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If you're watching this video it's because do you have melasma or know someone a lot to next that suffers from this problem, continue watching and see the 7 Mistakes of Who Wants Treat Melasma on the Face… and for you that will stay until the end, I'll explain how to avoid the dreaded rebound effect. I am Dr Alexandre Lima, I am a doctor, I'm in love with dermatology and I work with dermatology and aesthetics for 17 years. Let's go to our tips, but I leave a warning that in the end we'll have that bantam with quick answers to various questions of this theme and previous videos.

oh and if you think melasma is a problem only yours, you're wrong, it hits a lot people, even look at the artists who already confessed to having melasma: • Ivete Sangalo • Mariana Xavier • Deborah Secco • Mariana Goldfarb • Cleo Pires • Kelly Key And so on. . .

So, it's not for lack of money, that the melasma does not disappear. That's why I'm already starting talking about the first error in the treatment of melasma, write them all down so you don't commit also: The First and Most Serious Mistake: Thinking That only those who have money can treat: Look! This is not true, ok?

! There are several treatments for melasma. We have treatment lines you will use at home, for example.

. . You need to use specific products, as protectors and whiteners, with discipline and consistency.

And this I will explain a just ahead in what I call Pillars for Treatment of Melasma on the Face. You can also use some treatments and technologies that we have in the office, such as chemical peels, specific lasers for each skin type, microneedling, etc. I've already talked about some of these treatments here on the channel and I'll talk about several others, by this reinforces the importance of signing up.

on the channel and activate the bell there. But the most important thing is not the type of treatment, and yes how often you treat the your skin, the routine use of products, understands. This is essential melasma treatment.

Well, actually, I'm going to tell you a secret that no one explains to you: Treatment of melasma is more related to persistence and discipline. write it down there, as it will be important later on, when I talk about Rebound Effect Care But first let's go to the 2nd Error in treatment Melasma: Use a little sunscreen Exactly, abuse the sunscreen, both in quantity, and frequency. Look, it's no use buying a protector good and not use… I even play a game with my patients that several researches demonstrate that protector in the closet doesn't work.

. . Of course not have this research.

The point is: you really have to pass on the skin. So guys, you can't save. IT'S better buy an intermediate protector, but that you use efficiently than buy a super protector you keep bread duration.

Ahh… Alexandre, which protector do I buy? I don't know, we have dozens of excellent protectors, you need, with the help of your dermatologist, find one that suits your pocket and to your face, when it comes to cosmetics. I for example love Anthelios Airlicium from La Roche, which is very dry in my skin, but several of my clients have already said who didn't like it.

But for melasma, good sunscreen, it's one that has good coverage, example are the sunscreens based, that ends also better protecting against visible light. So record there: the ideal frequency is use at least two to three times a day to protect yourself well, see! The 3rd mistake is: Thinking that Sunbathing underneath from the parasol or parasol everything is fine.

This also goes for: I run in the sun, but it's with a cap, I walk in the sun with a hat, I go cover me with a towel, etc… You know the main problem people is that the heat itself makes melasma worse, moreover visible light too. If this is on the beach or on light surfaces will be even worse. That's because the sand reflects 70 to 80% of the sun's radiation back for you, that is, you protect yourself a little from the radiation that comes from the top down, but not against the bottom up and she is very significant, almost as if were exposed on a normal day in the city.

And how do these spots form? Well… this happens people because Melanocytes, which are the cells that produce melanin they are very reactive in those who have melasma. With this they will produce more pigments with any radiation and also with any irritation.

So don't be fooled, you really want to protect, really avoid. The effectiveness of your treatment depends a lot. of your choices.

The 4th mistake is thinking that homemade recipes will solve your problem. Hey Alexandre, you recently published a homemade recipe for melasma… explain to me this story. Yes, I published a homemade recipe, with scientific basis that can help in her treatment, but she alone - and none recipe - in fact it will solve.

. . and this it is also related to the Pillars of Treatment.

which I'll explain. But the big problem with homemade recipes is that indiscriminate use without monitoring specialized doctor, it may even worsen some blemishes, or cause a false sense of that's okay, then you relax your treatment, causing the dreaded rebound effect. Some homemade recipes can help, some may not do anything, but some may offer great risk to your skin's health.

So be careful, always orient yourself with your dermatologist. But what's up… liking it so far? leave one comment telling me in which region you have melasma and what treatments do you already have tried!

And subscribe to the channel for YouTube and Me we know this theme is cool… and let's go for the 5th Error. The 5th Mistake in Melasma Treatment: Finding that medical treatment has to solve the problem instantly. The phrase I hear is: I went to that doctor, I paid for the consultation and he didn't help me, no solved my problem.

That's why I don't I went back on it and I came looking for you. Guys, it would be easy for me to say that a colleague maybe didn't do his job right. This can happen: Yes!

But it's not always that. It is impossible to treat in a single consultation, saw? Exactly because there are several causes of melasma, from sunlight, cold light, stress, there are so many cases and possibilities that you can comment them all here in this video, OK?

But it's important for you to follow up with your doctor. In the beginning, we will look at your skin, see if it will be sensitive to certain acids, change. We usually start with lighter, more tolerant products and we are gradually increasing.

I've had patients who improved after 3 months and others who needed 2 years, only with home treatment, without the need for procedures. I have laser, peeling and other procedures to speed up available in my clinic? I have Yes.

But they are not mandatory for have good results. That's why it's important for you to make a individualized monitoring, it's no use use the product the friend used. her skin it's different, the type of melasma is different and the result can be very different.

AND which was excellent for one, can make the with several consultations, be patient. Mistake 6 is: I want a miracle treatment! That's what we all want, but it doesn't exist.

That's why so many people look for homemade formulas, magic pills and etc and I'll tell you why That does not exist. Yeah… Now I'm going to explain to you about Pillars of Melasma Treatment on the Face. And to understand the treatment you need understand the disease and this is where I want all your attention because this will change your life, how you see and treat melasma.

. . Melasma is a hypermelanosis, that is, it is a disease that causes increased production of melanin.

It is very common and characterized by blemishes. with irregular edges, with intensity of light brown to dark brown, localized in areas with greater exposure to the sun, such as forehead, malar and zygomatic region, nose, fluff, chin and affects mainly women of childbearing age. It affects more women than men and affects more brown and black women than lighter-skinned women.

Melasma can also appear in others places such as neck, arms and even on the feet. We have three clinical types of melasma, which have been detailed through research scientific studies made with a microscope and evaluating the skin. One type is epidermal melasma, which is when the pigment is deposited in the most superficial layer of the skin.

The other type is dermal melasma, which is when cells full of melanin in the dermis which is already a layer more deep. And the third type is mixed melasma, when we found changes in these two layers. Guys… THAT'S WHY it's important to know how are the stains: because the more superficial is the easiest change is to control and clear up the melasma… .

. . Since there are cases that respond very little to almost any treatment.

That's also why you'll see reports out there of people who have done this or that treatment and resolved, while others did not. have improved almost nothing. And I'll explain to you now The Pillars of Treatment the melasma on the face because i want you have the best possible results.

. . The first pillar is to avoid exposure to radiation and the sun.

Yeah, there's no miracle, if you want an efficient treatment you should avoid expose to the sun. . .

to sources of intense heat and even the day to day lights. Damn Alexandre. .

. I love swimming, I love the sun… In that case the choice is. What will be the priority, control melasma or sunbathe.

I'm not I will decide. But you need to understand that the more sun, the more stains, the bigger will be your efforts. The second pillar of the treatment is photoprotection.

I mentioned above that without sunscreen there is no treatment. You must use it well, in quantity. and in frequency.

The ideal is a factor 60, with good protection GRAPE, applying EVERY DAY, at least THREE TIMES A DAY. Ideally every 2-3 hours. And at the beginning I talked about protector… go back there.

And I recommend this factor for dark and black skins, because if you has melasma, needs extra care. Also, in many cases, we can use oral medications that help in this treatment, such as Polypodium leucotomos, Flebon, Pycnogenol and others. An appointment with your dermatologist will get you better guide in this aspect.

We arrived at the third pillar of treatment, which is the use of bleaches That's right, there is no melasma control without bleaches and then we have a big product range. . .

it would be impossible to enter in detail about each one here, but if they find interesting, I can make a specific video about the bleaches, but for me to know, let a comment here for me. But Alexandre I used a product and gave me more stain, or gave me a rebound effect. .

. Well about the rebound effect, I'll talk about it in a minute in the video, but about the use of acids this is a very particular point. Some skins are more sensitive and that's why should start with lighter products and only gradually increase.

Other skins are more resistant and support stronger acids. But in all cases you will need to have patience, because as I explained, some spots are easier to treat, others less so. It is very important that you keep control with a good dermatologist.

Another important point. . .

the greater the irritation of these cells the more chance there is to produce more melanin and become more stained. That's why you think some miracle treatment will help you is a mistake. That does not exist.

And so we come to the 7th error. . .

7th Mistake: Thinking that melasma is curable Serious! Don't be mad at me I'm not here to discourage i want you to see that the moment you are aware of this reality will be able to make more decisions hits. It's the same as hypertension, or diabetes, if I I control well, I lead an almost normal life.

If you want, you'll have to take care of yourself and do everything at your fingertips. Will have the discipline, focus and persistence that I talked about at the beginning. .

. And then. .

. in the long term. .

. gradually improving. .

. you will have much better skin. Better until other people around you.

. . You do need a good dermatologist to guide you, but the result, always it will depend on your dedication.

And finally I'm going to talk about the rebound effect, which is when we perform a treatment, we pass for an improvement and then the stains come back. I want to differentiate two things: relapse and rebound. In medical terms they are different things.

Recurrence is when the stain returns to the previous state or below because we stopped to care for. Rebound is when the stain comes back, but it can come back even worse than it was before. The rebound effect is a possibility in almost any melasma treatment, not to talk maybe at all, but more often when any of these treatments are bad conducted.

Every proposed treatment requires you to follow the pillars I indicated earlier: avoid the sun, protect against radiation both with sunscreen and medication oral and use depigmentants. Without it, your blemishes will SURELY come back. Even the dreaded hydroquinone, which has been demonized by many people and even by colleagues doctors, suffers, in fact it is with misuse of the same.

As well as many other acids. To avoid the rebound effect, my first recommendation is that you follow the guidance from a good dermatologist and stay in touch close with him. reporting any questions or any change.

Most professionals will start with a lighter treatment, to condition and know your skin. only later on a second query probably, or even more to forward, it will move to stronger treatments. Upon reaching the maximum point of treatment, which can be almost total control, or not, we entered the maintenance phase.

In the maintenance phase all care remain and gradually we can decrease some acids and bleaches, but always gradual. If you sunbathe during treatment, if expose to heat, undergo hormonal changes, etc, your blemishes may get worse again and then you will need to enter a new phase of treatment. Unfortunately, like other chronic diseases, the treatment is for life and the doctor need to get to know your skin and how it responds to treatment.

If you follow all these steps with persistence and discipline, you will have excellent results… Is it boring to have to worry about it? CERTAINLY IT'S! But it's even more boring to stay at that point and come back that makes you desperate and makes you use improper treatments in this despair.

Now I'm going to that hit ball, with answers quick questions for this topic and other videos, but I want to know if you liked of this video and if you are enjoying my videos, longer and with a lot of content. I want your help and you will encourage me a lot subscribing here now on the channel and activate the bell by choosing All Notifications. .

. And I know you have a lot of friends with melasma and they will be very grateful if you share this video with them. Sharing is easy, just click on the own button below and send it to your groups and friends.

Now let's go to our bat. . .

bat-ball DERMATOLOGIST SAYS THAT THERE IS NO CURE AND NO WANTS TO TREAT BECAUSE THE PATIENT WILL NOT COME BACK MOST. Just think of the line of patients I would have by indication if I could cure the my patients. Think how much botox and fill that I would do.

People. Unfortunately, for now, melasma doesn't have really cure, but if you follow our tips you will get along. .

. ARTIFICIAL LIGHT WORSE MELASMA? SUNSCREEN HELP IN THESE CASES?

Yes. Some people are so sensitive that even artificial light can get worse. The protector solar helps in these cases too.

. . WHAT IS THE MINIMUM FPS FOR SUMMER CARE AND IN WINTER?

For all my melasma patients, in any time I recommend at least FPS 50-60. . .

WHY IS HYDROQUINONE PROHIBITED IN THE US? There has been a change in testing requirements of a number of old medicines. Like were cheap products, it was not worth it to the laboratories.

But it's still the one that presents best results in most searches scientific. But it requires medical follow-up. .

. MELASMA AND PULSED LIGHT? In a few cases, when there is a predominance and exacerbation of vessels, it can be done, but Pulsed Light can make melasma worse, so the diagnosis and indication have to be very well done.

. . QUESTIONS ABOUT LASER, FRACTIONAL LASER, MICRONEEDLING, CYSTEAMINA, DEMELAN, ASAXANTINE, DOLOMITE In my research and also in messages I received a lot of questions about products and about procedures, I think I'll have to do a new video for each of them.

. . if you think it would be cool.

. . leave a comment here talking to me.