How I transformed my melasma patient's skin in 4 months!

My #melasma treatment pearls:
🔸 MOST IMPORTANT: Sun protection education. You cannot assume that your patient knows every sun protective practice. Review the importance of WHAT sunscreen to use, HOW often to apply, and other ways to sun protect aside from SPF - wide brim hats, limiting outdoor time during peak sun, and explaining that even a single episode of unprotected sun exposure can reset all melasma progress.
🔸 Review a patient’s medications to ensure they’re not taking something that could worsen their melasma such as a sun-sensitizing medication or certain types of birth control.
🔸 If using hydroquinone (HQ) consider a higher concentration such as 8% or 12%. So often I see melasma that is under-treated. Hit melasma hard and fast and then taper down once you’ve achieved control. HQ can often be compounded with other helpful ingredients like tretinoin, vitamin C, kojic acid, niacinamide, etc.
🔸 Consider oral tranexamic acid. This is probably my all-time favorite melasma fighter because over 85% of patients will see improvement on this medication. Only prescribe if you also feel comfortable performing an appropriate medical screening to ensure that your patient can be on this medication safely.
What melasma questions do you have?
CONNECT WITH ME:
Instagram: / drsamanthaellis
Website: www.mybeautymd.com/
DISCLAIMER: The information in this video is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician. Some of the links in this description may be affiliate links (marked with *). Affiliate links help support my KZread channel so I can continue to create fun, informational skincare videos for you. Also, some products may have been received as PR. Thanks for watching!

Пікірлер: 32

  • @SusanBaileyAmazingEstate
    @SusanBaileyAmazingEstate Жыл бұрын

    Wow! Bravo to you, doctor.

  • @susanmcf1
    @susanmcf1 Жыл бұрын

    Can you talk about her maintenance regimen?

  • @Rubye269
    @Rubye269 Жыл бұрын

    Amazing transformation! 😮 Seeing a derm in real life is really life changing when you have a more severe skin condition. Even, when it’s really frustrating that you have to see you derm regularly and other people could just wash their faces with dish soap. I‘m on tretinoin for my acne and I only could maintain „perfect skin“ when I go to a medical esthetician one a month.

  • @jenifermac-5150
    @jenifermac-5150 Жыл бұрын

    Wow! Impressive!

  • @cdanieldance
    @cdanieldance Жыл бұрын

    Omg. The results are incredible. I just started my dermatica script with tretinoin and hydroquinone. Let's go...

  • @kiren3168
    @kiren3168 Жыл бұрын

    You BOTH did it. It takes time and effort to consistently follow a skin regimen.

  • @Mae-iw5nm

    @Mae-iw5nm

    Жыл бұрын

    I think she made that clear by using “we” and “together” in the video

  • @vickygoode8695
    @vickygoode8695 Жыл бұрын

    What is her after care regimen and can people with rosacea do you clear and brilliant?

  • @Gnarpster-Von-Gnarpington
    @Gnarpster-Von-Gnarpington Жыл бұрын

    What is the maintenance regimen??? This is the part that always sets me back after I have to come off HQ for a couple months.

  • @reinaavila6168
    @reinaavila6168 Жыл бұрын

    I have freckles and some pigmentation. In order to use any products do you recommend I see a dermatologist before trying any over the counter?

  • @mamtaarora7174
    @mamtaarora7174 Жыл бұрын

    Do you consult online as well? If yes pls let me know. Thanks.

  • @Soleil5291
    @Soleil5291 Жыл бұрын

    Which sunscreen did she use?

  • @fjp9
    @fjp9 Жыл бұрын

    when using hydroquinone, do you only apply it to the spots affected as a spot treatment or all over the face? not asking about specifically her case since hers was all over her face but just in general. excellent job helping her with her melasma.

  • @obsidiansickle1

    @obsidiansickle1

    Жыл бұрын

    Hydroquinone should only be applied to affected areas. If you have a dark spot on your cheek, then only apply it to that dark spot. The reason the patient in the video put it all over her face is because her melasma was all over.

  • @egreenarrow
    @egreenarrow Жыл бұрын

    Am I alone in thinking her skin in the before image looks just as nice as in the after image? They look different, yes, but what is better about the second image?

  • @Melon29813

    @Melon29813

    Жыл бұрын

    What's better about the second image is that it likely gives this lady confidence. She's definitely just as beautiful either way, but as someone who has experienced severe acne and the scarring that comes with it, (yes I know melasma and my thing are two different things, but we'll get to why I'm even comparing the two in a second.) Changes like this can make you feel like you're not even yourself. Now I can look back at old pictures of me and think "you know, that girl is beautiful", I truly didn't think that back at the time. I felt ugly even when others said I wasn't. I didn't feel like I was in my own skin. I didn't feel normal. In my humble opinion as someone who has been to a place where they want to fix their skin, the patient's mental well being is always what's better about the 2nd picture. I think a lot of people think you're not happy unless your skin is perfect, but I bet this lady is beaming with her results, especially with the fact she let Dr. Sam even post these.

  • @bellaboo2395

    @bellaboo2395

    Жыл бұрын

    We’re our own worst critic. When you look in the mirror, you’ll tend to laser focus on “flaws” that other people don’t even notice or care about. What looks like a small change to us is a big confidence boost for her :)

  • @sarahhorn6831
    @sarahhorn6831 Жыл бұрын

    Can you please speak on the brands Eminence, Peach and Lily, Sunday Riley, Drunk Elephant, Indie Lee, and Lancome?? I'm having a hard time picking skin care and I like all of them but I don't know if any are better than the other or worth the money. I'm doing a lot of research but I'd like to know your input!!

  • @cristinitaandco

    @cristinitaandco

    Жыл бұрын

    I use eminence kale vit C serum and its effective and fantastic. Its hidrating and it does help to removes some hyperpigmentation, I have sensitive issues complicated skin and thia has never given me a problem,I keep it in the fridge and last almost 5 months

  • @starinajar13
    @starinajar13 Жыл бұрын

    Is the Clear and Brilliant laser safe for darker skin? Would the other treatments you used give a similar result and are they safe for dark skin?

  • @Luvanmusiq

    @Luvanmusiq

    Жыл бұрын

    I had a series of 6 lasers approximately 12 years ago and I am between Fitz V and VI (35 now). Not sure that it made a significant difference or benefit for me at that time.

  • @plainsong76
    @plainsong76 Жыл бұрын

    When using triluma (I mix Tretinoin, desonide, and hydroquinone 4%- wish I had 8%), what is the length of time you need to refrain after the four months (I was told no more than three) so as to avoid rebound / greater hyperpigmentation?

  • @TheMeme191

    @TheMeme191

    Жыл бұрын

    Be careful with triluma. I have used triluma/ got great result at first. after I stopped after 8 weeks for a break, I had rebound from triluma. my melasma got worst than before. Never do it again.

  • @beyond50skin
    @beyond50skin Жыл бұрын

    So interesting!! It looks like an incense in freckles to the lay person

  • @zoespil
    @zoespil3 ай бұрын

    Hi, can you please answer to this and help me? I have gotten triamcinolone acetonide with azaleic acid for my melasma. I am 24 and have a lot of spots. I am very sad and can't find anywhere if the cream I got does something for anyone with melasma. Does someone know this? I can't use Hydroquinone because I am between skiptype 1-3...

  • @lovepain2708
    @lovepain2708 Жыл бұрын

    I have to much hair fall in every day i loss my 500 hairs plz help me

  • @whydn5559
    @whydn5559 Жыл бұрын

    why she lost so much of face fat?

  • @Luvanmusiq

    @Luvanmusiq

    Жыл бұрын

    Same question I have!

  • @driverjayne

    @driverjayne

    Жыл бұрын

    She literally didn't, she's just smiling slightly in the second picture and it's from a slightly different angle.

  • @ancapopescu239

    @ancapopescu239

    11 ай бұрын

    I'm also noticing this. We see two different sides of her face so it's hard to judge objectively, but I also have the feeling het face is less "full". Both beautiful though!

  • @skinrituals9773
    @skinrituals9773 Жыл бұрын

    Everyone knows hq is effective why people come to u n plus lazer rip her skin😢

  • @skinrituals9773
    @skinrituals9773 Жыл бұрын

    Nw she will suffer more melasma 8 percent hq is crazy u out of yr mind you cant be a dermatologist 😂