Melasma can be incredibly frustrating to manage, but understanding the latest science-backed strategies can make a significant difference in patient outcomes. This Next Steps in Derm video interview, conducted in conjunction with the Pigmentary Disorders Exchange Symposium, breaks down the comprehensive, multi-step approach required to effectively manage melasma—from essential daily habits to the latest cutting-edge ingredients.

‍

Roopal V. Kundu, MD, FAAD, professor of dermatology and medical education at Northwestern University Feinberg School of Medicine, details why photoprotection for melasma requires defending against more than just direct sunlight. She shares effective add-ons for topical treatments that can further inhibit pigment production as well as her tips for hydroquinone safety, including taking “hydroquinone holidays.” In addition, Dr. Kundu addresses over-the-counter treatment options that expand the available tools for managing melasma.

‍

Effective melasma treatment requires the recognition that the condition is a photo-exacerbated disorder. When lifestyle adjustments aren't enough, topical treatments are the next step, and the dermatology toolkit is expanding with non-hydroquinone cosmeceuticals that can help patients maintain their progress.