
What are the treatments for melasma?
Disease description:
I'm not old, but my skin appears aged. I have developed fine lines, as well as melasma. The spots are dark in color, making my skin look very dark. What are the available treatments for melasma?

The regulation and treatment of melasma mainly include the following:
1. **Lifestyle adjustments**: Plan your schedule reasonably, avoid staying up late, reduce the use of electronic devices, and engage in appropriate physical exercise. Maintain a balanced diet, and increase the intake of foods rich in vitamins C, A, and E, such as citrus fruits, leafy green vegetables, and carrots, to inhibit melanin formation and promote pigment metabolism.
2. **Strict sun protection**: Ultraviolet radiation is a significant factor in the development of melasma. Therefore, protective measures such as applying sunscreen, wearing hats and sunglasses should be taken during daily outdoor activities to minimize UV damage to the skin.
3. **Medication treatment**: Under a doctor's guidance, topical medications such as tretinoin cream or hydroquinone cream may be used, along with oral antioxidants like vitamin C and vitamin E, to help lighten melasma.
4. **Phototherapy treatments**: For persistent melasma, photorejuvenation or laser therapies may be considered. These treatments use light-based technology to target melanin deep within the skin, effectively removing melasma.
5. **Traditional Chinese Medicine (TCM)调理**: According to TCM theory, melasma is associated with disharmony of qi and blood and liver qi stagnation. Therefore, TCM methods such as herbal medicine and acupuncture can be used to improve skin condition from the inside out.