I have been managing my melasma (which developed after I had Fraxel 1.5 years ago) fairly well until I fell asleep under a skylight in my house and had a new flare up on my upper lip. It's mixed dermal and epidermal. I was referred by a derm to silkpeel and it sounds like a good option when paired with skin brighteners but the last thing I want to do is make the new patch darker so I'm hoping to learn more about the real risks of silkpeel to people like myself.
Can Silkpeel Dermalinfusion Make Dermal Melasma Worse?
Doctor Answers 2
Silkpeel microdermabrasion for melasma
Silkpeel dermalinfusion with lumixyl is generally quite helpful for melasma, along with proper sunscreen, and possibly a home fading/bleaching system. However, you may have more of a post-inflammatory hyperpigmentation from your previous Fraxel treatment rather than true melasma. I would speak with a dermatologist about the best treatment option and avoiding triggers that may worsen your skin e.g. hormones, sun, irritation etc.
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A challenging case
Although I have found Silkpeel very effective for melasma and have never seen it flare dermal melasma (although it may not help either) , you seem to have an unusual case. The fact that you did not have melasma before Fraxel, I am wondering if you really have post-inflammatory hyperpigmentation and not melasma at all. Have you seen a board-certified dermatologist? It might be you need a fresh viewpoint.