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Overview

Melasma: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Melasma is a common skin problem that is more prevalent in women. The condition causes dark, discolored patches to appear on the skin. Melasma can be due to hormonal changes in the body during pregnancy or from exposure to sun. Hormones stimulate the growth of cells that make brown pigment (melanocytes) and exposure to sunlight stimulates melanin pigments.

Melasma causes patches of discoloration on the skin. The brown or grey-brown patches of melasma appear most often on the cheeks, forehead, nose and chin.

In some women, melasma often disappears on its own after pregnancy or after an affected woman stops taking the contraceptive pills. Skin lightening creams can help in reducing longer lasting melasma. Also, topical steroids may be prescribed to treat melasma. If not cured with these, a person may also undertake other ways of treating this condition. Laser therapy, chemical peels, dermabrasion etc are also effective in removing the darker pigments from the skin and restoring normal skin tone.

How is the treatment done?

Melasma can be cured easily with the application of creams or steroids. The most common melasma therapies include 2% hydroquinone (HQ) creams. Hydroquinone can be found as gels, lotions, or even liquid and is applied on the skin to lighten the skin color. Tretinoin or a corticosteroid drugs are also prescribed as these have also proven to be effective in skin lightning. A medicine, called triple cream, contains 3 medicines (hydroquinone, tretinoin, and a corticosteroid) in 1 cream. Dermatologist may also prescribe azelaic acid or kojic acid for topical application on the skin to help lighten melasma. If the condition doesn’t get better with these creams, treatments also provide laser therapy, chemical peel, microdermabrasion, dermabrasion or a light-based treatment. However, application of sunscreen is extremely vital to treat melasma. It is important to apply sunscreen so that it helps to block penetration of sun light and stimulation of pigment formation.

Who is eligible for the treatment? (When is the treatment done?)

Melasma is a common disorder found in many people across the world. People with facial skin covered with brown pigments and patches can consult a dermatologist for its treatment.

Who is not eligible for the treatment?

Appearance of patches on the skin, if caused due to other reasons, like allergy, need to be treated differently. Those patients are not eligible for treatment of melasma. Also, if the pigments disappear on its own, medical assistance is not required.

Are there any side effects?

Possible side effects of melasma treatments include temporary skin irritation. This may happen because of the individual skin type. However, this fades away as the skin adjusts to the medicines. People who use hydroquinone treatment in very high concentrations for prolonged periods are likely to develop a side effect called exogenous ochronosis. In this condition, the skin actually darkens instead of lightening the skin while the bleaching agent is used.

What are the post-treatment guidelines?

Avoiding exposure to sun, particularly of the face, is the most important factor after the treatment. Melasma is a chronic disorder with periodic ups and downs. It is important to follow the advices of the dermatologist effectively for best results. Using sunscreen lotions or creams and other accessories like hats, sunglasses or protective masks can reduce the exposure of facial skin to sunlight. Even after the pigmentation clears, the patient must continue with the course until its completion. This is called maintenance therapy that helps prevent melasma from returning.

How long does it take to recover?

Treatment of melasma is a slow process. It takes months for the patches to fade away and the discoloration to normalize. If the dark or brown pigments occur only on some areas, the treatment may take around eight or nine months to cure. But if it spreads over a wide region, covering major part of the face, then it takes even greater time and continuous treatment to disappear.

What is the price of the treatment in India?

Treatment of melasma is a time taking process. The creams and steroids need to be applied for a minimum of eight to twelve months before they start to fade away. So, this incurs a cost for the multiple creams and doctor appointments. And, moreover, laser treatment of melasma is an expensive affair. There is a probable need of 3-4 treatments over 3-6 months for the patients. Roughly, the amount may reach up to Rs 50,000.

Are the results of the treatment permanent?

The outcome of the treatment is usually permanent if proper care and precautions be taken. Removal of pigmentation does not guarantee its longevity. The patches may again appear if the skin is exposed to severe sunlight or if there be some hormonal imbalance. To prevent such, use of sunscreens and protective masks during long outdoor stays under the sunlight is essential.

What are the alternatives to the treatment?

Melasma can be treated by alternative means. Home made remedies may be helpful to restore the normal skin color and remove the patches. Lemon juice is a natural skin lightener with its astringent properties. The acidic nature of lemon juice also helps to remove the outer layer of the skin, thereby eliminating a layer of the hyperpigmented skin. Apple acid vinegar, turmeric, onion juice can also help to eliminate the patches on the skin. Aloe vera gel, due to the presence of mucilaginous polysaccharides, can alleviate hyperpigmentation and restore the skin’s original color. Other substances can also be used effectively for treating melasma. Apart from this, use of homeopathic treatment and Ayurveda may also be useful to remove hyperpigmentation of the skin.

Safety: High Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs 500- Rs. 50,000

Popular Health Tips

How to Get Rid of Age Spots: Identifying and Treating Melasma

MBBS, MD - Dermatology
Dermatologist, Delhi
How to Get Rid of Age Spots: Identifying and Treating Melasma

Melasma is a condition in which dark and discoloured patches appear on the face. It is also commonly known as chloasma when it is found in pregnant women. This is a condition that can be found in women more commonly than it is found in men. Let us cast a glance on the symptoms, causes, as well as the ways of identifying and treating this condition.

Identifying Melasma

Typically Melasma is characterized by brownish coloured patches that may appear on the cheeks, forehead, chin and even the bridge of the nose. These patches are usually symmetrical on either sides of the face. They appear blotchy, of irregular shape and their colour can vary from light brown to dark brown. They may occasionally occur on other parts of the body that are left exposed to the sun for prolonged hours, on a regular basis. These symptoms can help you in identifying the condition, in which case you must immediately see a dermatologist who will help in formal diagnosis and immediate treatment.

Causes

Several causes have been proposed for Melasma. Sensitivity to estrogen and progesterone are found in some cases especially during pregnancy or in women who take birth control and other hormonal pills for any other ailment. Constant exposure to the sun can also alter the cells that create and control one’s pigment - also known as ‘melanocytes’.

Diagnosis

The diagnosis of Melasma is done with the help of physical examination. Thereafter, the doctor may perform the wood’s lamp examination where a light is held up against the skin to look for the depth of involvement. A biopsy may be conducted for more severe cases by taking skin samples.

Treatment

Most women report that Melasma disappears on its own. These patches slowly fade once the pregnancy control pills and hormonal therapy stop. The dermatologist can also ask you to use a good sunscreen and .certain medicated creams that can help in fading the patches to a great extent. Also, chemical peels and microdermabrasions are other mild procedures that can be carried out in such cases, to exfoliate the top layer of the skin.

In resistant cases of dermal melasma, Q switched Nd YAG laser can be done. One must remember that these ointments and procedures will not guarantee that the condition will not recur in the future. Melasma can be treated effectively but often requires maintenance to prevent recurrence. If you wish to discuss about any specific problem, you can consult a Dermatologist.

4748 people found this helpful

Melasma - Causes, Symptoms and Treatment

MBBS, P. G. Diploma in Dermatology Venerology & Leprosy (D. D. V. L )
Dermatologist, Moga
Melasma - Causes, Symptoms and Treatment

Melasma is a skin condition which causes discoloration and dark patches on your skin. It is more common in women than men. It is also called the ‘mask of pregnancy’ or chloasma when it is caused due to hormonal changes during pregnancy. These patches on the face are darker and symmetrical on both sides of your face. Areas of the body that are exposed to the sun for a prolonged period of time can also develop melasma. It doesn’t cause any physical complications, but it can give you an unsightly appearance.

What causes Melasma?

Doctors and researchers are still not sure what causes melasma although studies have shown that progesterone and estrogen levels tend to affect your skin leading to melasma. Some of the causes of melasma could be-

  1. Pregnancy
  2. Starting or stopping birth control pills
  3. Hormonal changes caused by underlying physical causes.
  4. Thyroid diseases
  5. Stress
  6. Prolonged exposure to the ultraviolet rays of the sun can also affect skin pigments (melanocytes) resulting in melasma

Symptoms of Melasma:

Brownish patches on the forehead, cheeks, chin and bridge of the nose are signs of melasma.

Treatment for Melasma:

In pregnancy, melasma usually fades on its own after you have delivered your baby.

  1. Avoid consuming birth control pills or change the medication for a change in composition of the drugs. More often than not, it’s the composition of a pill that causes melasma rather than birth control pills in general.
  2. Hydroquinone is an ointment which can be applied on the skin. This lightens the dark patches on your skin caused due to melasma.
  3. Corticosteroids and tretinoin – This medication is generally prescribed by a dermatologist to lighten the patches caused by melasma. This should be taken under a doctor’s prescription.
  4. Topical skin medicines – Medications which contain kojic acid or azelaic acid can also help reduce the brownish patches on your skin.
  5. Procedures – If medicines and creams don’t get rid of the patches, procedures such as dermabrasion, microdermabrasion and chemical peel procedures are advised. These procedures should be done under a certified dermatologist. This also prevents melasma from re-occurring in the future. If you wish to discuss any specific problem, you can consult a dermatologist.
2632 people found this helpful

Know Everything About Melasma

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Know Everything About Melasma

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion. If you wish to discuss about any specific problem, you can consult a dermatologist.

4554 people found this helpful

5 Causes Of Melasma And Its Treatment!

5 Causes Of Melasma And Its Treatment!

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion.

853 people found this helpful

Melasma - Charecterstics That You Need To Be Aware About!

MBBS, MD - Dermatology
Dermatologist, Guwahati
Melasma - Charecterstics That You Need To Be Aware About!

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion.

Popular Questions & Answers

I am using melano tx cream and my melasma faded but I want to know how many time it will take to completely disappear from my face.

MD, MBBS
Dermatologist, Chennai
4 months. Undergo glutathione therapy. Otherwise, few creams also available. Contact me by direct online consultation for treatment.

I have dark patches around my neck. I used tretin cream+glyco A cream by a doctor's prescribed. But not a little change happened. I have this patches since I was a kid. Please prescribe me something to completely cure this.

MD, MBBS
Dermatologist, Chennai
You are suffering from hormonal changes causing Androgenetic alopecia causing hair fall. It's completely stoppable even regrowth of hair is possible with certain medications without any side effects. Treatment depends on the grade of hair loss. So, it's a must for diagnosing which grade, you are in for an effective treatment. Please send photos of your head, by direct online consultation for accurate diagnosis and proper treatment.
1 person found this helpful

I have melasma on cheeks and nose. Is there any permanent treatment for melasma? What precautions have to take to reduce melasma on face and not to spread over on face?

MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello. The blemishes or freckles can be treated by many ways. The sunscreen lotion definitely helps in further worsening of the condition if you are in the tropical zone. But these are best treated by the laser skin rejuvenation which permanently removes such pigmentation. Do consult a skin specialist for the same. You can consult online with me as well.

I'm 33 years old having melasma on my face after pregnancy. L used lumacip. Lt was effective but soon brown spots starts visible when I stop it's use. Please suggest some permanent solution. Lumacip is steroid based cream? Is it safe to use.

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Thane
Donot use steroid based creams on the face. it will make your skin very sensitive. There is no cure for melasma. You can decrease it by taking tabs and applying creams. Avoiding sunexposure is very important. Since it is due to hormones we cannot remove it totally but it can be very well controlled with tabs and creams.

I used hhlite cream prescribed by my dermatologist for melasma on my face. Initially it was ok but I got burning sensation and dry dark patch around my mouth and on my cheek. Became very dry and gave over dryness around my mouth and lips and got dark pigmented patch. Please mam save me from this problem. How to regain my normal skin? Give me some tips please.

MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello, The above mentioned side effects are common when you start Hydroquinone and tends to subside on its own in 3-4 weeks. Continue the cream and followup with your dermatologist.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Melasma
Melasma is a common skin problem. The condition causes dark, discolored patches on your skin. It causes patches of discoloration. If you notice any symptoms of melasma, see your healthcare professional. They might refer you to a dermatologist, a doctor who specializes in treating skin disorders.
Play video
Melasma And Pigmentation
Melasma appears in the form of discoloration on the skin and is exacerbated by exposure to the sun. Melasma is a form of hyperpigmentation that's more commonly seen in women (especially in those with darker skin tones) and is thought to be triggered by UV exposure, as well as hormonal influences.
Play video
Causes Of Melasma
Hi! I m Dr. Anchal Sehrawat, consultant dermatologist at Dr. Anchal Skin and Hair Clinic.

I will be discussing about melasma. Melasma is quite a common skin condition which causes tan to dark brown discoloration of face, especially seen over upper cheeks, nose, upper lips, and forehead. In extreme cases, it can be seen over the forearm and neck. It is more common in women as compared to men between the age group of 20 to 50 years, especially with darker skin tone. Although the discoloration is totally harmless and does not cause any physical discomfort.

Managing the psychological stress associated with appearance can be a challenge. So the right management can significantly improve the quality of life of the patient and restore self-confidence. So what causes melasma? It is not totally clear what causes melasma but still, it is believed that there are multiple triggering factors like birth control pills, pregnancy, hormone replacement therapy, thyroid disease and the epileptic medications. Certain medications can make skin more prone to darker upon sun exposure.

Uncontrolled sun exposure can cause melasma in adequately predisposing individuals. And certain household remedies and over the counter products can further aggravate melasma and make the condition worst. So how to diagnose melasma? Melasma is usually easily diagnosed by the characteristics of its pigmentation and distribution over the face. Assessment by skin specialist will help to assess the depth of pigmentation with the help of wood lamp.

So how to treat melasma? There are certain medications your doctor will prescribe you for lightening the skin like hydroquinone, tretinoin, azelaic acid and kojic acid. The chemical peel can be advised in case the melasma is not responding to tropical management. How to maintain melasma result? In any treatment effects are gradual, don t guarantee that melasma won t come back and certain cases of melasma do not completely latten. So you have to stick to certain skin treatment practices to reduce the risk of melasma from returning.

Just applying sunscreen is fairly not enough, a thick layer of sunscreen should be applied so as to fulfill the purpose of sunscreen. So give yourself one minute of time for properly applying sunscreen, apply a liberal amount of sunscreen get outside after 15 to 20 minutes of proper application and may apply sunscreen after 2 hours and do not shy away from apply sunscreen if it is not suiting you. Consult a dermatologist to see which sunscreen best suits you and avoid going outside during sunny duration like mid-morning to late afternoon. And preferred to be in shady areas if it is unavoidable to avoid sun.
Play video
Skin Lightening (Whitening) Treatment
Causes and treatment for Hyperpigmentation and Melasma
Play video
Skin Pigmentation Treatment
Hi, I am Dr Sangeeta Amladi and I am going to talk to you about Pigmentation.

What is pigmentation and how does it occur?

Pigmentation is a term we used to describe the dark spots or patches or even general darkening of the skin. In the upper layer of the skin, there are certain cells which are called pigment cells and these produce a certain pigment called melanin. This is evenly distributed in the skin and gives colour that we normally possess. We can get darkening of the skin due to many factors, both external and internal at any time of our lives. Most common cause of external pigmentation is ultraviolet radiations. And one of the commonest cause is a hormone, especially in women. Any of these factors can increase the pigment cells in the skin or actually activate the cell to produce more melanin.

What are the common types of Pigmentation?

There are many common types of pigmentation;

Freckles
Age spots
Melasma
Post inflammatory hyper pigmentation etc
These often cause cosmetic problems and hence require treatment.

Freckles are the common response to sunlight. And you can see them as light brown spots on the face and the exposed parts of the body. They are often seen on the fair skin individuals and from very young ages. They can be effectively prevented by good sun screening habits.

Age spots, also called Lentigines are darker spots. And these are often seen as we grow older, over the age of 40

Melasma is a kind of pigment which shows up most commonly on cheeks in the form of brownish or the greyish brown patches which are sharply defined. They can also come up on the forehead or the chin. Two main factors causing melasma are the sunlight and the hormones. And it is more common in women. Very often, melasma occurs either during or post pregnancy.

Often we find pigmentation being left behind after we develop boils, other infections, eczemas, other allergies, injuries etc on the skin and this is something we called as Post inflammatory hyper pigmentation. It is left behind due to the inflammation that is left behind in the skin. There are certain perfumes, cosmetics and other allergens which can on their own leave dark patches on the skin and we call this pigmented contact om titis.

Another common cause of patchy pigmentation is ageing itself and this is because of the effect of ultraviolet radiations and sunlight on the skin. We often see the unevenness tone or little patchy dark spots and an alteration in texture so the skin gets a bit rougher. This we can prevent to a large extent through good sun screening habits which we should adopt at a very young age in life.

Last but not the least, the dark circles. These are the dark patches which we see under our eyes. The problem of dark circles is that they make us look dull and tired.

What is the right approach to treat pigmentation?

If you suffer from pigmentation, then you should be looking for comprehensive and holistic solutions to this problem. There are many different kinds of products, tropically prescribed medication, and chemical peels which when combined together can help us get rid of the superficial pigmentation. Ideally, it should be customized for you by your dermatologist after the detailed evaluation of your specific skin concern and then decide the best possible way to address it. If we need something deeper then there is a specific laser which called the Q switched andiac laser which is very safe and effective and specifically targets the Melanin in the skin without affecting the neighbouring areas and leaves the skin clear and flawless.

What are the everyday essentials to take care of your skin?

The first mantra to really good skin care is to protect your skin using a sunscreen. You can use the sunscreen of SPF 15-30 or could be higher. However, the more important is how you apply it. A sunscreen must be applied to a thin film across the face and the exposed areas of the body and then left on for 15-20 minutes to settle it. If you tend to sweat a lot, you need to apply it after every 2-4 hours. And of course, you should apply a sunscreen when you are indoors because the ultraviolet radiations or even the visible light which is indoors can also affect your skin and cause pigmentation.
A good cleansing regime is very important to keep your skin clean. Choose a cleanser which is formulated for your skin type dry, oily or normal. You can use this twice or thrice daily. If your skin is oily, you can use a toner for deeper cleansing.
After cleansing your skin, you need to hydrate and this can be done using a moisturizer in the day time and sunscreen itself can be the moisturizer. At night, you can sue a night cream containing Vit- C and this will also help you to stay pigmentation free.
A balanced diet, good sleep and exercise is very important in keeping your skin healthy. Incorporate foods in a diet which are rich in Vit- C and sun protecting agents like Beta Keratins and anti oxidants. For example red and orange fruits like carrot, tomatoes and other vegetables such as cauliflower, broccoli, spinach etc and omega rich foods such as fish
Relax- Destress-Fill your life with positive energy.
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