Dermatologist Explains: Hyperpigmentation and Melasma - How to Manage it with Top Picks
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- เผยแพร่เมื่อ 23 ม.ค. 2022
- #hyperpigmentation #hyperpigmentationtreatment #melasma #melasmatreatment #darkspots
#darkspotremover #darkspotsolution #dermatologist #drsugaireviews #drsugaiskincare #skincare
Hyperpigmentation and Melasma
Definitely a broad yet very important topic that I have been excited to discuss with you all. I hope you find this useful.
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Disclaimer: This video is not intended to be a substitute for medical advice, diagnosis or treatment with your healthcare professional. This is for medical educational purposes only.
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Dr. Daniel Sugai
Board Certified Dermatologist
Hi Dr. Daniel, thank you so much for sharing your knowledge and experience to us regarding these bunch of cosmetic products that can possibly help to improve our skin conditions. All the information were explained elaborately and easy to understand. I really appreciate it! so far, you're the best Dermatologist I've encounter here on TH-cam. God bless you Doc.
Great video thank you for taking the time in giving us professional information and showing us the products you recommend!
Absolutely AMAZING video, the most comprehensive video on this topic I have seen.
Thanks for taking the time to make this.
Important ingredient question: what do you think about DMAE for skin firming (especially neck) in skincare? I’m 43 and do have hormonal melasma. I didn’t get it during pregnancy, but a few years after. I also have endometriosis and wonder if it’s related. I do all of the things you recommend and have been talked out of laser treatments. Great advice! Unfortunately , it’s a daily maintenance…no quick or permanent fixes “magic bullets” as you say.
Love how thorough you are without overwhelming us with info. As a Latina, I also appreciate you including darker skin tones in your content.
j😊p
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I love this man with my heart and soul.
Very few dermatologist talks about Darker or brown skin ppl and their skin concerns …
Thank you for sharing these very detailed issue I’ve been troubled for several years now, I’ve much more understanding. It’s very helpful 😎
Excellent video Dr. Sugai! Nice jacket! Great information for us suffering from all types of hyperpigmenation, including melasma. It's the hardest thing to get rid of. Awful! I'd love for you to do a video on Cyspera at some point. I know it's a prescription only but the information will be greatly appreciated. Thanks for everything you do. 🙏🏽🙏🏽❤
Thank you so much for your support, Mimi! Appreciate you!🙏🏼🙏🏼🙏🏼
Thank you so much for all of your information! I am so grateful for all of your videos ❤
I appreciate your acknowledgment your opinion may change as technology/ medical studies advance. 👍
Hi Dr. Daniel, thank you so much for the great information. I’m about to start my Agency Retin A formula accompanied with a hydroquinone with alternating times of taking breaks in between for some hyperpigmentation. I use dermatology’s tinted sunscreen religiously but didn’t know that it’s best to used a tinted one so thank you for a teachable moment for me. I follow another derm on TH-cam who is just awesome as I have learned from her through the period of years so I feel as though you are in that same category with your skills and making it so simple to understand so I’m becoming a new subscriber; looking forward to learning more.
Just ordered the BAHA serum! Excited to try it :)
Dr. Sugai, thank you for sharing these to your channel, you have no idea how your videos help me recently with my insecurities on my skin. I started using skin care following your channel, I saw a great improvement on my skin for 1.5 months Ive been following your suggestions. Thank u so much.
Hi John, thank you so much for watching and for sharing your skin care journey. So happy for you, my friend!🙏🤙
Great advice! Thank you so much Dr Suga for this video.
Thank you so much for all your hard work and great info!! 🥰❤💗
Thank you so much for saying that 🙏🏼🙏🏼❤️🤙🤙
Thank you Dr. Another good topic What do you think about LED specially Omnilax for melasma & hair lost?
So much good information in this video. Thank you so much!
Thank you for the great info, Dr. Sugai! Just subscribed and also purchased the DRMTLGY Vit C+E Ferulic and also the tinted Physical sunscreen. Lightening my dark spots(freckles) has been my goal since 2 years now. Hearing you talk about chemical peels v. Leave-on exfoliants has got me thinking of getting one, just a little scared of the peeling afterwards….
Hi, so nice to hear it this subject bc I'm 37, had my son and through the last of my pregnancy I could really tell my face was severely discolored in spots. I didn't really understand the severity of it until probably 6 months into it and after I have my son, it kinda settle down a little bit. I ended up going and having a few micro needling facials done and the lady stated that chemical peels in between a couple microneedling sessions will really do a good turnover effect and resurfacing effect how do you feel about that? It's just awful I hate it and I'm way too pretty to have these spots. If you can help me out please do. Love hearing your messages and watching it wasn't too bad either! Have a great day!
Your good dr. Best dermatologist! Can I take you home! Complete explanation, God bless you more to come helping people, especially poor people.
Thanks for this video. I really need this information. What do you think of Timeless vitamin c? I hear it's a dupe for the very expensive one I can't afford.
Thank you Dr. Sugai. What are your thoughts on Cysteamine cream ?
Amazing video!! Thank you so much for your giving us your time and expertise. I have learned a lot from you.
What is your advice on Hydroquinone, how would you recommend us to use it? For how long to keep it on our face ?
Thanks immensely Dr, I m experiencing melasma, been taking hormone therapy ( pills ) which regulated my period , for these , I had my first child after 7 . Made my family extremely happy. Blessings ! ❤❤❤
Dr how do I get some of your products?
Hi Dr.Daniel, thanks for educating us so well! Pleaseee pleaseee pleaseee can you suggest mineral sunscreens for melasma prone skin that can be found in the middle east?
Informative video! Thank you doctor!
Can you do a video just on the use hydroquinone and how to use it and what to pair it with please.
Thank you for this very informative video. I am grew up and living in Hawaii.
Thank you!!!! This video is too good to be free
Thank you for sharing your knowledge on Melasma. I have it and have been seeing a Dermatologist for over a year. Is using Nuface bad for my Melasma?
Waaooo what a wealth of information. Thank you very much 🥰
I'm REALLY,, enjoying yur channel. U r VERY,, informative. Thank you!!😁😎🙏
Thanks for the info! This is the moat informative vid for skin pigmentation melasma.
Means so much to me- appreciate you for saying that!
I am considering a Halo treatment. What are your thoughts on this for melasma? New subscriber!
Thank you for sharing your knowledge!
Thank you so much, Christine! 🙏🏼
Im glade you are wearing a jacket. You look professional also with your White jacket.
hallo Dr. Thank you for your film, which peeling is good to make it self at home?
Thank you so much Doc. You’re da best🙏🫶
U look AWESOME wearing your suit!
You look very handsome in that suit. Thanks for the good info you provide thru this channel.
🙏🏼🙏🏼🙏🏼😊
SE Asian ethnic skin. Fitzpatrick type 4. Diagnosed with melasma by a board-certified dermatologist 3 months ago despite going to 4 separate med spas in the past (PAs/nurses/esthetician’s). It’s so important to receive the appropriate diagnosis by a dermatologist: I have seen more strides in my treatment protocol for the last three months than I have in the last 4-5 years of having this condition. I wish I had seen a derm a long time ago. Luckily, my case was mild and it was due to the fact that I had a strict routine aimed at addressing hyperpigmentation in general. Once I became aware it was specifically melasma, we knew to go slow, gentle but more frequent in regards to in-office treatments. We’d rather do 4 sessions of gentle Clear & Brilliant or Picoway laser treatments versus 1-2 strong Fraxel laser treatments etc. You’re in it for the long-haul. I’m also prescribed hydroquinone and oral tranexamic acid tablets and recommended to use a tranexamic acid serum like Lytera 2.0.
Thank you for your info! Will go see my derm
Me too. SE asian & malasma. The picosure laser didn't remove malasma but helped with tighten the skin. I'm using rentin A & hydroquinone for 2 yeats years now. Im almost to wear ai don't have to wear makeup.
@@peacelove7437 Hydroquinone can only be used for 1 year right? as prolonged use can cause deeper pigmentation? What product? Are you on hormones?
I'm have dark skin and was told by many dermatologist to just manage the malasma, there is no cure. Had fraxel lazer treatment by an excellent dermatologist in South Africa, with very impressive results even after first treatment.... Had 3 treatments over a period of about 3yrs. I now feel comfortable being without makeup
im se asian too with type 4 .
Is Mae Love fragrance free? What other products of Mae Love do you recommend for our brown skin? T Y Doc, I don't like tinted spf, but I will try to embrace it. Thanks for encouraging us!
Thank you for this thorough video.
Great video! Have you ever used Mini Melanage Peel for Melasma? I’ve used it in the past for my melasma and had a great response. I believe it uses tretinoin and hydroquinone. I am an avid sunscreen user (mineral with tint).
So how did you get melasma?
Great video thank you so much !!❤❤
Thank You. Great Video!!
Your jacket looks nice, people get away from a professional look. I want my physician to look professional. You look great
Thank you for this video! Having mild Melasma ever since my pregnancy!! Happy Valentines! @Kasskillsit
Thanks for sharing Dr.🙏💐😊
I love your presentation and video. My first time here and subscribed. Since you are local in Washington state, I definitely will be contacting you for my melasma aka dark spots issue 🤗👍🏽
The Cos de Baha Azeleic is one of my favorites. Cosmetically elegant.
Does it show result?
Thank you so much for all the good information and recommendation for Melasma. I realized that I am going to have to learn to live the rest of my live with it. I am 56 years old and live in FL so very concerned with this condition and going to start using some the products that you recommended. GRACIAS!!
Can u try beauty series oil. Mix 50 ml of it with 200ml of grape seed oil or sweet almond oil or rose hip oil. it did work for someone I know.
Me too. I’m so upset about how my face looks with melasma. I’m almost 58 and I can’t look in the mirror without 😢
Thanks doc.for this informative videos
Thanks. Good discussion
Thanks for your videos , Does micro needling help with brown spots ?
thanks for this tidbit 21:50 (chemical peels rather than laser in your opinion)
I am in love with your channel and thank you for a great video🪷💜🧘🏾♀️🙏🏾🇨🇦🇵🇦
Hi Dr. Sugai! It's so nice to find your video about melasma! I'm of mixed ethnicities, including asian & latino ethnicities. I was born and raised in Hawaii, worshiping the sun! I've been noticing hyperpigmentation for a few years now, closer to the sides of my face, but the melasma on my cheeks is new and very troublesome to me. I'm in Southern California now, and my Dermatologist has me on the ZO line for my hyperpigmentation/melasma. I'm using the brightening pigment control cream with hydroquinone during the day, and the 1% retinol skin brightener at night. After more than 6 months, my skin is much smoother, but I'm really not seeing much of a difference in my hyperpigmentation/melasma, which is my main concern. I'm wondering if this is not the most effective regimen for me as an asian woman. I've invested more than I ever have in this skin care so far, so I feel the need to finish the bottles, but I do want to find products that will actually work well on me for the long run. I'm 1/2 way through your video, and I noticed you have not included ZO in your recommendations...ugh! From asian to asian, I would REALLY love your input on what I've been doing so far. I've already ordered the DRMTLGY Universal Sunscreen 46 SPF, per your recommendation. So happy to have that! I've been dying to find the right dewey tinted moisturizer with SPF, but I've been going in circles until now. So excited to try it!! Do you also happen to have any recommendations for a dermatologist in San Diego that specializes in aging asian skin?
You should watch this video (the one above that you just commented on 6:45) or any video that explains how to use hydroquinone correctly. You're not supposed to use it for more than 2 - 3 months at a time. Most hydroquinone products will have written on their packaging to use for 60 days and then take a 30 day rest period. Definitely don't use it for 6 months at a time. Extended hyrdroquinone use can cause permanent discoloration ("banana bodies").
I’ve used ZO products for couple years and love it!!
Hi doctor can you make a video or let me know in what order do we incorporate retinols in skin care. Thank you
Thank you for bn sooooo honest!!!!!. I will keep coming back because of yur honesty!!!. Thank you.....👍
Thank you SO SO much! Appreciate you 🙏🏼🤙❤️
@@danielsugaimd blessings🙏
Hello Dr. Sugai,
I just now came across your 2021 video and it was very informative, Thank you. Fast forward to 2023 for the 6 months I have taken BELLABIOTICS capsules. It is a Probiotic, Dermaval + Korean Mint capsules. This is through dr. KellyAnn. The ingredients are to long to list. I’m told the dark spots needs to be fought from the inside out what are your thoughts on that? Could the topical remedies you mentioned in your video along with this daily capsules be helpful? Thank you, Desna.
I enjoyed this video. I have just started getting so many dark spots in my face, it’s crazy!! I’ve been using Vitamin C fir a long time.
I have read that vit C makes skin very photosensitive, so isn't the vit C that you are using is the couse for your hyperpigmentation. Do you use sunscreen religiously?
Thank you. Very informative
Is hyperpigmentation the same as age spots and sun damage spots? I used to hide my cystic acne before benzoyl peroxide was available by getting sunburned. Raised in Newport Beach and a surfer I never applied sunscreen despite my mother’s pleas. I am covered with these spots. The ones on my face bother me. I’ve been using Tazarotene cream 0.1% for about 3 years. It’s helpes some but I’m hoping to get additional help. The skin peeling doesn’t bother me- I kind of like it cause I think the dark skin from the spots is peeling off along with the skin. 😊
Any ideas? I can’t afford a cosmetic dermatologist so I settle for the general dermatologist. He suggests I go to another division on the same floor, but insurance doesn’t cover it. I would appreciate any advice.
Thanks for your great video. I was able to purchase Ambi fade cream with hydroquinone. I think I'll send it back.
Thank you! You're best!
Thank you for the best video and very informative ❤️
Thank you so much 🙏🙏❤️
Thank you. I have a pimple that leaves hyperpigmention on my cheek. I have a dr's appointment next week.I will let you know the diagnosis and treatment plab.
Thank you for the information 🙏
Aloha, Dr. Sugai, where did you move to? Nice to see content from people from Hawaii! I grew up in HI but moved to NYC for 14 years and moved back recently… the sun is harsh here so I protect my skin like an Asian aunty. I get compliments all the time on how fine my skin is for “living in Hawaii.”
Good morning Dr. Daniel🌼🍓🌸
I have just finished my treatment with oral Isotretinoin. Now that my acne is under control, I will target my melasma. Patience is KEY. Thanks for sharing your knowledge! 💜
Glad to hear your acne is under control and you’re right about patience!! 🙌🙌👍👍🙏🏼🙏🏼
@@danielsugaimd Thank you so much for this channel, it's very informative and helps people like myself in sunny South Africa 🇿🇦..I come back to this video time and time again if I want to make sure about something for my light brown skin and my melasma. We don't have much options as per your suggestions but it helps to look out for these ingredients. I have started to do microneedling with my serums and sunscreen and patience like Job from the Bible...bless you and keep doing these videos for all of us to win..together.
Youre right you cant use peels and lasers when in accutane. I had the same issue. My melasma lightened whwn i was taking accutane but when i stop, it slowly came back. Anyway, for how long did you take accutane and did the oiliness came back?
@@slickrick5596 what is Accutane mam, will it cure melsasma?
Great video! Are these products good for HS? What about vitamin D absorption? I have used Vitamin A, Azelaic Acids, and others before, but it made me very sick. Now, I'm doing infusions for HS after 20 years suffering from it.
Thank u for such informative talk. Can i ask dr how to apply all these? The sequence. Tnx
I have eczema and a good product for me is what I bathed with is African black soap with shea butter a friend recommended it for me it works really well especially if you have eczema
Can you give me a name of the African black soap with shea butter. My son has eczema and we used all kind of creams, ointments, lotions but did not get any better. Thank you !
Thank for the info Dr.
Thanks for sharing!
I don’t know how to find such a knowledgeable doctor - re. Melasma - in Toronto. Even when I’ve seen Board certified dermatologist they’ve recommended things that I know could make it much worse (eg fraxel). Do you have any recommendations?
Thanks !! Dr. Sugai.
Thanks for the educational video! Very helpful...
Thank you!🙏🏼🙏🏼🙏🏼
Thank you so much Dr. Sugai! I have question: when I used the products, and it seems to make my melasma or dark spots darker, should I stop using it? I
Waiting for a video regarding tan removal and glowing up!!!
Thanks Doc! Is there any evidence to support that chemical sunscreen causes more clogged pores or is worse for (hormonal) acne prone skin?
Do you have any suggestions for Vitiligo....I'm desperate. It started on a couple of my fingers; now on both hands to my wrists and on my elbows. I am 78 and it started about 5yrs ago..thank you
Amazing information needed that .I wonder if you can talk more about chemical peel for Melasma. How do we know what type of peel we need.
When using HQ, would you recommend using it only on dark spots for 2 months on and 1 month off?
Dr just found your channel, love your content. I do live in the Renton area I would like to get in to see you sometime soon
Thank you Doc🙏
Great information thank you
Hi Doc, thanks a lot for this great info, I'm a fan also 😊
Great video. Thanks.
Thank you so much!🙏🏼🤙
Can I use a Retinol Serum and at the same time a retinol cream moisturizer like the Roc
2 years great thanks for your videos
Love you
Thank you so much, my friend 😊🙏🏼❤️cheers to more years here!
I have had many pre basil spots frozen off.Can you tell me if peels can work to prevent them or if anything else would help.Thank you.
@danielsugaimd thank you so much for providing helpful information.
hi im a fan of yours,, from tiktom to here,, may i ask something,, what can you say about the product of "THE ORDINARY" hope you see this thanks, God bless
Is the skinceuticals ce frulic really worth it considering its efficacy upon opening ?
Love your channel ❤
Thank you so much 🙏🏼😊❤️🤙