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Hyperpigmentation
I already use 10% Niacinamide serum and 20% Azelaic Acid cream twice a day. I wear SPF everyday indoors and outdoors. I apply tretinoin 0.05% every 3 nights. I am trying to fade big patches of mild melasma on face, around my cheeks and my forehead. I have heard good reviews about Biluma cream. Where can I fit Biluma in my routine? With my current routine I am seeing very slow process and I don't want to use hydroquinone. I also don't want to get any lasers done. My skin has adjusted to all the ingredients mentioned above.
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Hello.. firstly I would like to tell you that melasma is mostly due to hormonal cause in females. Unless or untill the root cause has been treated, we can't expect major improvement. And also you have to keep one thing in mind that melasma has no permanent solution.. eventhough it can disappear with current treatment..there is a chance for recurrence. I appreciate your patience in following your skincare routine and also having awareness about hydroquinone. Few oral medications are available currently for better results..kindly consult and get treated.
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hormonal profile has to be checked
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