Melasma Peel: What Works Best?

I provide IPL PhotoFacial treatments for brown discoloration of the skin. I have stopped trying to treat melasma, since my StarLux IPL treatments have not been satisfactory, and sometimes problematic.
You should consult a certified dermatologist that has favorable photos of melasma treatments. I don't think there is one specific "best treatment". I have read about erbium laser treatments as working well, but I think the experience and preference of your physician is of utmost importance.
I hope this is helpful, and best regards.

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Thank you for your question.   I would recommend to start using triluma morning and night six weeks prior to laser treatment. Fractional treatment is very effective for suppressing discoloration and evening out skintone.  Skinpen which is a microneedling device that would also be beneficial for getting rid of melasma.  The microneedling treatment helps to wake up your natural growth factors, shrink your pores, fade discoloration and acne scars, and help increase collagen and elastin production. You would do a treatment every 4 weeks and stay out of the sun as much as possible and always wear spf 50 broad sprectrum.  Always consult with your physician first before starting a treatment.

There are many chemical peels on the market today.  Medical-grade peels are going to be the best when it comes to treating Melasma.  Topical home care is very important too. If you can’t use hydroquinone, other options are Kojic acid, Vitamin C, Licorice Extract, Arbuti, or a blend of them).  And of course most importantly is being religious about sun protection i.e. hat, sunglasses, etc.. and a good sunblock repeatedly applied every hour!

In our experience, we have found the Perfect Derma Peel for Melasma works very well. The active ingredients are: TCA, Retinoic Acid, Salicylic Acid, Kojic Acids, Phenol, Glutathione and Vitamin C.  So with the cell turnover you also have antioxidants that inhibit melanin production and brighten the skin.

Hope you found this answer helpful.  All the best!