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Hello,Melasma is a condition which requires multiple steps and treatments to effectively improve the condition consistently over time. In our office, here are steps which are effective:-Pico lasers- The best type of laser for improving the condition. Please not it takes multiple steps to improve melasma safely-Nd:YAG Nano lasers with toning- Here a laser is used for deeply resistant melasma to break up particles without generating excessive heat-Melanage peels- A variety of peels can work and melanage is one of the best for melasma-Skin topicals- A variety of products including use of lighteners (we prefer natural lighteners such as arubtase found in our product Luminoso) as well as sunscreens can help improve the condition-Lifestyle choices-Avoiding the sun, hormonal changes (we have a hormone expert in Dr. Chughtai in our office) can all impact melasma.While melasma is common, patients must understand a multi pronged approach is often the best strategy and controlling this condition.Best, Anil Shah MD
Our protocol for melasma treatment is multi-pronged and includes laser therapy, fractional ablation, Covalent peels, and topical creams. I would begin the melarase creams for at least 4 to 6 weeks before initiating any aggressive laser therapy. AM: Melaclenz, Melapads, Melarase AMPM; Melaclenz, Melapads, Melarase PMBest, Dr. KaramanoukianRealself100 Surgeon
Have you tried bleaching formaulations as well as instituted a good sunblock.These are generally preferred as initial treatments prior to use of a laser or IPL?In any case you would likely utlilize these agents, the most popular of which is Triluma, as a maintenance therapy.
While IPL is great for many things, and the Ellipse I2PL one of the best and most effective systems out there, the response to IPL in melasma can be inconsistent.Fot this reason I like peels and other modalities that are a bit more consistent in response. In addition, Fraxel Restore has worked more consistently than IPL and is FDA approved for melasma.No matter which way you go, you need a good, board certified dermatologist to help you with this chronic skin disorder.
Great question. Melasma is a very common asquired dyscromia that occurs only in the sun-exposed areas . It is worsened by sun exposure, pregnancy ( where it is called chloasma or the mask of pregnancy), oral contraceptives, and certain anti-epileptic drugs like Dilantiin. It is...
Laser resurfacing withy CO2 or Erbium lasers does not remove facial hair. Hair removal requires the laser energy to go much deeper than the resurfacing lasers go. If the CO2 or Erbium resurfacing laser went deep enough to remove hair follicles you would be scarred.
Our protocol for melasma treatment is multi-pronged and includes laser therapy, fractional ablation, Covalent peels, and topical creams. I would begin the melarase creams for at least 4 to 6 weeks before initiating any aggressive laser therapy. AM: Melaclenz, Melapads, Melarase AMPM; ...
