Is the Profractional Laser Effective in Reducing Melasma? Doctor Answers, Tips
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Is the Profractional Laser Effective in Reducing Melasma?

In addition to continued sunblock and hydroquinone, is the profractional laser effective in reducing melasma? Is there a significant risk of making the melasma worse? Is there an optimal laser setting to mitigate this risk? Thank you!

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2 Doctor Answers | Asked by 187555anon in minneapolis
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Laser treatment for melasma

Melasma can be of three varieties: Epidermal (superficial) Well-defined border Dark brown color Appears more obvious under Wood’s Lamp Responds well to treatment, such as with hydroquinones, chemical peels, retinoids, etc. Dermal Ill-defined border Light brown or brown-gray color Unchanged under Wood’s Lamp Responds poorly to treatment Mixed Combination of light and brown patches Partial... more
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ProFractional Laser is Effective for Melasma

As your question suggests, melasma is a difficult condition which requires a multipronged approach. Reducing the formation of pigment via bleaching agents such as hydroquinone is one important part of treatment. Extremely meticulous sun protection is also crucial in tipping the balance away from more pigmentation. As an ablative laser modality, ProFractional can vaporize tissue in the epidermis and dermis, thus removing some of the pigment. With... more

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