Hi doctor, I am having pigmentation on my both cheeks, similar to a butterfly wing. I am on and off on contraceptive pills. I've tried hydroquinone under prescription but it worsen the melasma. Now I am applying AHA 10% which slightly fades the pigmentation. Is there any other treatment than Hydroquinone? If I apply any whitening cream will it help reducing the melasma as I am shedding now?
Answer: Melasma treatment 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.
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Answer: Melasma treatment 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.
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March 29, 2018
Answer: Treatments for Melasma Hello, please see options below. 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:
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March 29, 2018
Answer: Treatments for Melasma Hello, please see options below. 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:
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June 30, 2017
Answer: Light chemical peels and Susu skin non hydroquinone for melasma I would suggest Susu skincare with specializes in advanced non hydroquinone creams for melasma. Follow with fractional laser, PRP, and light chemical peels. Best, Dr. KaramanoukianLos Angeles
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June 30, 2017
Answer: Light chemical peels and Susu skin non hydroquinone for melasma I would suggest Susu skincare with specializes in advanced non hydroquinone creams for melasma. Follow with fractional laser, PRP, and light chemical peels. Best, Dr. KaramanoukianLos Angeles
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June 27, 2017
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp I recommend getting a formal evaluation with a cosmetic dermatologist. Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
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June 27, 2017
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp I recommend getting a formal evaluation with a cosmetic dermatologist. Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
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August 7, 2017
Answer: Melasma Options Vs. Bleaching Creams Thank You for your question,First I recommend that you go in for a consult with a Dermatologist. Clear & Brilliant (Permea) Laser is the best fractional laser that is safe to treat Melasma, our patient's typically get 6 treatments ranging 4 weeks apart and will combine it with a prescription Triluma or Hydroquinone cream, we do offer Skin Ceuitcals Advanced Pigment Corrector for those who prefer not to use a bleaching cream. There are other options such as chemical Peels. There is no cure for melasma but it is treatable. You must refrain from prolonged sun exposure and use a pure zinc sunscreen at all times, most sunscreens only last 80min. There is also a oral antioxidant called Heliocare that helps when you are going to be in prolonged sun exposure ( use in conjunction with sunscreen) that's great for melasma patients, it helps protect against the aging effects of free radicals from the UV sun rays and is made from all natural ingredients. If you are on birth control it could enhance your melasma symptoms.
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August 7, 2017
Answer: Melasma Options Vs. Bleaching Creams Thank You for your question,First I recommend that you go in for a consult with a Dermatologist. Clear & Brilliant (Permea) Laser is the best fractional laser that is safe to treat Melasma, our patient's typically get 6 treatments ranging 4 weeks apart and will combine it with a prescription Triluma or Hydroquinone cream, we do offer Skin Ceuitcals Advanced Pigment Corrector for those who prefer not to use a bleaching cream. There are other options such as chemical Peels. There is no cure for melasma but it is treatable. You must refrain from prolonged sun exposure and use a pure zinc sunscreen at all times, most sunscreens only last 80min. There is also a oral antioxidant called Heliocare that helps when you are going to be in prolonged sun exposure ( use in conjunction with sunscreen) that's great for melasma patients, it helps protect against the aging effects of free radicals from the UV sun rays and is made from all natural ingredients. If you are on birth control it could enhance your melasma symptoms.
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