BBL or Halo for melasma and capillaries? (photos)
Doctor Answers 4
Neither- bleaching creams and gentle laser best.
Remember your SPF as well.
More info below
DR Davin Lim
Halo is safe and effective for melasma, but may need multiple treatments
We start with HQ(Hydroquinone, RX) bleaching cream with tretinoin and sunscreen use for 4-6 weeks prior to any laser treatments for melasma. Some lasers can make melasma worse so you should be very careful to choose which laser treatments you will pursue. Halo is pretty safe to use melasma with good results. Typically, you need multiple halo treatments to treat melasma in different depths or a few halo treatments then BBL treatments. It is very important to use non HQ bleaching cream and sunscreen as a long-term maintenance after the laser treatments.
Thanks,Dr. Kevin Belasco
Melasma Treatment Options
In our practice, we would likely put you on an aggressive pre-treatment regimen of skin preparation including bleaching creams and retinol, among other products. This would occur for 4-6 weeks, preferably 6 weeks. We would recommend 2 Halo's (6 weeks apart), to see how much of the pigment will respond. It's very difficult to tell how deep melasma is, so some may lighten and some may not. If some of it did not lighten, we may recommend a series of BBL to target the more superficial pigment. Treating melasma is a very tricky and complex process, and it is a lifelong process as well. Its often requires maintenance treatments and always requires appropriate skin care after treatments to keep it under control.
Dr. Grant Stevens
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