{"id":638071,"date":"2020-04-22T11:17:35","date_gmt":"2020-04-22T15:17:35","guid":{"rendered":"https:\/\/hauteliving.com\/hautebeauty\/?p=638071&#038;"},"modified":"2020-04-22T11:23:56","modified_gmt":"2020-04-22T15:23:56","slug":"the-secret-to-treating-melasma-according-to-nyc-dermatologist-dr-green","status":"publish","type":"post","link":"https:\/\/hauteliving.com\/hautebeauty\/638071\/the-secret-to-treating-melasma-according-to-nyc-dermatologist-dr-green\/","title":{"rendered":"The Secret To Treating Melasma According To NYC Dermatologist Dr. Green"},"content":{"rendered":"<figure id=\"attachment_638075\" aria-describedby=\"figcaption_attachment_638075\" class=\"wp-caption aligncenter\" ><a href=\"https:\/\/www.michelegreenmd.com\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-638075 size-full\" src=\"https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/AC-Cosmelan-10weeks-before-after-FRONT.jpg\" alt=\"melasma treatment\" width=\"1024\" height=\"593\" srcset=\"https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/AC-Cosmelan-10weeks-before-after-FRONT.jpg 1024w, https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/AC-Cosmelan-10weeks-before-after-FRONT-300x174.jpg 300w, https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/AC-Cosmelan-10weeks-before-after-FRONT-768x445.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption id=\"figcaption_attachment_638075\" class=\"wp-caption-text\">Cosmelan Peel 2 &amp; 1\/2 months post-treatment<\/figcaption><\/figure>\n<p><em><strong><a href=\"https:\/\/www.michelegreenmd.com\"><span class=\"rtp-photo-credit\">Photo Credit: Photo courtesy of Dr. Michele Green<\/span>Dr. Michele S. Green<\/a><\/strong> is a board-certified dermatologist. Upper East Side patients and those from the surrounding areas of New York City flock to her practice for a variety of cosmetic dermatology treatments. A graduate from Yale University, with an MD from Mount Sinai Medical School in NYC, Dr. Green treats some of the most discerning, demanding women and men in the world, with issues ranging from premature skin aging to hyperpigmentation, rosacea, acne, and skin cancer. <strong><a href=\"https:\/\/hauteliving.com\/hautebeauty\/member\/dr-michele-s-green\/\">Dr. Green<\/a><\/strong> chats with Haute Beauty about Melasma and her gold standard to treat it.<\/em><\/p>\n<p><span style=\"font-weight: 400;\">Melasma is an extremely common skin condition with an average of 200,000 cases in the United States every year, according to the Mayo Clinic. The skin discoloration and dark spots that come with melasma not only affect self-confidence but with the wrong treatment, the symptoms can easily be worsened.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Haute Beauty Expert <\/span><a href=\"https:\/\/www.michelegreenmd.com\/\"><span style=\"font-weight: 400;\">Dr. Michele Green<\/span><\/a><span style=\"font-weight: 400;\">, New York City-Based dermatologist, is known to be one of the best dermatologists in the United States for treating melasma and disorders of pigmentation, and skin discoloration.\u00a0 Here, Dr. Green answers the most frequently asked questions in diagnosing, treating, and preventing melasma.<\/span><\/p>\n<h3>HB: What is melasma?<\/h3>\n<p><span style=\"font-weight: 400;\">Melasma is a common skin condition that causes dark patches and discoloration on your face and chest.\u00a0 melasma predominately appears on the upper lip, the bridge of the nose, forehead, and cheeks. Melasma may also appear on sun-exposed areas of the forearms, neck, and shoulders. Patients with darker skin, such as those people who are Latin\/Hispanic, African, Mediterranean, or Middle Eastern descent, are much more likely to suffer from melasma. Patients with white skin may develop melasma but it is much less noticeable<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-638076 aligncenter\" src=\"https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/md-cosmelan-6m-before-after-FRONT.jpg\" alt=\"\" width=\"1024\" height=\"591\" srcset=\"https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/md-cosmelan-6m-before-after-FRONT.jpg 1024w, https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/md-cosmelan-6m-before-after-FRONT-300x173.jpg 300w, https:\/\/hauteliving.com\/hautebeauty\/wp-content\/uploads\/2020\/04\/md-cosmelan-6m-before-after-FRONT-768x443.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<h3>HB: What causes melasma?<\/h3>\n<p><span style=\"font-weight: 400;\">There is not a clear understanding of what causes melasma.\u00a0 In general, melasma is caused by an increase in melanin, which are produced by the melanocytes that live in the skin. It is not known why these melanocytes are stimulated to make an overproduction of melanin. There are, however, certain triggers that are known to exacerbate melasma.\u00a0\u00a0<\/span><\/p>\n<p><b>Genetics:<\/b><span style=\"font-weight: 400;\"> Patients whose close relatives have melasma have a genetic predisposition to suffer from melasma and are more likely to develop it themselves.<\/span><\/p>\n<p><b>Hormones:<\/b><span style=\"font-weight: 400;\">\u00a0 It has been found that the use of birth control pills, oral contraceptives, pregnancy, and hormone replacement therapy, can all trigger melasma to flare. This is why melasma is often referred to as the mask of pregnancy, due to an increased amount of melanin and hyperpigmentation occurring on the faces of pregnant women.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I often recommend discontinuing oral contraceptive pills in patients with melasma in order to improve the appearance of this skin disorder.<\/span><\/p>\n<h3>HB: How do you treat melasma?<\/h3>\n<p><span style=\"font-weight: 400;\">Cosmelan\u00ae peels are my gold standard for treating hyperpigmentation and melasma.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Cosmelan chemical peel decreases the skin\u2019s natural melanin production by inhibiting certain enzymes, providing an even complexion. Cosmelan treatment involves a very versatile, dynamic process that is easily adapted to the needs of each individual patient.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Cosmelan peel is a professional-grade mask that is left in place for a number of hours (depending on the degree of pigmentation and skin type). The cream is easily removed at home by the patient several hours later.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It will produce an initial \u201cpeeling\u201d of the skin, which will leave the skin smooth and dramatically decrease the signs of facial pigmentation, lightening discolored areas. The patient returns three weeks later for a touch-up of Cosmelan\u00ae in order to treat any residual pigmentation.<\/span><\/p>\n<p><b>Other in-office treatments:<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Clear and Brilliant a.k.a. \u201cbaby Fraxel\u201d\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Microdermabrasion procedure\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Hydrafacial<\/span><\/li>\n<\/ul>\n<p><b>Topical creams:\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Increased strengths of hydroquinones are available by prescription through the office of Dr. Michele Green.\u00a0 MGSKINLABS, Inc.\u2019s line of products carries both a 5% and 8% Hydroquinone, but in addition to that, a hydroquinone specially compounded with tretinoin for added exfoliating effects.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are both over-the-counter skin lotions as well as prescription creams that treat the hyperpigmentation caused by melasma.\u00a0\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Other key ingredients used to fight melasma are:<\/span><\/i><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Kojic acid<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Retinoids\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Azelaic acid is derived from grains and brightens pigmentation. It is useful for the treatment of rosacea, melasma, and other skin disorders.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Hydroquinones\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Vitamin C\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Vitamin K\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Glycolic Acid<\/span><\/li>\n<\/ul>\n<h3>HB: How do you prevent melasma?<\/h3>\n<p><b>Sun protection:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">It is so important to practice complete sun protection and use sunscreen daily, with an SPF of 30 or higher.\u00a0 It is critical to avoid the damaging effects of these UV rays and prevent the recurrence of melasma after it is treated. Since melasma patients are much more sensitive to the sun, I recommend a combination of a chemical and a physical (mineral) sunblock.<\/span><\/p>\n<p><b>Oral Medications:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Certain oral antibiotics, cardiac medications, and other photosensitizing medications can cause melasma or exacerbate its severity.<\/span><\/p>\n<p><b>Skincare products:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Certain over the counter products and worsen the appearance of melasma.\u00a0<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">To find out more about how you can treat melasma, contact Dr. Green online for an appointment or call 212-535-3088 to learn more about why Dr. Green is a trusted source for melasma treatment in New York City.<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Michele Green chats with Haute Beauty about Melasma to learn more about its causes, and her gold standard to treat it, the Cosmelan Peel.<\/p>\n","protected":false},"author":135,"featured_media":638075,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5254,1398,1402,947,943],"tags":[2968,6566,6568,5077,4680,3745,6195,6567,6565],"class_list":["post-638071","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-beauty-news","category-cosmetic-treatments","category-doctors-talk","category-news","category-wellness","tag-chemical-peel","tag-cosmelan-peel","tag-dermatologist-nyc","tag-dr-green","tag-dr-michele-green","tag-melasma","tag-melasma-treatment","tag-melasma-treatment-nyc","tag-skin-pigmentation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Secret To Treating Melasma According to NYC Dermatologist Dr. Green<\/title>\n<meta name=\"description\" content=\"Dr. Michele Green chats with Haute Beauty about 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