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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
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, Cosmelan, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
I would begin with Melarase AM and Melarase PM with Replenish to help reduce abnormal pigmentation on the skin. Best, Dr. KaramanoukianRealself100 Surgeon
Yes, you can - remember the cornerstone is UV avoidance and SPF, augmented with low dose lasers or peels. The natural history of melasma after birth is to reduce in intensity. All the best, Dr Davin S. Lim. Brisbane dermatologist. Australia.
Rosacea skin is very sensitive. Tretinoin cream or gel can cause a lot of redness and irritation. Finacea foam twice daily, and a physical sunblock with a gentle moisturizer is a better option in my opinion. None the less, inform your dermatologist about these concerns. They...
I recommend getting a formal evaluation with a cosmetic dermatologist. For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer
Thank you for your question. I suggest that you consult with your board certified facial plastic surgeon. Best wishes,
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