What treatment would you suggest for my melasma (self diagnosis) on my cheeks, upper lip and nose? Laser? Peel? (Photos)
Doctor Answers 5
Melasma and IPL- do not do it
I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. What ever you do, DO NOT try IPL for this condition, especially in your skin type. There is a very high chance of melasma worsening after IPL. Gentle lasers at low power are the best treatments.
In some cases I combine glycolic AHA peels, or lately low strength TCA Peels, and in other cases I use a tablet called Tranexamic acid to help.
I suggest you consult an expert in melasma management in Atlanta,
All the best,
Dr Davin Lim
Laser, surgical and aesthetic dermatologist
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
What treatment would you suggest for my melasma (self diagnosis) on my cheeks, upper lip and nose? Laser? Peel?
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Melarase creams for melasma on the face
Thank you for your question. Skin discoloration is a very prevalent problem in women over the age of twenty. It is also increasingly common in men with increased sun exposure.
Risk factors include thyroid disease, sun exposure, hormones, pregnancy, family history, PIH, and birth control. Melarase AM and Melarase PM have been extremely effective in reducing pigmentation associated with skin discoloration and hyperstimulation of melanocytes.
In my practice, patients with hyperpigmentation benefit from twice daily application of the creams. Melarase AM in the morning, followed by Melarase PM in the evening. Melarase AM contains four active sunblocks, so sunscreen is not needed unless your sun exposure is very high or you had a recent procedure/laser. SPF of 30. Melarase PM contains active skin lighteners to even out skin pigmentation. If you are concerned about the development of pigmentation, contact our office to discuss details and to obtain a regimen for Melarase.
Recommendations: 5-step Daily Brightening Kit has everything you need to improve dark spots, skin discoloration, melasma, and hyperpigmentation caused by sun exposure, hormones, scarring, and the environment. It’s a powerful daily brightening kit that can help bring out your skin’s natural, healthy glow. Ideal for use on the face, neck, and hands.
Includes: Melaclenz, Melapads, Melarase AM, Melarase PM, Elevase, and Spectrase
IPl for melasma is not recommended
IPL can exacerbate melasma.
Melasma needs long term commitment with skin care and avoidance of skin factors such as sun exposure (Spectrase Sun Block) which has wide UV spectrum and SPF 30+ protection.
Daily good habits with topicals may well help you chieve your goals with a good skin system like the Brightening Kit from KareSkin (see link). You may want to start with Melarase and Pigmentation Correction Complex. Scler-X from another vendor is for PIH relief (see link).
Melarase AM is non hydroquinone based.
Clear + Brilliant laser can be added once you start your pretreatment with topicals.
H Karamanoukian MD FACS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.