Melasma mistakes that can ruin your skin and make hyperpigmentation worse!

Рет қаралды 1,089,792

Күн бұрын

Check out this video where Dr. Karam shares how he treated his wife's Melasma: • How Dr. Amir Karam tre...
Melasma is an ongoing issue that both young and old struggle with, and it oftentimes gets confused with hyperpigmentation. While hyperpigmentation can usually be traced back to a specific cause, Dr. Karam explains that melasma is a different story. The cause of melasma is not clear, but there are certain circumstances that experts say can attribute to melasma's occurrence, such genetics, birth control pills, pregnancy, and sun exposure. While the cause may not currently be 100% understood, there are certainly things we can be doing to help prevent melasma from happening. It's most important to understand that living a healthy skincare lifestyle, and consistently using quality active skincare ingredients along with sun protection, will always help you to prevent skin conditions like melasma from happening. Making good decisions for your skin and overall health and wellbeing will always be the key to maintaining a beautiful, youthful complexion.
WATCH MORE FROM DR. KARAM
- What you NEED to know about treating Melasma AT HOME the RIGHT way! - • What you NEED to know ...
- How Dr. Amir Karam treated his wife's Melasma AT HOME! Step by Step! - • How Dr. Amir Karam tre...
- 5 steps to defy aging and get your BEST skin for life! - • 5 steps to defy aging ...
- 10 BAD Skincare Mistakes People are making NOW! (Change ASAP) - • 10 BAD Skincare Mistak...
Signup for the KaramMD Newsletter!
karammdskin.attn.tv/p/ejY/lan...
SHOP DR. KARAM SKINCARE:
○ bit.ly/ShopKaramMDSkinNow
If you have any questions, let me know. I am always just a DM away!
Schedule a virtual consultation by emailing or calling:
🖥 email: info@drkaram.com
📱website: www.drkaram.com
00:00 Melasma Mistakes!
01:06 The Root Cause of Melasma
04:32 In-Office Treatments Aren't The Cure
06:14 Not Going Crazy About Sun Protection
09:47 Not Using Active Skincare Ingredients
13:01 Not Being Careful with Hydroquinone
15:26 Being Inconsistent
Instagram: @DrAmirKaram @KaramMDSkin
Tiktok: @DrAmirKaram @KaramMDSkin
Learn more about my Skincare Line: karammdskin.com
Caramel Valley Aesthetics: 11943 El Camino Real, Suite 100, San Diego, California 92130 | 858.259.3223

Пікірлер: 1 000

@dramirkaram 2 ай бұрын

Check out this video of Dr. Karam discussing the ways that you can treat Melasma AT HOME! kzfaq.info/get/bejne/Zpd1gK6kqdm7o3U.html

@jumpsuitsandjeans 8 ай бұрын

I’ve noticed that not just the sun, but heat itself makes my melasma worse. When my body heats up from my hot flashes it gets worse

@15jay24 2 ай бұрын

Yes...me too experiencing the same

@premilajohn5693 2 ай бұрын

Yes it's absolutely awful these hot flushes! Been suffering with it for years now n not getting any better😢

@cassandras7399 2 ай бұрын

Heat is a common trigger

@rachelh9550 Ай бұрын

I do fairly heavy cardio five times a week (as in, drenched in sweat) - lately I’ve been wondering if I should back off a bit from doing that. 🤔

@samaraj.4182 29 күн бұрын

My melasma is more aggressive this year than it's ever been.

@Kallxay Жыл бұрын

Best thing about DR amir is in every video he keeps mentioning about his wife this show how much he loves his wife ❤ love this channel help me a lot

@olganova3058 Жыл бұрын

Ikr? I love Dr amir's videos so much, and that is one of the reasons ❤

@JK-0423 Жыл бұрын

I think he adds his wife to his video bcus she signed a contract, love contract.

@mcanultymichelle Жыл бұрын

Yes it’s nice to see .

@vchafab Жыл бұрын

I love this as well ❤

@canesugar911 Жыл бұрын

@@JK-0423 smart women

@elenafino 4 ай бұрын

Dr. Amir I am an italian follower of yours and I just want to say that your work online is incredibly good and really saved my skin. been almost 3 years following you and this is the best channel I follow. I am dealing with a melasma and the first thing my dermatologist gave me was hydroquinone, but now I more and I get your point. I still havent used any of the product she prescribed me and this video is really useful and gonna 100% follow your tips. ❤

@NefertitiThomas-Director Жыл бұрын

Hydroquinone has always been a temporary fix for me. Now I use all natural melanin inhibitors, vitamin C, niacnamide, and retinol, mineral based sunscreen, hats, and cleaning up my diet have made it barely noticeable. Mine was really dark btw and hereditary . Have hope ladies.

@funtimefranky Жыл бұрын

Ugh, I’m still fighting the battle. Can I ask which brands/products you use and what changes you made to your diet?

@lovely3873 Жыл бұрын

I am also suffering from melasma. May i ask what are your skin regimens and what changes did you made in your diet?

@cristinitaandco Жыл бұрын

Hi. I use a hybrid spf does it works? I mean I am obsessive wit it . One thing that helps me is mixin the cerave resurfacing retinol ( green package with the Mar love green hyperpigmentation treatment. Fantastic combo. I use vit C in the am with a lot of spf and reapply durin the day several times

@ravishingravebabe2916 Жыл бұрын

May I ask what your diet consists of?

@ravishingravebabe2916 Жыл бұрын

Oh sorry. And what products on your face? I've been experimenting.

@reezwanabatool2819 9 ай бұрын

Thankyou so much for clearing all those misconceptions and helping all those people to understand that care is the key.

@Miss_Sylvie 8 ай бұрын

Thank you for your honesty. I wondered about this.

@janettechoy8219 11 ай бұрын

New subscriber here ❤ and best video on melasma I’ve seen so far! I’m 51 and barely have a wrinkle on my face but have had melasma on my cheeks for the past 6 years (birth control pills, genetics and maybe rebound from using hydroquinone for 10yrs without break for maintenance after laser for sun-induced freckles). I’ve tried everything and finally gave up last year, just using spf50+ daily and full coverage foundation. A few months ago, l saw a new derm who put me on a 20% azelaic acid+4%hydroquinone compound cream, then 20% azelaic acid+6% arbutase, and now Triluma. I’ve also been using Vit C and obsessed with sun protection. And in just 2 months the melasma had cleared up to the point I am comfortable wearing no foundation in public. So happy! Just last week though, I over-exfoliated and my skin became irritated. Now parts of my melasma have darkened again… doctor is right, patience and consistency are key 😥

@kaynee4876 10 ай бұрын

Hey just a heads up. I was given exact same treatment for my melasma as you commented. Triluma cream worked wonders on my skin for one month. One day I woke up and my dark patch was back. More darker than before. I’ve got to know later that there is some timeline for using triluma. Please talk with your dermo.

@chelleychelley8299 Жыл бұрын

I was neither on HRT nor Birth Control I was however perimenopausal! I struggled with a bad case of melasma for a couple of years and finally found relief with prescription Tri-luma which was slow but worked for a couple of years, but for a better result after that initial effort with Tri-luma I used Treitinoin as well as vitamin c. My skin in not perfect especially during the summer because not only does the sun darken the places on my face but the heat enflames my skin as well. I am actually learning to live with it and my husband makes me feel beautiful no matter how terrible I think I look! Thank you for talking about this issue! Maybe someday melasma will be easier to deal with.

@ThaQueenBeeMe Жыл бұрын

Thank you so much for this info, truly! I’m 45 and struggling with it.

@alejandravazquez9775 Жыл бұрын

Excellent information. Thank you Dr.

@adrianatobar1968 Жыл бұрын

Thank you so much for the great video about melasma.

@mulnelysi Жыл бұрын

I appreciate the doctor telling his audience the honest truth about in office treatments. I spent a lot of money for laser treatments for it to come back. Money went down the drain. Melasma will never go away just have to control it.

@jalal_khan77 4 ай бұрын

Plz tell me the best treatment of melasma

@miriannataliamonges1912 12 күн бұрын

X2... EMPEORÉ MI MELASMA Y EN LUGARES EN DONDE NO TENÍA. AHORA ME RECOMIENDAN COSMELAN. YA NO ME ANIMO

@firing_reyes 5 ай бұрын

Best video on melasma and facial care. Great job, Dr. Karam Thank you 🙏🏼

@shivcharandhawan2735 Жыл бұрын

Thanks doctor for so much required advice...

@fatimazahra4221 10 ай бұрын

How nicely u share such a precious knowledge.. great gesture of kindness...

@Alice-fr1ef Жыл бұрын

Wonderful video of skin School Dr. Karam. It is very educational and informative with information we all need to know. I never knew birth control pills had anything to do with Melasma or hyperpigmentation. I have always been very careful of the sun but not knowing of other things we need to know. Thank you so much Dr. Karam. You are the best.

@Jacqx05 Жыл бұрын

Thank you for your knowledge!! Saying avoid the sun is not always possible , but being specific about “how “ hats , glasses, umbrellas, seek shade staying cool is important that way us melasma sufferers can know what to do ! Sunscreen is not enough 😢

@dramirkaram 9 ай бұрын

Thanks for the feedback.

@gia_giamdna 21 күн бұрын

@@dramirkaramWhat about pico laser?

@elmyfajardo4172 10 ай бұрын

Thank you, great video!

@michellewelling9074 8 ай бұрын

Great information.... Thank you 😊.

@lanky_annie Жыл бұрын

Very helpful video. I have been managing Melasma and sun damage. I have had in office treatments results of which were temporary. I now use alpha arbutin twice per day, vitamin C & SPF 50 morning, Red light therapy daily, Retinal alternate nights, wearing hat, face covering & gloves. I use a UVP umbrella - I too don’t care what others think. 😂😂

@yellowbears1 Жыл бұрын

Me too! Now, a UVF umbrella is a great idea!

@marcellagraca99 Жыл бұрын

Hi! Is Red light therapy helps your melasma? I thought that makes it worse, I used de infrared and my melasma got deeper 🥺 I saw videos saying the green light therapy helps melasma a lot, I will try

@liviusss Жыл бұрын

@@marcellagraca99Apparently it's the infrared that can make the melasma worse for some people, not the red light.

@illuminata8097 Жыл бұрын

Red light made my melasma worse. All kinds of light therapy causes photo aging.

@almaramirez7365 Жыл бұрын

@@marcellagraca99 I tried red light, it made my melasma worse, it got way darker

@silviacarolinalangowski8442 Жыл бұрын

I have upper lip Melasma, I never had it during my 4 pregnancies! I am not on birth control or hormone replacement! I use everyday vitamin C, retinol and Alpha Arbutin! Plus a mineral sunscreen 50. It really helps me. Thank you so much for your honesty. Greetings from Germany.

@srijasharma5212 Жыл бұрын

Which sunscren do you use?

@empressowl2817 9 ай бұрын

Same me too it looks like I have a mustache

@joanieb9625 9 ай бұрын

Oh em ghee! Ty Dr A, I’ve been going to derms for so long and they didn’t tell me all of this. I noticed the melasma on skin in my early 40’s and I feel like it gets worst everyday. I will finish up with the current treatment that I’m using and I will look forward to using your Trifecta in the future. I’m really glad I came across your channel. 🙏🏻

@Raksha-jd1ql 9 ай бұрын

The most informative video I have come across on Melasma..Thank you for giving detailed information.i wish I could find this video earlier.

@Nicolee1973 Жыл бұрын

Great video! I’ve been on the pill since I was 19 and I am now 50. I’ve had in office treatments, chemical peels, IPl and I never knew I even had Melasma until the end of my last IPL appt and the nurse told me I had Melasma and that it would probably come back! That was an expensive and very painful lesson!

@dramirkaram 9 ай бұрын

Thanks for watching!

@skulltaylor1616 7 ай бұрын

I got melasma from the pill. I was on it from 16 to 30. Nothing has gotten rid of it

@JuliaShalomJordan Жыл бұрын

I love how educational your videos are. Dr. Karim making sun protection cool again. 🙌🏻😎☂️

@helenaivanka3767 Жыл бұрын

Thank You for your honest opinion.

@nicolelai2559 Жыл бұрын

Thanks for sharing ! 😍

@kathrynlouiseberman7919 Жыл бұрын

Thank you, Dr. Karam for another informative video. Why do you use plant derived stem cells in your Trifecta instead of mesenchymal stem cells?

@marleneharden544 Жыл бұрын

Beautiful family...Doctor We all Have Our Beast of Burden 😮 thank you for sharing family's life and friendships ❤ thank you for All of your hard work 🙋‍♀️🙏😇

@katgurl5119 Жыл бұрын

Oooomgosh, such helpful & interesting information & and I will be sure to pass it along.

@acuregen Жыл бұрын

A really informative video thanks so much

@kevinhanley6462 Жыл бұрын

You're very skilled! Your wife will always be grateful to you. When looking up about dark patches hyperpigmentation will almost always be the info, but the advice of Tretinoin can also be applied to melasma. Not many dermatologists understand it and will have their own theories, adding to the confusion. Reaching for the Adapalene will be a less irritating alternative.

@valeriegould1769 9 ай бұрын

This is the first time I've heard the sun & melasma connection. It makes perfect sense. Thank you!

@dramirkaram 9 ай бұрын

Ahh my pleasure, glad it was helpful

@LindaKayHolevas 7 ай бұрын

Your wife is absolutely stunning. You are a beautiful couple. Thank you for this video. I think I learned that I am dealing with hyperpigmentation vs. melasma. I have lupus & when I was in my 30’s (I am now 59), I had severe flares that resulted in sores on my face. It was terrible. I now have white spots where some of the sores were & also darker age spots. It is the worst on my lower cheeks & in my hairline. I have also lost a lot of hair where I had these sores. I have had quite a bit of improvement with adding tretinoin, salicylic acid, lactic acid, & mandelic acid (all in moderation, of course. I am always trying to learn as much about my skin as possible. I appreciate videos like this one, Dr. Amir. Thank you so much!

@kellybiggs3548 Жыл бұрын

These videos are so informative and helpful. Thank you!👍🏽

@DonaldASteven-dt5hu Жыл бұрын

Sending ❤️..Are you single?

@HiddenGemK 11 ай бұрын

I have heavy melasma on my face but have to use a lot of makeup to cover it and cannot reapply sun block all the time. I feel so embarrassed for this condition that I have never been out without makeup

@Yannylpg 11 ай бұрын

Try sunblock stick made fr japan.. i see in the instagram people use that uv stick several times a day without ruining their make up ..but i dont know the brand's name of it exactly.. maybe u can browsing

@harrygill8438 8 ай бұрын

Sorry to hear abt ur situation… i hv been going through the same.. u can use makeup setting spray with spF 50.. 😊

@samaraj.4182 29 күн бұрын

Me too

@rosiemartinez6399 Жыл бұрын

A very interesting tutorial on a very “confusing “ topic …I have been struggling with the definition between “melasma & hyperpigmentation “….. now I have a better & clearer idea … thank you so much for this, you are a wealth of information & I just love listening & learning from you … Thankyou !!!

@yamadinah 24 күн бұрын

Great advice so well explained

@Sandra.Viewer Жыл бұрын

Thank you for your honesty 😌👏🏼👏🏼👏🏼

@afsamsayah Жыл бұрын

Hi dr. Can you touch on the subject of sunscreen for ALL skin types? Thank you in advance

@pandorasflora Жыл бұрын

Thank you so much for sharing such honest, educational, and practical information with us! Your dedication to providing valuable insights is truly commendable. I greatly appreciate the effort you put into delivering reliable and helpful content that benefits your audience. Your expertise and willingness to share knowledge are inspiring. Keep up the fantastic work, and please continue empowering and enlightening others with your valuable contributions. You are making a positive difference. Love and light 💜💡

@dramirkaram 9 ай бұрын

Thank you so much for this kind comment

@SavannahMares Ай бұрын

I adore you and your channel! You’re a beautiful human being

@liwaycervantes Жыл бұрын

Thank you for sharing this❤

@jenniferingemi6982 Жыл бұрын

Thank you doc! You have given Some clarity on the differences in melasma and hyperpigmentation. I just can’t help but think that there is nutritional knowledge that could be implemented to help from the inside…we were not meant to be covered up and lathering chemicals( including some cancer causing sunscreens) all over our bodies! Also, I like having color to my skin( nothing crazy but some color!)🤷🏻‍♀️ I just think supporting the bodies natural functions and productions( including melatonin production ) is the way to go! I make my own lotion and use natural products on my skin! The expense of some of the other skin care items on the market is ridiculous! Just sayin’….thanks again! You seem to be fairly balanced and reasonable in your knowledge…I am going to continue to watch and filter what works for me! Thanks, Jen

@dramirkaram 9 ай бұрын

My absolute pleasure

@TheMeghanleigh 9 ай бұрын

Melatonin 🤭

@sisey99 9 ай бұрын

Melanin 😎

@prettyinpink8349 Жыл бұрын

Dr Amir. Thank you for this video! Excellent suggestions , going to buy a bigger hat now! Also, I wasn’t sure if having a very hyper-pigmented chin would ever go away? I have been dealing with it for years! I am currently using most products you mentioned and spf like craaaaaazy but see no results even after a rigorous and religious commitment for 1.5 year. :( do you think there is something internally that could be done?

@bettyr405 Жыл бұрын

I Love your videos and your products thank you Dr. AMIR😊❤

@rochellemoore4386 11 ай бұрын

Thanks Dr. Amir❤

@bgipper4109 Жыл бұрын

I have had malasma for 15 years, my mother has it too. I wear 50+ sunscreen in the summer which helps but malasma is not curable. It gets lighter in the winter. It’s just something I’ve learned to deal with. Wear a very large hat. Yep, do it.

@Grcysed 6 күн бұрын

Yeah same here and you are definitely right

@Trulyb_ Жыл бұрын

Thank you Dr. Amir this videos has helped me identify the difference between hyperpigmentation and melasma. I thought i had melasma all over my face heh but I've actually got a combo of mostly hyperpigmentation on the cheeks and little dots of melasma starting near the eye/cheekbone area. I can now tackle this appropriately. Thank you!

@venikukikuki3088 11 ай бұрын

I have melasma how it will be cured

@dramirkaram 9 ай бұрын

My pleasure! Thanks for watching

@mariamilewska7779 4 ай бұрын

Thanks again great advice

@joancalimbo3517 6 ай бұрын

Thank you doc very informative

@ellebee5702 Жыл бұрын

100% correct, my lifestyle is not conducive to having office treatments as I'm always out on the sun and go to the gym everyday. My melasma has gotten progressively worse. I'm just going to live with it as it's rather live and enjoy my life outdoors.

@dramirkaram Жыл бұрын

Incorporate sun protection

@MindOverMatrix111 8 ай бұрын

One of the best skincare videos on KZfaq. Thanks for existing ❤

@dramirkaram 8 ай бұрын

Wow, thank you!

@firing_reyes 5 ай бұрын

No lie, the best one I’ve saw, also

@desertcat4193 Жыл бұрын

Excellent content

@sugarfree_2023 Жыл бұрын

JazakAllah kheir doctor. You are the best. I totally agree with all what you say

@PureLiving... 11 ай бұрын

Hi doctor ! This is very helpful. So my request is here, please recommend a particular sunscreen on this topic 🙏 Thank you so very very much 😊

@Universalstudios1994 8 ай бұрын

La roche posay has really really good ones

@oneoptimisticstar Жыл бұрын

I can relate to your friend, after a trip to Mexico, I was doing great, up till the day before we came home we went to the pyramids and the sun was so strong, I could feel my face burning, the next morning, all the progress I had made was gone just like that, I had applied my sunscreen like normal in the morning, but didn't consider the humidity, or how I sweated off my makeup and sunscreen. This was in early November and I think I have only recovered 50%. I know someone who did laser and her skin looks great, but I'm homely terrified about putting a laser to my face. I'm happy I came across your video. And yes mine was brought on when I switched birth control and now I have Hashimotos as well 🥴

@sylviegales7152 9 ай бұрын

Dr. Karma u r very knowledgeable. I love listening to you. You explain everything so clearly. 😊

@cbeautifulworld11 Жыл бұрын

Thank you for all of this information, it is so helpful! Do you have any suggestions for effective substitutes for Retinol? It has helped everyone I know who takes it yet I have an ultra sensitive system along with auto immune issues and nearly immediately experience multiple negative side effects, many of the effects which are felt by only 1% of those who take this hormone. I so wish that didn't happen.

@sweetnsour6743 Жыл бұрын

Very informative video.

@aidabagheri1434 Ай бұрын

Perfect and useful

@javadivawithdog Жыл бұрын

I recently made a push to get on top of my melasma. I have to say identifying the type of melasma you have is really key. I have a history of rosacea that I primarily treated with sunscreen. This has calmed down with aging. I recently added Azelaic Acid topically and ramped up licorice root, AHA/BHA and mandelic acid treatment at night and this has really improved things. Good improvement in 2 weeks!! So really hopeful about this at last. Just encouraging everyone to think about what is your skin inflammation caused by and focus on fixing that.

@narinderkaurmundi7359 10 ай бұрын

Great job

@chosenandblessed9040 10 ай бұрын

Could you share your routine - am and pm

@misscd7777 10 ай бұрын

Hey can you share your skin care products and routine? I have rosacea and Melasma starting on top of my lip.

@javadivawithdog 10 ай бұрын

It has a lot to it because of adding things over years. AM: wash with CeraVe SA cleanser, moisturize wet skin with Curel Hydratherapy, add vegan Squalane or It's Skin's hyaluronic acid serum. Apply OneSkin- O1, apply Innisfree green tea seed serum. Apply Power of 10 Li effector serum and The Ordinary's Azelaic Acid 10%, focusing on melasma problem areas. Apply Alpha Skincare AHA/BHA serum, The inkey list collagen peptide serum, The ordinary 's vitamin C 23% serum. Apply SPF 50 mineral sunscreen. Then after this sets up, apply make up. PM: Remove make up with Yadah cleansing balm, hydrate with Curel Hydratherapy on wet skin, add vegan Squalane or It's Skin's hyaluronic acid serum, then rotate various night time treatments: The inkey list mandelic acid treatment serum to problem areas, prescription Tretinoin 0.1%, or the Ordinary's 30% Vit c in silicone. It's a lot of acids topically but I don't have sensitive skin and adding the Azelaic Acid has been working great. Good luck on your treating melasma at home journey. Hope this helps!

@dramirkaram 9 ай бұрын

Good luck! That is great.

@weerayaharris9560 Жыл бұрын

Thanks Doctor for your helping a lot of people are having a Hyper Pigmentation and melasma . I’m so depressed about my face and I’ve been using the Mously creams about 4-6 months so now my face is ugly and got a dark color on it . Thanks you’re awesome 👏

@Linda-ic1il Жыл бұрын

Your skin is not ugly and you are not ugly either! It needs a little tender loving care 😊

@BeccaSmith124 Жыл бұрын

That's crazy. Musely helped me 100% and I'm so thankful. Maybe your dose was off.

@nm9412 11 ай бұрын

Please don’t call your skin ugly. Skin is skin it does it’s thing. Don’t take it personally and stop beating up on yourself.

@jessiep319 9 ай бұрын

Great information! Thank you so much!!!

@dramirkaram 9 ай бұрын

You are so welcome!

@rhealynnabella4443 9 ай бұрын

Thank you Dr Amir..

@sabi8381 Жыл бұрын

You are absolutely right. I tried everything in the book, including going to a doctor who used a laser on me and made it ten times worst. For years I was so depressed about my face and one day, I just left it alone and gave up. The only thing I do now is wear SPF every day, keep away from the sun, and avoid sugar. It's still there but it's much lighter than before.

@Myork2014 Жыл бұрын

What do you mean avoid sugar?

@pbrd4695 Жыл бұрын

Sabi Same thing happened to me. Had pico laser treatment and now my face is scarred even worse😢

@sabi8381 Жыл бұрын

@@pbrd4695 I'm so sorry to hear that. The only thing is to use SPF daily, stay away from the sun, and take at least 2000 m of vitamin C. Do not exfoliate; try to ignore it as much as you can and give it time. Good luck🙏🏼

@Universalstudios1994 8 ай бұрын

@@pbrd4695oh Pico laser is the only thing that worked for me!!

@Dandelion_flight Жыл бұрын

Yes I heard about pigmentation issues with HRT and that's the negative part of HRT when it actually does so much good for us. I am very prone to pigmentation at my age and just begun HRT. Hopefully melasma stays clear from me! I don't agree that melasma induced by pregnancy will clear. Susan Yara, a skincare KZfaq content creator shared that she had that but from what I understand, hers did not go away and was quite a problem to get rid of.

@Idk-do4db Жыл бұрын

I will never understand this. We had plenty of hormones when we are younger but all of the sudden it's re-introduced after menopause it has the potential to trigger melasma. makes no sense to me.

@Dandelion_flight Жыл бұрын

@@Idk-do4db Ikr! When we are younger even our wounds healed quickly and pigmentation will go away but now that we are older it takes forever or just stays! I think it is just part of ageing.

@Kelly-pp1et 7 ай бұрын

She is the founder and owner of Naturium also

@infinite_eye2727 6 ай бұрын

Very informative, best video I’ve seen, thank you. The same thing happened to me, after a year of hard work, two days in the sun of Los Angeles visiting home, I lost all my progress and made my skin worse. Now i have learned to always wear hats (if exposing to sun for more than one hour), good sunscreen (I used ILIA brand and their spf ruined and aggravated my melasma by not providing adequate sun protection, never again, I’d avoid ilia products for melasma patients), I also avoid prolonged exposure to sun at certain times of year and geographical locations and most importantly reapplying sunscreen every 2 hours religiously. These things greatly improved my melasma, it has been 2 years since I started on this melasma healing journey and I finally feel I’ve made progress. I had better results using long term 15% azaelic acid and using less products on my face and going more clean and green. Dr, Bronners is great, anytime I use anything else to cleanse my skin it makes my skin worse. Also addressing my internal health almost helped more or just as much as the external creams etc. like thyroid, hormone, etc.

@pinkandsparkly Жыл бұрын

This is by far the best video I've found on melasma.. I have it on my upper lip and my self esteem is non existent.. I spend thousands of dollars on laser treatments and ruined it all in 1 day of fishing.. thank you for this info...

@pjk1714 Жыл бұрын

I rotate vitamin C with retinol and always use a balm and argan oil. I wear Tilley hat's designed for military for sun abd heat protection yet most are stylish. I have reaction to sun due to damage and sun poisoning much younger. It's miserably discomforting if a flare up occurs. I also use a collagen powder daily. My skin looks much younger and so soft. Appreciate the tip about inflammation. Will monitor closely. I just try to give what my skin needs.

@beautifulme1762 2 ай бұрын

which collagen powder u use

@primacabral8530 Жыл бұрын

Melasma won’t go away permanently, but you can control it. Just by using a lot of sunscreen really helped me a lot. I re-apply my sun protection 3 to 4 times a day, wear a hat and a sunglass, and of course a good skincare regimen that won’t make my Melasma worse. After 5 years of struggle, it pays off. I always got a lot of compliments. They won’t noticed it anymore. I don’t wear make up because it might trigger my Melasma. Be patient and you’ll discover what works for you.

@shaminkanwal2024 Жыл бұрын

which sunblock do you use

@primacabral8530 Жыл бұрын

@@shaminkanwal2024 Elta MD UV Pure Broad Spectrum SPF 47, its 10% zinc oxide and 5.5% Titanium Dioxide. This is the only sunscreen that really protect me in high heat. I start applying it at around 8:30am, then every 2 to 3 hours, it does not matter if i will just stay inside the house. Your sun protection is your best friend. Your skincare does not need to be expensive, what matters is how you protect your skin after your skincare. And maybe, consult a dermatologist for more guidance. I am guided with a good and patient derma. I hope this will help you.

@priscillawolfe7193 Жыл бұрын

Makeup can trigger melasma?! 😮

@primacabral8530 Жыл бұрын

@@priscillawolfe7193 in my personal experience yes, also it might be because I also have rosacea, so my skin is really sensitive to start with. Heat of any kind can also trigger Melasma.

@othersbyuri Жыл бұрын

@@primacabral8530thank you for sharing. Don you also use vitamin C and retinols as Dr suggested?

@shabanac8784 Жыл бұрын

Fantastic advice, clear and easy to follow. Thankyou!!

@dramaqueen3457 Жыл бұрын

Thank you DQ~

@vitoliotino2458 Жыл бұрын

Thank you Dr. Karam. Great information. I have been using SPF, wearing hats , as well as using vitamin c and retinoids for several years. People are shocked when I tell them I’m 55 years old. This regimen works!!!

@theodorawalters4372 Жыл бұрын

Hi. Kindly advise us of the products you use and how you use it. Thank you again.

@theodorawalters4372 Жыл бұрын

I am 57 and now experiencing this.

@almaramirez7365 Жыл бұрын

Hello! Dr. Can the intake of glutathione help for melasma?

@LIPID930 8 ай бұрын

So informative and beneficial. Thank you so much Doc.

@dramirkaram 8 ай бұрын

Glad it was helpful!

@raquelsanchez4186 Ай бұрын

Thank you so much, I have been feeling down because of my melasma, but with your video I feel better. I am going to go crazy about sun protection.

@Tikap73 Жыл бұрын

Thank you for looking out for us melasma people. It's reassuring to see that I am doing pretty much all the things you recommend. I did not yet manage to get it improve a lot but as it looks I stopped the progress (darkening), which is already good. To everyone with melasma who doesn't like to wear much make up: a colour corrector in peach mixed in with a bit concealer to get the perfect tone used as a spot concealer on the melasma patches gives more coverage and correction than thick layers of foundations. A light dust of powder on top and the skin looks a lot more even in tone.

@Idk-do4db Жыл бұрын

what brands/product do you use for color corrector?

@Tikap73 Жыл бұрын

@@Idk-do4db Clinique. I finally also got the ELF one which is much cheaper but always sold out.

@iamingrid6469 11 ай бұрын

@@Tikap73 thanks

@carlinaalcantaralemangodoy5288 11 ай бұрын

I did this abs it work ❤

@iamingrid6469 10 ай бұрын

You melasma or sun damage hardly can be seen...

@kathrinesteele478 10 ай бұрын

After my hysterectomy in 2004 horrible melasma on arms and cheeks, my doctor at the time thought estradiol topical was the culprit. I stopped it and after 4 years of weekly microdermabrasion it subsided. Then a decade later I started to develop skin cancer that I was told was estrogen driven. Now that I’m in my 60s, the melasma has returned to my left cheek 😢

@dramirkaram 9 ай бұрын

I am so sorry to hear that. Thank you for sharing. I hope this video was helpful to you.

@ginafiallos6163 Жыл бұрын

Thank you! ❤

@user-xx8rd8zg4u 2 ай бұрын

Thank you, Dr. Karam, for all your support. I acknowledge your valuable time in explaining 🙏 what and how everything helps with different products and / or treatments. My God bless all your excellent handwork in people faces and neck. Many blessings to all.

@convenienceandpracticality9032 Жыл бұрын

My derm prescribed me hydroquinone but didn't tell me that it should only be taken temporarily, so I used it for 3 years straight. It wasn't until 8 months ago I read somewhere that it should only be used for 3-6 months max, at a time. So I slowly weaned myself off of it (& moved my records to a new dermatologist's office...). Luckily I had no rebound melasma. Not yet anyway. But I can say 3 yrs on hydroquinone wasn't any better than 3 months on it. At the very least, it just helped prevent it from getting worse.

@tanjarichter4603 Жыл бұрын

Great video. I agree with you. I've also noticed that physical heat, be it from the weather.....AND/OR from working out can bring out my melasma. My work around is working out while trying to keep my facial skin cooler. Swimming before the sun comes out, helps me work out without my face getting too hot and i use a cool towel or iced face mask to keep my face cool on my spin bike at home. Have you noticed this problem in your practice? Do you have recommendations for keeping the face cool in the heat and while working out?

@peacelove7437 Жыл бұрын

Yes, steam, light from lamp( i get my lashes done and I wear a mask so the light doesn't affect my skin.)

@sewitseams5632 Жыл бұрын

I heard anything with heat like a sauna or hot yoga workouts will flare up melasma. So your cooling exposure makes sense.

@liviusss Жыл бұрын

I experienced this when I had a patch of hyperpigmentation on my forehead after blowdrying my bangs and then getting out (it was just a little bit of sun in March, not some crazy summer weather), and I think the heat from the dryer is what triggered the hyperpigmentation. Fortunately it went away after a year or so, but it made me aware heat is definitely a trigger.

@Coolleenc 9 ай бұрын

Mine get worse with heat like sweating and being damp from heat.

@galiatodorova9050 10 ай бұрын

Thank you!

@MooreBasics 9 ай бұрын

Very helpful and honest video. Thank you so much! I know I have melasma instead of hyperpigmention after watching. I have a blood disorder called Pai-1 that causes blood clots. This is the reason my face is discolored severely.

@reemzaben4026 9 ай бұрын

What is your take on Tranexamic Acid? I take the tablet form and it works! (along with aggressive sunblock and hat, no exceptions). I stopped Hydroquinone as it made my skin red and inflammed. I use retinol a few nights a week as well as glycolic acid some nights. So far it's been working.

@ballison1716 Жыл бұрын

My doctor prescribed Triluma! I use it at night onnthe affected area. Its been helping alot. Takes weeks to get alot of the darkness off,but it works well for me! I pray it stays this way!

@user-ni6ho9yw6i 10 ай бұрын

Does triluma work for melasma? Is it a good cream?

@ballison1716 9 ай бұрын

@user-ni6ho9yw6i yes,I use it too. It's for melasma

@MaiMai-mw1xm 9 ай бұрын

Thank you SO much for sharing such honest information with us! You are my favorite Dr! #1!!

@dramirkaram 9 ай бұрын

Wow, thank you!

@tezetanishan8866 Жыл бұрын

This Dr is very honest telling about Melisma . I tried all kinds of things trying not working. Do finally i gave up .

@holodeckfour 11 ай бұрын

I had the forever young BBL laser done on my melasma and though the aesthetician said it would NOT get rid of it … it totally did!

@nitpm8088 4 ай бұрын

How is your skin now?

@alinaion2841 10 күн бұрын

I also want to know how is your skin now.

@carolhern Жыл бұрын

I have melasma, started in my mid 30s. I've tried everything. After years of tretinoin and hydroquinone (12%), peels, laser etc. Leaving it alone and just adding niacinamide with my normal routine, and occasional pen microneedling has made it nearly go away. Sunscreen daily. I've taken a break on tretinoin, but will start back up soon.

@georgia_rain Жыл бұрын

Hi! I’m in my mid 30’s too and ị started having pigmentation and I had my 1st laser before having seen this video, may I know which lasers have you had that helped you at least? Now I’m having 2nd thoughts if I’ll continue with my 2nd session 😢🥴

@carolhern Жыл бұрын

@@georgia_rain Lasers didn't help. So I just use a microneedling pen occasionally (about once a month at 1mm) and use Niacinamide, vit C, tretinoin and arbutin. I"ve seen more results than when I was doing a lot more to my face. I only use hyaluronic acid the day of needling and the day after. Don't re-introduce topicals back into my routine until day 3. For some lasers do work, so just monitor your results, and then decide if it's right for you.

@chrisluisangel Жыл бұрын

Which microneedling pen do you use?

@carolhern Жыл бұрын

@@chrisluisangel Dr Pen

@chrisluisangel Жыл бұрын

@@carolhern thank you!

@Manjdesh Жыл бұрын

Thanks Dr❤❤

@sorayavanderschyff937 10 ай бұрын

A very helpful video, thank you 🌸

@dramirkaram 10 ай бұрын

So glad!

@peacelove7437 Жыл бұрын

Everything he said is correct because I had malasma except about the sun. I always wear my cc cream with spf 50. I go in the sun all day, carribean vacation, boating, etc. My malasma doesn't come back. Got rid of it from hydroquinone, picosure laser, and retin A. Maybe because my malasma is from pregnancy and IVF injections and not from sun. Because the malasma i got from the sun on my upper lip is still there😩. Not as big since I got a lip lift, took most of it out. I am confident to go without makeup. I had bad skin when I was younger, breakouts, big pores, but rentin A has smooth out my skin. IT CC cream has spf 50 and it has coverage. I love it!!

@SusanJ-jt5ny Жыл бұрын

IT cc cream has ingredients in it that can inflame the skin which can cause irritation which can cause hyperpigmentation

@chandrikadas9163 9 ай бұрын

I've noticed that making sure my skin is well - moisturised really helps, dry skin seems to worsen melasma and stress is a trigger for me too. Strangely sunlight doesn't affect me, but I think that's because I don't use actives on my skin - my feeling is they sensitize the skin, making it more susceptible to damage from the sun.

@nazeeya9528 28 күн бұрын

Thank you Doc for sharing you knowledge with us. What chemical peel do you recommend for melasma?

@rtklarsfeld Жыл бұрын

Phenomenal lesson!! So helpful. Thank you!

@elizenti1 Жыл бұрын

I discovered your channel a while ago, and I have been following you since then. I have noticed that you always recommend MINERAL-based sunscreen, while very often I hear that we should avoid mineral-based products. Can you explain why we should choose the mineral-based ones.

@Scole23786 Жыл бұрын

I didn’t have melasma until I had laser treatments for a few blemish spots 15 years ago. I applied sunblock, but the mistake I made was not apply it 2 or 3 times per day

@nelegrie8205 Жыл бұрын

So no laser treatments for people who are prone to melasma? 😢

@Scole23786 Жыл бұрын

There’s different types of lasers. The dermatologist needs to use the laser that’s right for your skin type and at the appropriate strength. The laser that caused my melasma happened 15 years ago. So, it could’ve been the wrong laser at the wrong strength used on my skin, or that lasers should not have been used at all.. I don’t know. There may be better lasers out there these days, but personally I would never have another laser touch my skin again.