I'm Asian with tendency towards melasma. Advice on best treatment plan to smooth skin without risking hyperpigmentation? (photo)

Question

I have old acne scars, large pores, and some discoloration. I've always been told that I m not a good candidate for more aggressive and effective treatments. Would love your advice on why you think oils be the most effective treatment plan to smooth out my skin.

Rebecca Fitzgerald, MD · Answer

Avoiding the heat that comes with most lasers is important for skin such as yours. Microneedling with radio frequency is one option for smoothing. Skin products can achieve some dramatic results if the right ones are chosen.It may require different device treatments as well as a solid skin care program to accomplish the tasks of blending pigmentation, reducing appearance of pore size and smoothing the skin.Your lifestyle habits will need to be considered in the treatment choices. See a board certified dermatologist who has ample experience in treating ethnic skin so you can get results without triggering new problems.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @kree1234! Microneedling with PRP is a safe and effective treatment for acne scars. Best of luck to you, Dr. Nima!

Raffy Karamanoukian, MD, FACS · Answer

Microfractional laser treatments can benefit skin quality and resiliency through collagen stimulatory effects. In our office, we use combination platforms for Clear and Brilliant added to PRP, fractional RF, and filler placement in order to enhance the skin. We use Clear and Brilliant laser to improve sun spots, post-inflammatory hyperpigmentation, atrophic skin, and skin wrinkles; in addition to scars. 
Best, Dr. KaramanoukianRealself100 Surgeon

Mitchel Goldman, MD · Answer

Thank you for your question. The key to a successful skin rejuvenation treatment is the ability to customize the procedure to the precise needs and skin tone of each patient. There are some laser devices that work particularly well on Asian skin, such as the Vbeam. This laser is an excellent option for both skin rejuvenation and managing melasma symptoms. Another safe option for your skin type would be RF microneedling, which is designed to trigger the body’s own healing response and boost collagen production to refresh the complexion. I encourage you to schedule a consultation with a board-certified dermatologist with expertise in treating Asian skin. With a customized treatment plan, you should see very good improvement.

Aanand Geria, MD, FAAD · Answer

Microneedling with PRP is a safe and effective treatment for acne scars in skin of color. Sometimes a non-ablative fractional laser like Fraxel can be used but the risk of hyperpigmentation is greater. A procedure called Laser Genesis works well to immediately tighten up pores but it does require upkeep.  Good luck!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,Consider Obagi nu derm system use the whole kit as directed. See a Dermatologist about the clear and brilliant laser as well as well as prp with micro needling.Best of luck...

I'm Asian with tendency towards melasma. Advice on best treatment plan to smooth skin without risking hyperpigmentation? (photo)

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