Fraxel on upper lip, melasma now darker. Is this normal? (Photo)
Doctor Answers 2
Melasma is one of the more difficult conditions to treat. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.
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.
In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help.
More information on available treatments in the article below.
All the best,
Dr Davin Lim
Laser, surgical and aesthetic dermatologist
Melasma and Fraxel
Fraxel was probably not the best treatment for your Melasma. I would definitely recommend you consult a specialist in melisma and consider Cosmelan and chemical peels to help restore the skin. Best, Dr. Green
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