Hyperpigmentation, Melasma, Redness, Sagging. Fraxel Restore Duel V. Sciton Contour TRL Laser Resurfacing?

Interested in best options & results of cosmetic procedures for my skin. Main issue is hyperpigmentation. I'm fair skinned & living in So. California has left my face spotted with a distinct tan line. Also, slight redness at sides of nose. Lastly, just entered my 40s, and I can see light sagging starting & wrinkles at corners of eyes. Had light melasma, but stopped with thyroid meds. Skin texture is good. My derm suggested Fraxel ReStore Dual Laser (if so, how many?), but would welcome opinions.

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2 Doctor Answers | Asked by SuperStella in Los Angeles, CA

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In my hands, Melasma and Postinflammatory Hyperpigmentation are best with a combination treatment.

Melasma and postinflammatory hyperpigmentation can be TEMPORARILY IMPROVED, BUT NOT CURED with lasers. In my hands I have the best long term results with combination treatment using the Fraxel Restore or Palomar 1540 Lasers to break up the pigment. I immediately apply a full-face iontophoresis mask (Cosmion Iontophoretic Rejuvenating Mask) with high concentrations of vitamin C (Super C - Physicians Complex). At home patients go over the skin three times a week for one month... more

Mark Taylor, MD

Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Combination treatment is needed

To address all your concerns some combination treatment is recommended. First for the melasma, which is one of the hardest conditions to treat. i like to use a strong bleaching cream to be used every day. In addition, a sunscreen of at least SPF 30 or higher is needed everyday even on a cloudy day especially living in CA. I have seen great results with the Fraxel dual, but lasers are not the perfect treatment for melasma but they will help. The most important is... more