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Pigmentation can be permanent if not treated correctly. In our office, we use a carefully curated protocol that includes Melarase creams, laser therapy, fractional ablation, and Covalent peels. The combination is quite effective. In terms of what to start with, I would recommend a 4 to 6 week course of Melarase creams: AM: Melaclenz, Melapads, Melarase AMPM: Melaclenz, Melapads, Melarase PMBest, Dr. KaramanoukianRealself100 Surgeon
