A dermatologist’s advice about how to get rid of a particularly intractable spot.
Photo-Illustration: by The Cut; Photo: Getty Images, which you can subscribe to on Substack.
What’s the prescriptive? “The classic treatment for melasma is a prescription topical cream composed of retinoic acid, hydroquinone, and a corticosteroid,” said Waldorf. You can get the cream as a preprepared branded prescription or as a customized mix made by a compounding pharmacy as ordered by your dermatologist .
While over-the-counter hydroquinone is available up to 2 percent, prescriptions generally use concentrations from 4 to 10 percent. Retinoic acid is typically prescribed at 0.025 percent, 0.05 percent, or 0.1 percent. The corticosteroid is used in a mild to mid potency, said Waldorf.
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