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Updated: Jun 4, 2025

Author Spotlight: Non-Surgical Treatment of Melasma– Microneedling with Tranexamic Acid
Published on: January 19, 2024
Melasma management in primary care
Tim Aung1, Ebtisam Elghblawi2, Sandy T Aung3
1FRACGP, FRNZCGP, ProfDip (Skin Cancer Surg), ProfDip (Gen Derm), Primary Care Practitioner, Qld.
Background:
Melasma, a condition characterised by hyperpigmented patches on the face, is one of the common skin conditions in women seeking treatment from primary care practitioners (PCPs). Several treatment modalities are available for PCPs as well as dermatologists. Each treatment option has its pros and cons, including accessibility and cost.
Objective:
This article aims to explore and address the treatment options that PCPs can offer for melasma.
Discussion:
This article outlines how to offer treatment from the PCP's perspective conveniently and cost-effectively. Combined topical treatment seems to be the first-line form that PCPs can offer and manage in the general practice setting. Of the various treatments available, the triple combination of topical hydroquinone with retinoid and corticosteroid is widely described in the literature.
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