I am 30 years old and my dark spots got significantly worse after pregnancy. And now I am noticing a large brown patch on my forehead. I'm afraid its going to become worse. which treatment would work best? Thank you.
Answer: Melasma Treatment -- Best Treatment Is Clear + Brilliant, Aerolase, Erbium, Microneedling/PRP, Peels, Cosmelan Thank you for your question, Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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Answer: Melasma Treatment -- Best Treatment Is Clear + Brilliant, Aerolase, Erbium, Microneedling/PRP, Peels, Cosmelan Thank you for your question, Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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November 12, 2017
Answer: Light fractional lasers and PDL with Melarase creams for melasma Melasma is associated with hyperpigmentation caused by a combination of hormones, sun exposure, inflammation, and deposition of melanin pigment. In our office, we specialize in melasma treatments and start with Melapads, Melarase AM, Melarase PM, and Replenish; followed by pulsed dye laser to eliminate inflammatory erythema and light fractional laser.
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November 12, 2017
Answer: Light fractional lasers and PDL with Melarase creams for melasma Melasma is associated with hyperpigmentation caused by a combination of hormones, sun exposure, inflammation, and deposition of melanin pigment. In our office, we specialize in melasma treatments and start with Melapads, Melarase AM, Melarase PM, and Replenish; followed by pulsed dye laser to eliminate inflammatory erythema and light fractional laser.
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September 29, 2017
Answer: Treatment algorithm for melasma Melasma is a chronic skin condition that requires a multifaceted approach to treatment. The mainstay of treatment is sun avoidance and sun protection. A cautious approach to treatment is necessary as some treatments may exacerbate the condition. Prepping the skin with a skin brightener and/or retinoid for 4-weeks prior to treatment is beneficial. I have had success with a series of low-fluence laser treatments such as the Clear & Brilliant Permea, PicoWay, or Spectra devices. In some patients, we have identified a vascular component to their melasma that can be targeted with the Vbeam laser. More recently, we have also been prescribing a 4-6 month course of Tranexamic acid in appropriate candidates. There is a risk of recurrence and maintenance treatments are typically required.
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September 29, 2017
Answer: Treatment algorithm for melasma Melasma is a chronic skin condition that requires a multifaceted approach to treatment. The mainstay of treatment is sun avoidance and sun protection. A cautious approach to treatment is necessary as some treatments may exacerbate the condition. Prepping the skin with a skin brightener and/or retinoid for 4-weeks prior to treatment is beneficial. I have had success with a series of low-fluence laser treatments such as the Clear & Brilliant Permea, PicoWay, or Spectra devices. In some patients, we have identified a vascular component to their melasma that can be targeted with the Vbeam laser. More recently, we have also been prescribing a 4-6 month course of Tranexamic acid in appropriate candidates. There is a risk of recurrence and maintenance treatments are typically required.
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September 24, 2017
Answer: Picosure is the best laser available for hyperpigmentation the picosure laser fires 1000 faster than any other laser so that there is no downtime and little to no redness that resolves in a few minutes. you should plan 3 treatments, done one month apart. this laser is expensive to buy so you may have to search to find one. however it is worth searching for.david berman md
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September 24, 2017
Answer: Picosure is the best laser available for hyperpigmentation the picosure laser fires 1000 faster than any other laser so that there is no downtime and little to no redness that resolves in a few minutes. you should plan 3 treatments, done one month apart. this laser is expensive to buy so you may have to search to find one. however it is worth searching for.david berman md
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March 23, 2019
Answer: HALO not a good treatment for melasma. HALO is definitely out. Can temporarily improve melasma for a week to three then rebound will occur. Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.
Helpful 1 person found this helpful
March 23, 2019
Answer: HALO not a good treatment for melasma. HALO is definitely out. Can temporarily improve melasma for a week to three then rebound will occur. Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.
Helpful 1 person found this helpful
