Revlite Nd:YAG Laser for Melasma - New York, NY

In my pregnancies I developed freckle-sized...

In my pregnancies I developed freckle-sized patches of melasma on the sides of my cheeks. (These are not sunspots or agespots, but are indeed melasma, and that is an important difference.)

I tried Tri-Luma which did absolutely nothing at all except make my skin red. There was no fading of pigment whatsoever. It was a waste of money and time.

I researched all the lasers out there and decided that I would give the Nd:YAG Revlite laser a try. My dermatologist said the spots would go away with one treatment but I might need follow up bleaching creams.

Two months ago I had the treatment. It took only a few minutes, wasn't too painful. After 7 days the ugly crusty scabs fell off and the spots were red, like acne scars. After one month I went back for a follow-up and was distressed because the spots were still red. I was given 4% hydroquinone and told to apply twice daily.

It's now been two months. The redness is almost gone. The spots have indeed changed: they got lighter by 50% but they got wider, too, so now it looks like I have these strange "stains" instead of freckles! They aren't dark brown, but a light brownish pinkish grey, almost like acne scars. I don't think the post-laser hydroquinone did anything to alter the pigment other than to lighten the redness a little.

My dermatologist won't do another laser treatment because he says he rarely needs to do two on a patient. That may be true for sunspots and freckles, but what I have is deep melasma--not light surface pigmentation-- that nothing seems to cure.

I think the Nd:YAG might work for sunspots and freckles, but I don't think it improved my melasma. The good news is that a dab of concealer covers it fine, so it's not a big deal. I am now using Vitamin C on my face and I use Zinc Oxide sunscreen which prevents any further darkening.

In retrospect I wished I hadn't done the laser because it widened the patches, made them a little bigger, and made them a strange color...I think I would have been happier if I had left them looking like freckles, although they were a bit harder then to cover with concealer. I'm frustrated because the rest of my skin is beautiful except for these weird patches I now have.

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