I'm 44 & thin. I have nasolabial folds, significant hollowing in my cheeks & under my eyes, sagging jowls & very loose skin above my jaw line. I would like to have treatment to correct some/all of the issues but concerned because I have melasma on my cheeks, between my brows & above my upper lip. Just recently got it under control so I'm extremely concerned that if I have facelift &/or fillers it will cause the melasma to flare. I would greatly appreciate professional opinions on best options.
Answer: Facelift, Fillers and Melasma Similar to the sun, medical procedures that result in heating, redness or inflammation of the skin can exacerbate or worsen melasma (e.g. certain lasers, BBL, etc). On the other hand, surgical procedures and injectables are quite unlikely to have a significant effect. Occasionally, surgical bruising can result in a more transient type of pigmentation know as inflammatory pigment or PIH. Unlike melasma, inflammatory pigment is not a chronic condition and is relatively easy to treat.As an aside, we now treat melasma with the Q-switched Nd:YAG laser on low energy settings. We have seen remarkable results across the board, including those patients that were previously hard to treat . Best wishes.
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Answer: Facelift, Fillers and Melasma Similar to the sun, medical procedures that result in heating, redness or inflammation of the skin can exacerbate or worsen melasma (e.g. certain lasers, BBL, etc). On the other hand, surgical procedures and injectables are quite unlikely to have a significant effect. Occasionally, surgical bruising can result in a more transient type of pigmentation know as inflammatory pigment or PIH. Unlike melasma, inflammatory pigment is not a chronic condition and is relatively easy to treat.As an aside, we now treat melasma with the Q-switched Nd:YAG laser on low energy settings. We have seen remarkable results across the board, including those patients that were previously hard to treat . Best wishes.
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Answer: Melasma should not be aggravated by fillers. I think it is very unlikely fillers would aggravate melasma. If there was a significant inflammatory response to the filler which is extremely unlikely it might. In my practice that is not been a complaint.
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Answer: Melasma should not be aggravated by fillers. I think it is very unlikely fillers would aggravate melasma. If there was a significant inflammatory response to the filler which is extremely unlikely it might. In my practice that is not been a complaint.
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January 10, 2020
Answer: Facelift and Fillers with Melasma Either procedure could be safely performed. While any inflammatory process could induce hyper pigmentation, I feel the risk is low. Both the advanced facelift and fillers can both be performed safely if desired. Additionally, good medical skin care can help long term with your melasma.
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January 10, 2020
Answer: Facelift and Fillers with Melasma Either procedure could be safely performed. While any inflammatory process could induce hyper pigmentation, I feel the risk is low. Both the advanced facelift and fillers can both be performed safely if desired. Additionally, good medical skin care can help long term with your melasma.
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November 17, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Significant bruising of the skin can stimulate the pigments cells and cause deterioration of melasma but it will not be likely. The reality is that your melasma can be treated with laser at the same time of facelift or another time. You should consult a surgeon who specializes in both of these areas. Your laser treatment, if you decide to proceed with it, is going to require adequate experience because of the type of skin that you have.Good Luck
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November 17, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Significant bruising of the skin can stimulate the pigments cells and cause deterioration of melasma but it will not be likely. The reality is that your melasma can be treated with laser at the same time of facelift or another time. You should consult a surgeon who specializes in both of these areas. Your laser treatment, if you decide to proceed with it, is going to require adequate experience because of the type of skin that you have.Good Luck
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November 15, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Every patient heals differently, but in general, neither fillers nor a facelift should cause a flaring of melasma. Melasma may require ongoing treatment to keep it under control no matter whether or not you have procedures performed.Following the advice from a surgeon on this or any other
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November 15, 2014
Answer: Facelift and/or fillers with melasma. Will it cause the melasma to flare? Every patient heals differently, but in general, neither fillers nor a facelift should cause a flaring of melasma. Melasma may require ongoing treatment to keep it under control no matter whether or not you have procedures performed.Following the advice from a surgeon on this or any other
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