Obagi for Melasma: Treatment Options, Results, and Protocols

**Understanding Melasma: The Stubborn Pigmentation Challenge** Melasma is one of the most frustrating pigmentation conditions—dark, patchy discoloration that appears primarily on the face and is notoriously difficult to treat. Triggered by hormones, sun exposure, and genetics, melasma requires a comprehensive, medical-grade approach. Obagi's targeted systems are considered the gold standard by dermatologists worldwide for melasma treatment. Unlike simple sun spots or post-inflammatory hyperpigmentation, melasma is deeply embedded in the skin and prone to recurrence. Success requires both aggressive treatment and diligent maintenance. **Why Obagi Works for Melasma** The Obagi Nu-Derm System with hydroquinone remains the most clinically-proven approach to melasma because it addresses the condition at multiple levels: - **Inhibits melanin production:** 4% prescription hydroquinone stops new pigment formation - **Accelerates cell turnover:** Tretinoin brings pigmented cells to surface faster - **Exfoliates effectively:** Physical and chemical exfoliants remove pigmented cells - **Provides antioxidant protection:** Vitamin C prevents oxidative triggers - **Blocks UV damage:** Medical-grade sunscreen prevents worsening For those who cannot use hydroquinone (pregnancy, sensitivity, or personal preference), the Obagi Nu-Derm Fx System offers an effective alternative with arbutin and other brightening agents. **The Complete Melasma Treatment Protocol** **Weeks 1-6: Initial Treatment Phase** Morning: - Obagi Gentle Cleanser - Obagi Toner - Obagi Professional-C Serum 20% - Obagi Clear (hydroquinone 4%) - Obagi Sun Shield SPF 50 (reapply every 2 hours) Evening: - Obagi Foaming Gel (thorough cleanse) - Obagi Toner - Obagi Clear (hydroquinone 4%) - Obagi Tretinoin 0.05% or 0.1% (prescription) - Obagi Blender (if using full Nu-Derm system) - Obagi Hydrate Luxe Expect some dryness, peeling, and temporary darkening during this phase—this is normal and indicates the treatment is working. **Weeks 7-18: Transformation Phase** Continue the same protocol. By week 12, most patients see dramatic improvement. Maximum results typically appear around week 18. For complete guidance on managing side effects, review our Obagi treatment guides.
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