Melasma Treatment: Q&A

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Hypopigmentation After Laser for Melasma

From India and dark skinned. I had melasma. The doctor recommended revlite laser for 20 sittings at 5 day interval in Jan'10. After which, my skin has hypopigmentation & have white spots all over my face. I keep applying sun screen regularly and I see good improvement. Certain areas turn from white to pink and gradually fade away.However there are still spots which don't seem to improve.Do the "not improved" spots fade away over time? Are these permanent? Is there any treatment I could go for?

2 Doctor Answers | Asked by naren in S.Korea
+1

Repeated aggressive treatments with a Q-switched Revlite laser may cause permanent hypopigmentation.

Lasers do not cure melasma. See the article in October 2011 Journal of the American Academy of Dermatology. Lasers are temporarily helpful, but never curative. If you had 20 treatments, you may have permanent hypopigmented spots especially if the treatments were aggressive. In my opinion there are safer and better ways to treat melasm.
+1

Loss of pigment after laser treatments may be permanent

Loss of pigment after laser treatments may be permanent. This is called hypopigmentation and in many cases will resolve spontaneously.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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