma® Cream, and let your doctor know. Too much Tri-Luma® Cream may irritate your skin and won’t give you faster or better results.ĭo not cover the treated area with anything after applying Tri-Luma® Cream.īeginners should not use daily but start 2-3 times a weekĭuring use of Tri-Luma® Cream, you may experience redness, peeling, burning, dryness, itching or other skin irritation. Spread it away from those areas when applying it.ĭo not use more Tri-Luma® Cream or apply it more often than recommended by your doctor. Keep the medicine away from the corners of your nose, your mouth, eyes and open wounds. If you can still see it, you are using too much. The medicine should become invisible almost at once. Rub the medicine lightly and uniformly into your skin. Apply a thin coat onto the discolored area. Put a very small amount (pea sized or ½ inch or less) of Tri-Luma® Cream on your fingertip. Don’t use a washcloth to apply the cleanser, just your fingers. Gently wash your face with a mild cleanser. Apply Tri-Luma® Cream at night, at least 30 minutes before bedtime.
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