Dermatology Community
53.6k Members
Avatar universal


I have sun damaged skin around my upper lip, and now spots by the temples of my head and above my eyebrow which looks almost like a birth mark, but growing. I stay out of the sun and wear sunblock above 35spf. My dermotologist reccommended Lustra Af, it works but is a slow process. My insurance will no longer cover this medication because they consider it cosmetic. Do you have any other over the counter suggestions, or remedies that may help fade this a little faster? Anything at all please! Only makeup covers some, but not all. It looks terrible though!
2 Responses
Avatar universal

Melasma is a common skin disorder causing skin discoloration (tan, brown or black) on sun-exposed areas of the face. It is especially common in pregnant women, those on oral contraceptives, and hormone replacement therapy during menopause. It can sometimes occur in males as well. Other medications, such as anti-seizure medications, may also cause melasma. The rash is usually symmetrical and present on the cheeks, lips (including upper lips), nose or the forehead. Sun exposure is strongly associated with melasma.

The best treatment for melasma is prevention. It is good that you are using regular sunscreen. There are a number of treatment options available such as bleaching creams containing hydroquinone, tretinoin plus cortisone creams, chemical peels, laser and Intense Pulsed Light Therapy (IPL).

You may discuss with your doctor about these treatment options. However, it is important to remember that any treatment should be initiated only under medical supervision.

Take care

557119 tn?1225279413
I used Obagi RX for about a year. That's how long it took me to go through a box that cost about $250.  It works wonderfully for brown spots. It has a C-serum to be used during the day, with an exfoliate, and then at night a bleach cream with hydroquinone is used. I obtained it from a spa that is associated and located adjacent to my dermatologist's office.  Wonderful stuff.  I can't begin to tell you how great my skin looks. My daughter had two large Melasma patches on either side of her face, just below her cheeks, and it's nearly gone now after about 4 months of using the same product.  In addition, I would occasionally use the night bleach with tretinoin 0.1% and that helps speed things up.  I've been using tretinoin or Retin A for about 15 years and it's an amazing product. The gold standard in wrinkle/dark spot treatment.  
Have an Answer?
Top Dermatology Answerers
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Learn to identify and prevent bites from summer’s most common pests.
Doctors argue for legislation to curb this dangerous teen trend in the latest Missouri Medicine report.
10 ways to keep your skin healthy all winter long
How to get rid of lumpy fat on your arms, hips, thighs and bottom
Diet “do’s” and “don’ts” for healthy, radiant skin.
Images of rashes caused by common skin conditions