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How to treat melasma on cheeks and nose that hasn't improved with allopathy for 3 months?
Skin and Hair Disorders
Consultation #54327
76 days ago
809

How to treat melasma on cheeks and nose that hasn't improved with allopathy for 3 months? - #54327

Client_d6fded
$3

I have melasma on my cheeks and nose since 3 months. I have taken allopathy medication for 2 months but not much improvement seen so far. Please guide me to cure it as it is lowering my confidence levels.

Consultation is closed

Doctors' responses

Dr. Snehal Vidhate
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Hello I can understand your concern It is very distressing as it is affecting your confidence so but dont worry we can bounce you back with your great confidence but you have to be consistent… 😊 **For your understanding ** It is mainly due to pitta vitiation which cause pigmentation imbalance It is also associated with Vata imbalance and this is affecting your skin texture Triggers in your case It may include -Sun Exposure -Stress and emotional disturbances -Fluctuations in hormones -Usage of chemical based products If you encounter with any of this please try to manage or avoid it Ayurvedic plan of treatment As your melasma is stubborn and it didnt responded to allopathic treatment it means it is due to internal imbalance so a detox is important in your case For detox you can go for Virechana procedure That is purgation therapy You should do this under the guidance of ayurvedic physician Internal Medication -Mahamanjisthadi kashaya 15 ml twice daily after food with equal water -Saribadyaasavam 15 ml twice daily after food with equal water -Mahathiktakam ghrita 1 tsp at bed time External Care -Kumkumadi taila Apply a light coating on your skin at bed time -Raktachandana+ Milk paste Apply alternate day Diet and lifestyle -Include -Cooling food - coconut water, cucumber, amla -Fresh Fruits includes Pomegranate -Ensure hydration Avoid -Spicy, oily fermented food -Excess tea or coffee -avoid sun exposure Lifestyle -Always apply sunscreen -manage stress -maintain proper sleep Follow this for next 45 days You will definately feel the changes in your skin Wishing you a good health😊 Warm Regards Dr Snehal Vidhate

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Doctor has prepared a treatment plan for you
Mahathikthaka Ghritham (150 Ml) - Kerala AyurvedaMahathikthaka Ghritham 150 Ml
Kumkumadi Thailam - Kerala Ayurvedakumkumadi Oil 30 Ml
Saribadyasavam (450 Ml) - Kerala AyurvedaSaribadyasavam 450 Ml
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3 replies
Client_d6fded
Client
75 days ago

How long will it take to show results

Dr. Snehal Vidhate
Bachelor of Ayurvedic Medicine and Surgery
75 days ago
5

Minimum 45 days are required to see visible result Also keep a photo to compare

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Client_d6fded
Client
75 days ago

Thanks for your guidance 😊

Dr. Shubhi
Bachelor of Ayurvedic Medicine and Surgery
76 days ago

please share you age, how is your digestion…any itching?

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6 replies
Client_d6fded
Client
76 days ago

I am 29 years old and digestion is fine and there is no itching

Dr. Shubhi
Bachelor of Ayurvedic Medicine and Surgery
76 days ago

🩺 ayurvedic view: this appears to be vyanga (melasma) due to pitta predominance with rakta dushti, commonly affecting facial skin without itching. 🌿 approach: focus on pitta shamana + rakta shodhana + gentle skin care. amla juice – 5 ml on empty stomach with lukewarm water mahamanjisthadi kashayam – 10 ml with equal water, twice daily before food arogyavardhini vati – 1 tablet twice daily after food 🧴 local care: apply paste of red masoor dal + jaiphal (nutmeg) + rose powder with raw milk or honey, once daily at night, apply a thin layer of shatadhauta ghrita after washing face during daytime, use a mild, non-irritating sunscreen and avoid harsh cosmetics 🥗 diet & routine: ✔️ include cooling foods like amla, leafy vegetables, adequate hydration ✔️ maintain regular sleep and reduce stress ❌ avoid excessive sun exposure, spicy, fried, fermented foods ⚠️ important: melasma is often influenced by sun exposure and hormonal factors, so consistency in care and protection is essential. ⏳ note: as this is a recent condition, good improvement can be expected with regular treatment, though gradual. — Dr Shubhi Goel, Ayurveda Consultant

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Client_d6fded
Client
76 days ago

How long will it take to fade completely

Dr. Muskan Chopra
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Result will come after 7 days of treatment and completely fade from 3-4 months of treatment.

98 answered questions
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Dr. Shubhi
Bachelor of Ayurvedic Medicine and Surgery
75 days ago

a few months, 2-3 months

57 answered questions
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Dr. Shubhi
Bachelor of Ayurvedic Medicine and Surgery
75 days ago

2-3 months you will see significant results

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Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
4.99

1. Internal balance Take Manjistha (Rubia cordifolia) – blood purifier Neem + Khadira – helps reduce pigmentation and heat in blood Aloe vera juice (fresh or herbal) – cools Pitta naturally Drink plenty of lukewarm water with coriander seeds (dhaniya water) 2. External care (skin application) Apply Sandalwood + Rose water paste (cooling and pigment reducing) Use Multani mitti + rose water mask 2–3 times/week Apply Aloe vera gel daily at night 3. Lifestyle correction (very important) Avoid direct sun exposure, always use scarf or sunscreen Reduce spicy, oily, fried foods Avoid late nights and stress Include cooling foods like cucumber, coconut water, amla 4. Yoga & habits Practice Anulom Vilom & Sheetali Pranayama daily to balance Pitta

1485 answered questions
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0 replies
Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

1.Manjishthadi Kwath – 20 ml twice daily after meals with 20 ml water after meals 2.Arogyavardhini Vati – 1 tablet twice daily with warm water after meals 3.Gandhak Rasayan – 1 tablet twice daily with honey or warm water after meals 4.Amla Rasayan – 1 tsp in the morning with warm water empty stomach External Remedies Kumkumadi Taila – apply a thin layer at night on affected areas, wash off in the morning (reduces pigmentation, improves glow). Sandalwood paste – mix with rose water, apply for 15 minutes, then wash (cooling and brightening). Diet & Lifestyle Include: pomegranate, amla, papaya, green leafy vegetables, coconut water. Avoid: spicy, oily, fried foods, excess tea/coffee, late nights. Protect skin from direct sun exposure; use natural sunscreen like aloe vera or sandalwood. Practice pranayama (Anulom-Vilom, Sheetali) to balance Pitta.

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0 replies
Dr. Muskan Chopra
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

In Ayurveda, melasma is often linked to “Vyanga”, caused by imbalance of Pitta dosha (heat, metabolism) Vata dosha (skin dryness, unevenness) So treatment focuses on: Cooling and detoxifying the system Improving skin quality External applications 🌿 Suggested Ayurvedic management RX- 👉Manjistha kwath 10 ml daily twice after meal. → blood purifier, improves pigmentation. 👉Sarivadyasava 10 ml daily twice. → Helps in Pitta balance and skin clarity 👉Khadiradi vati 1 tablet twice daily after meal. External (face application) Use 1–2 times daily: Kumkumadi Tailam → Apply at night, gentle massage Lodhra + Sandalwood + Multani Mitti paste → Apply 2–3 times/week for 15 min. Strict daily routine If you skip this, nothing will work: Sunscreen (SPF 30–50) every morning Reapply every 4-5hours Avoid: Direct sunlight Excess heat Harsh scrubs or chemical peels Drink: Plenty of water Coconut water / buttermilk 4. Diet changes (very important in Ayurveda) Reduce: ❌ Spicy, fried, oily foods Tea/coffee excess Fermented foods Include: ✅ Amla (Indian gooseberry) Leafy greens Fruits like pomegranate. Follow up after 1 month. Dr. Muskan Chopra Ayurvedacharyaa

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2 replies
Client_d6fded
Client
76 days ago

How long will it take to fade completely and also can i apply kumkumadi oil as i have oily acne prone skin

Dr. Muskan Chopra
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Result will come after 7 days of treatment and completely fade from 3-4 months of treatment. No, don’t use kumkumadi oil if you have acne prone skin instead use a lep which I have prescribed.

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Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

●Method of making the paste: mix 1 teaspoon of manjistha powder, 1 teaspoon of raktachandan powder, and rose water as needed. Apply the paste to your face for 10-15 minutes. Then rinse with plain water. ●Formula base formula manjistha powder - 30 g Liquorice powder - 25 g Red sandalwood powder - 20 g White sandalwood powder - 20 g Orange peel powder - 25 g Rose petal powder - 20 g Brahmi powder - 20 g Multani mitti - 40 g Teej-boosting (optional premium) Saffron - 0.2-0.5 g (10-20 strands, ground) ●Cleansing and Acne Support (Add-On) (Add to Base) Neem Powder - 15 g Turmeric Powder - 10 g Turmeric - 5 g Vetiver Powder - 10 g Total Add-ons: 40 g Total Mixture: 240 g ●Mixing Medium To make a paste or Swarna Mist Miracle Water - Best rose Water/Aloe Vera Gel or Milk or Yogurt Quantity: 1-2 teaspoons of scrub + liquid as needed ●How to Use • Apply to face/body (away from eyes) • Allow to dry slightly for 10-15 minutes • Massage in a light circular motion with wet fingers Rinse with water twice a week Storage + Shelf Life • Store in an airtight glass bottle away from moisture Shelf life: 8-10 weeks (ideal for homemade powders)

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0 replies
Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Hello dear, It is completely understandable that persistent melasma can be frustrating, especially when you’ve already put in two months of effort with allopathy without seeing the results you hoped for. ​In Ayurveda, melasma is known as Vyanga. It is primarily viewed as a Pitta aggravation, where excessive heat in the body “burns” the skin tissue (Rakta Dhatu), leading to dark patches. Since you are in Ahmedabad, the heat can often exacerbate this. ​Here is a focused Ayurvedic approach using Kerala Ayurveda Pharmacy products to help balance your skin from within and externally. ​ Prescription : ​Internal: Manjishtadi Kwath Take 15 ml mixed with 45 ml of lukewarm water, twice daily, 30 minutes before meals. This is a potent blood purifier that helps “cool” the Pitta and clear toxins that cause pigmentation. ​External: Kumkumadi Oil Apply 3–5 drops to the affected areas on your cheeks and nose at night after washing your face. Massage gently until absorbed. This contains Saffron and Manjistha, which are traditional lightening agents. ​Protection: Swarnamukhi Face Cream Apply a thin layer during the daytime. It acts as a natural skin nourisher and barrier against environmental triggers. ​ ​Melasma is highly sensitive to UV. Even while using Ayurvedic oils, ensure you protect your face with a wide-brimmed hat or scarf when outdoors in Gujarat’s sun. Focus on “Sheetala” (cooling) foods. Incorporate fennel seeds, coriander water, and pomegranate into your diet. Avoid excessively spicy, salty, or fermented foods (like pickles or heavy curd) which can flare up Pitta. ​ Since this is affecting your confidence, remember that stress itself can trigger hormonal shifts that worsen melasma. Gentle Pranayama (like Anulom Vilom) can help stabilize your internal system.

603 answered questions
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0 replies
Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Melasma occurs due to increased Pitta dosha, aggravated by sun exposure, heat, stress, and hormonal imbalance, leading to dark patches on the face. –Diagnosis: Vyanga (Pitta–Rakta dushti) – facial hyperpigmentation —rx 1) Tab. Manjishthadi Kwath / Rasayan – 2 tsp with equal lukewarm water, twice daily Tab. Chandraprabha Vati – 1–1–1 after food 2) Aimil Lukoskin Oral Liquid – 15 ml twice daily after food —Local Application: 3)Aimil Lukoskin Ointment – apply thin layer on affected areas twice daily —Sun exposure: - apply sunscreen if ho outside –Advice: Strict sun protection (avoid direct heat/sun 10 am–4 pm) Pitta-pacifying diet (avoid spicy, sour, fried food) Stress control (yoga / pranayama) – follow up after 15 days

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0 replies
Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Start with Saribadhyasavam 10ml -0-10ml after food with water as helps in blood purification, enhances skin natural healthy glow. Apply kumkumadi oil on affected area at bedtime keep overnight. Swarnamukhi face pack make paste and apply twice weekly. Use Sunscreen SPF 50+ during the day. Avoid direct Sun rays exposure use hat or use umbrella when going.

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0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
76 days ago
5

Melasma is not a quick-fix condition—even with allopathy it often takes 3–6 months for visible change. So lack of response in 2–3 months is common, not failure. In Ayurveda, it is usually due to pitta imbalance + hormonal/skin sensitivity. What to do: 1. Most important – Sun protection Daily sunscreen (SPF 30–50) Avoid direct sun 11 am–4 pm 👉 Without this, no treatment will work 2. Diet (very important) Avoid: Spicy, fried, sour, packaged food Excess tea/coffee Take: Coconut water, fruits, green vegetables Plenty of water 3. External care Apply aloe vera gel (fresh or pure) at night Or kumkumadi tailam (very small amount, night) 4. Medicines: Mahamanjishtadi kwath – 15 ml twice daily Arogyavardhini vati – 1 tablet twice daily Gandhak rasayan – 1 tablet twice daily 5. Timeline: Mild improvement → 3–4 weeks Visible lightening → 2–3 months Important: Avoid frequent changing of creams/treatments Stress and sleep also affect pigmentation Melasma can be controlled very well, but needs consistency + sun protection. Regards, Dr Raghuveer (Ayurvedacharya)

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