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Jennifer Sullivan Practical advice and zero judgment answers to all your beauty questions.Submit your question AskABeautyEditor@nymag.com(By sending an email, you agree to the terms.) here.)
I know I will need a headline if my question is lucky enough to be picked. You might ask, “What’s the ideal treatment for dark spots after pregnancy?” Longer explanation: I’m 35 and this pregnancy (a rainbow baby I’m very grateful for despite my complaints) kicked my ass. I used to use Drunk Elephant and Elta MD, but this time I was able to wash my face once a day, which is truly a miracle. My precious pregnancy-safe SkinCeuticals haul is rotting in my drawer while trying to survive apparently severe oxygen-induced heartburn, peg-legged back pain, and absolute exhaustion. So I know this isn’t the ideal base for a post-pregnancy attack on age spots and melasma, but here it is. Willing to do and spend almost anything. I know there is up-to-date, well-researched and innovative advice on blocks.
Thank you for sticking with my skin care during my first pregnancy and even bigger kudos for realizing that it won’t happen this time. Please lie down Even if you’ve been applying plenty of skincare and sunscreen since the first day of this pregnancy, it doesn’t mean you’ll have skin that looks the same as last time. After this, no matter what condition your skin is in, intention Be modifiable. See you in a few months.
[To be read after your pregnancy:]
Hey Kara, welcome back! I hope the rest of your pregnancy goes smoothly and you don’t burn out. If your skin is still spotty and you’re ready to treat it, the first thing you should do is find a sunscreen you like (yours sounds like Elta MD) and apply it daily. is to apply. Whether you’re dealing with small freckles, large age spots, or melasma (more on that later), sunscreen is important. Esthetician Shani Darden developed melasma above her upper lip after the birth of her first daughter. , wear it whenever you are in the sun for a long time.
Then go back to your skin care regimen. Dark spots are caused by excess melanin, and melanin biosynthesis is a complex process, so there is no one magic ingredient. According to Shereene Idriss, M.D., a dermatologist who struggled with post-pregnancy hyperpigmentation and has studied the topic extensively, some ingredients that target different pathways to pigmentation are needed (for evidence). see this video). According to her, her most proven topical medications are “kojic acid, alpha her arbutin, tranexamic acid.” chemical exfoliation using glycolic or lactic acid; and retinol. ” You can’t find all these ingredients in one product. Her first three are skin brighteners, which can be used daily or twice a day, depending on what kind of product you get (most often a serum or moisturizer). Glycolic acid, lactic acid, and retinol should be in separate products, so you can adjust the frequency of use depending on how your skin reacts.
If you love SkinCeuticals, you can get the first three ingredients with their Discoloration Defense (serum) and Phyto A+ Brightening Treatment (moisturizer). Drunk Elephant’s A-Passioni acts as a retinol. For chemical peels, PillowtalkDerm’s Major Fade Flash Mask is perfect. It’s a gentle blend of glycol and lactic acid, with some skin brighteners added to the mix. Your blemishes may benefit from a prescription retinoid or other prescription-strength topical medication.
A dermatologist can also determine if you have chloasma, irregularly shaped patches of light to dark brown pigmentation that often appear during or after pregnancy. It can be a lot more stubborn than hyperpigmentation,” says Darden, who ended up with a prescription treatment for her own melasma. .”
If your dermatologist diagnoses you with the condition, they will likely start prescribing hydroquinone. (Not recommended for women.) If that doesn’t fix the problem, your next step, after consulting with your OB/GYN, is to try oral tranexamic acid (TXA), says Idriss. pills. Low-dose oral TXA slows melanin synthesis and helps reverse some of the pigmentation caused by melasma. If that doesn’t work, they will talk to you about laser treatments. But “lasers are a last resort because the results are not long-term,” he says Idriss. “Melasma is a condition that must be treated consistently.”
So even if you get a diagnosis of melasma and get in-office treatment, you still need to keep up with your skincare and sunscreen at home. (She belongs to Oidon). And Durden says heat can also make melasma worse.
I know all of the above sounds like a lot of trial and error and a lot of work. Skin cell turnover takes 40-65 days so it takes 6-8 days to see any improvement. It may take weeks. But think about it this way. You just went through a difficult pregnancy and have two kids, so you know how to do the hard things. Please do your best. Please tell us about the situation.