How can I treat melasma or post inflammatory hyperpigmentation on the upper lip?

Hello, I now have melasma above my upper lip after several treatments for facial hair removal. I know this is not uncommon and hydroquinone is often unsuccessful for treatment. My question is will the products I am using for post inflammatory hyperpigmentation help? These include: licorice, Arbutin,azelaic acid, Gallic acid,l-ascorbic acid, and Skinceuticals Phyto +. Thanks, Faviola

Okay …… the single most important product in the treatment of post inflammatory hyperpigmentation or melasma is sunscreen – two to three layers of it every single morning and, if you are outside a lot or sweating, reapply in the middle of the day. 

A good regimen might look like this:

  •  gentle cleanser
  • a three in one antioxidant that also lightens like the SkinCeuticals Phoretin CF
  • 3 layers of sunscreen – for example the tinted SkinCeuticals Physical Fusion, over that a tinted moisturizer or foundation with sunscreen like the Laura Mercier SPF 20 (comes in regular or oil-free), with a mineral powder sunscreen over that like the Colorscience lightly tinted or Jane Iredale Mineral Compact with SPF 20. 
  • a hat if you are outside

At night, just cleanse again and us the APC or Lytera plant based lighteners or a prescription hydroquinne and  little moisturizer if needed.  Most people will start to see the post inflammatory hyperpigmentation or melasma start to fade in 2-3 weeks.

Please see your dermatologist if you aren’t seeing results within a month!

Dr. I –

Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin, and I believe that consumers need and deserve a medically trained and unbiased skincare advocate.

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