Melasma Treatment: Stories

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Laser Failure - United Kingdom

  • posted 1 year ago
  • updated 1 year ago
  • Not Worth It
  • Cost: $1,500
  • Laserase (united kingdom)

After much research of various clinics etc, I...

After much research of various clinics etc, I booked an appoinment to have my melasma looked at to see if laser treatment would help. I felt very reassured by clinic, after my initial assessment I was told their was a very good chance that the laser treatment could really improve my melasma.

I had my first treatment in June 2010. The laser used was the AFT-570 Pulsed Light. I found this treatment very gentle, just a slight tingling sensation across my face. Afterwards the areas treated were slightly red, I was given a Thiospot Roller to use on the treated areas, and also an oxygenated cream to use during the day. I had my second treatment in July 2010, again using the same AFT-570, and the same after care products. Again no significant discomfort or down time. At the end of July 2010, I had another assessment at the clinic, and as I had not had any obvious improvement in the condition of my melasma, they changed the laser to a Harmony Pixel Laser.

I found this treatment very distressing. During the treatment my face was extremely hot and I did feel some pain. However, I was assured that this was quite normal. After the treatment a gel was applied. When I looked in a mirror at the clinic I burst into tears. I had these grid like patterns all over my forehead and around my eyes. The were very red and I looked just awful. I had to leave the clinic like this, and my family were totally shocked when they saw me. I looked like I had been burnt.

I persevered with the same aftercare routine as before and after about 10 days the redness did start to reduce, however, I could see that the melasma patches were actually larger than before and also darker. I visited the clinic and was again assured that this was perfectly fine and that all would settle in time, and then I would notice an improvement. It is nearly 18 months since I had this treatment, and I regret it every day. I have not had any improvement at all, just larger areas of melasma. I still had a slight grid type pattern underneath my eye. I have seeked help from a dermatologist, who told me the best thing to do would be to continue with the use of a good sunscreen, which I had been doing anyway. Any product I use on my face has sunscreen. I wear a hat during the summer months and try to stay in shaded areas. Nothing has worked for my melasma, but the worst treatment I tried was the laser.

Great review?

My Doctor:

My rating:

Before treatment the clinic was very professional, however now as I have had treatment and it has been a complete disaster, all they can offer is skin bleaching, more laser etc, all of which I have declined.

Comments (26)

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JoeyMarie 12 May 2013

I am about to turn 41 in a few days and I have lived with my Malasma for about 4 years now. I am wondering if anyone has tried (and had luck with) Meladerm? I would like to give it a try, but it is a little costly so was hoping someone here has tried it?

hps 15 May 2013
I did; two pump bottles. Meladerm did not fade my melasma at all; very disappointing. I also had pixel treatments (in conjunction with Obagi products); those tx showed some fading but the discoloration returned. Triluma was a total waste of $s and efforts as well; the same for IPL. However, what failed to work for me may work wonders for another person. I sincerely hope you find a product/treatment that work for you. Wear SUNSCREENS (yes, plural)! :)
Jill81 (Community Manager) 16 May 2013

I got melasma from pregnancy and sunscreen seems to be the only thing that will at least stop it from getting worse, thanks for the info about what you've tried to make it better.  Right now I'm using Rodan & Fields Reverse skincare system which is for sun damage and they claim will help with melasma but I haven't seen any difference.  I'm thinking about doing some light chemical peels and getting a Rx for retin-A to see if that helps!  Good luck to all of you looking for a solution!

rusoja 20 May 2013
I havent used Meladerm, but i have had 1 ipl treatment 3 weeks ago and have been using Obagi Nu Derm for 4 weeks. I can barley tell I have melasma now. I'm also taking supplements and have 2 more IPL treatments. I'm sooo happy with the results!
Jill81 (Community Manager) 21 May 2013

What supplements are you taking?

rusoja 21 May 2013
3000mg MSM (2000 morning, 1000 night) 500mg GSE (250 morning, 250 night) 1000 Vitamin C 150mg pycnogenol (50 morning, 100 night) Multi-Vitamin Sounds excessive, but I will do anything to get rid of this. I also just ordered Heliocare pills from walgreens (its buy one get one half off). Its crazy because I live in Florida and i'm so scared to go in the sun! I use 50+ SPF Skin Medica.
rusoja 21 May 2013
IF you decide to use the Obagi make sure you get the Refissa (tretinonin) I use the 0.05% anything stronger and my skin will look as red as an apple! with the low % I really don't have much redness, just around the mouth.
sarany95 31 Mar 2013

my daughter and I both have melasma bare minerals brand face powder does wonders for hiding it i am really grateful for your posts my daughter was fortunate enough to have a consult / take part in a research study at a teaching hospital in NC where they tried tiny spots with laser none of the treatments helped at all and they said the current lasers are just not there for making melasma better good luck ladies...you're all beautiful :)

tjackerman2003 4 Dec 2012

I think the after photo looks good - but I don't know what you looked like when you started. I would not have noticed any discoloration if I had not looked for it.

SammieT9 11 Sep 2012
Hi I first started showing signs of melasma when I was just 35 and for 3 years it would gradually get worse through the summer months only in winter did it improve very slightly. At the start of last year I started using clinique dark spot corrector along with Nutrogena spf 110 as I was due to be married in September and didn't want it to be visible on the wedding photos. I'm not saying that its a miracle cure but over the 8 months (even through summer) it faded quite significantly and along with a fairly light foundation on the day you could see nothing of the melasma on the day. For a month leading up to the wedding I also used body shop vitamin c capsules. Since then my routine diminished somewhat and the marks are back so I have now started it again. Can't guarantee this for everyone and the clinique stuff is pricey (maybe look for it at the airport next time you travel) but it definitely helped me.
13Hope 15 Apr 2013
Hiya I to have just started showing ythe signd of melasema and am currently only using ambre solar 50plus as its the higest I can get, where did u purchase you 110 factor from please as I think this would be better than 50plus x
Rose321 30 Aug 2012
Rachel and others, I'm 41 and developed melasma about 7 years ago. When I look back at pictures pre-melasma, I could cry. My skin looked so good. I have a large 'mask' with a large blob in the middle of my forehead that trails down over my eyebrows, around to both cheekbones, across the bridge of my nose and above my lip and around my chin. So basically, it covers my entire face. I have tried everything! Triluma, Obagi, hydroquionone, mandelic acid, glycolic acid....the mandelic acid gave me the greatest improvement with the least irritation but I quickly hit a plateau on this as well. I am currently trying lactic acid peels and an otc retinol cream, my skin can't handle the prescription stuff. And of course, I use tons of sunscreen and avoid the sun like a vampire. This makes living in Florida hard. No beach and I don't even use my own pool unless I have a hat, sunglasses and spf 100 on my face. Even then, 30 minutes is the max or the mask gets even worse. I have tried every foundation there is but with my slightly oily skin, and constant peeling, I look like a clown with anything on that actually covers the melasma. I will not try laser treatments because I have heard too many stories like Rachel's. I may try the Laura Mercie foundation/concealer but I have pretty much resigned myself to just trying to ignore it and not looking at old pictures. I am in sales and at a recent networking event, I had two different makeup/skincare reps approach me about products that they thought might help my face...so embarrassing!!
realselfkc 14 May 2013
Rose321, I have no cure for you, but my wife is in a similar situation, and we found that Dermablend's foundation and concealer effectively hide her melasma without making her look like a clown.
Nellina 7 Aug 2012

Bless you all! I too have the above and have been under a fab dermotologist who tells it as it is. Laser treatments a waste of time stick with the Tretoin (bleach creams that are prescribed) use them correctly not on damp skin and you can put a moisturiser over the top when it has sunk in and only use at night, I am Indian so tanned and have found Bobby Brown correcter and concealer amazing also try the foundations! My dermo also prescribes amazing suncream called suncare which is australian its beautifully lightweight factor 50 which I use everyday you can even get a tinted facial one. Dont let it get you down be confident within and it will show.x

Greenkat 28 Mar 2012

I too have melasma and my dermatologist did tell me that laser treatment is only temporary & the melasam will only return when I go out in the sun again. So, instead I just use the skin bleaching cream which does help, but makes my skin peel. Someone also told me about laura mercier concealer, which I tried. I did not think it did the trick, but I do use the laura mercier creme smooth foundation (LOVE it). For the concealer, try Amazing Cosmetics from the SkinStore - it has worked GREAT for me. Don't give up - we're our worst critics. Good Luck!

Rachel.C 6 Mar 2012
Hi Megan, thank you for your reply. The picture doesn't really show the patches very well. They do bother me as I had lovely clear skin until I was 40, then the patches started to appear. I do sometimes feel a bit down because of them, but then I have to think of others who are suffering from illnesses and disability, and it makes my problem seem a bit trivial. That being said, I have been out and people have come up to me and tried to to rub the areas on my forehead thinking that I hadn't blended my foundation in properly !!! Looking in the mirror every day can sometimes make me feel "why me".
Megan P (Community Manager) 8 Mar 2012

That's totally understandable. Sure, we always have to be thankful our situations are not worse, but that doesn't always make what we are dealing with easy. It sounds like you are doing a great job of trying to keep things in perspective though.

Megan P (Community Manager) 6 Mar 2012

Thank you so much for posting the "This is what I have been left with" picture. If I look super hard I can see some brown above your left eye and below your right one, but in the photos it's really not that noticeable. That being said, when its on your own face any unwanted changes seem bad, so I understand why it would be so upsetting.

Rachel.C 3 Mar 2012
18 months on and I still have the brown patches, they have faded very slightly but they do in the winter months, the heat seems to make them darker, so come the summer months the always appear alot darker. It is just a case on keeping up with the sunscreen and generally putting up with them. I have tried lots of makeup to cover them up, however, the patches tend to "bleed" through the makeup, so I just have to put up with them.
Megan P (Community Manager) 5 Mar 2012

That can't be easy, again I'm sorry to hear you are having to deal with this. I'm not sure what brand of makeup you have tried but Laura Mercie has a really good concealer, and so does Cover FX. Unfortunately neither are very cheap, but they cover up red spots really well and tend to stay on, of course I can't say if they will work for the brown, but I would think they would. If you buy them at a store like Nordstrom or Sephora you can use them, then return them if they don't work for you.

Hopefully they will continue to fade as time passes. Please keep us posted how you are doing.

Robyn W 25 Jul 2012

Hi Rachel,

I had exactly the same issue as you, except my dark patches are over my upper lip and chin, i look like a man. I just came from my 'New' dematologist and he was so upset that anyone would have put a patient with malasma under a laser. He has prescribed me with RetinA Micro .04% and 6% hydroquionone, and I have researched them an much success in getting rid of the discoloration that we suffer with...if I can manage the redness and peeling skin for a couple of weeks, my whole face should be clear...then regular maintenance of sun screen (i use Nutrogena 110 spf) and it shouldnt come back. Just thought I would share as I cant believe someone else went through the same torture as me! :)

Bee in California 15 Aug 2012
I also have the same problem and was told by a dermatologist not to use the 6% Hydroguinone. Has this worked for you as I am contemplating using the same regime? He recommended the Obagi Nu Derm system which has not worked well for this problem.
owen 1 Apr 2013
I use retA and bleach no results but Im still using them (desperate) depressing ppl always focus on my spots when talkn to me ewe
Megan P (Community Manager) 29 Feb 2012

I'm so sorry you have had such a bad experience with this. The picture that you posted, was that right after the 3rd treatment, or was it a while after?

Hope things have improved some for you!

Rachel.C 1 Mar 2012
All the redness has gone away, however, I have now been left with brown patches in all the areas that you can see on the photograph. This was taken a couple of days after the 3rd treatment, which was far more aggressive than the other treatments that I had been given. I have been advised by a dermatologist that the melasma and surrounding skin areas was traumatised by the invasive laser treatment, and this is why I have been left with additional brown markings on my face.

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