Hormone tests normal. What is the best treatment? For years I've used Elta MD Clear spf 46 followed by J Iredale makeup spf 20. Struggled with acne all my life. Accutane worked temporarily 15 yrs ago, but I lost 40% of my hair, and it didn't grow back. For past 8 yrs, my program is sulfer-based cleanser 2x day, duac in am, Tazorac pm. Pigment issues for 3 yrs now. Also use Quantum Healing Laser's Blue light for acne for about a year, but only on my jawline and nose. I eat right and exercise.
Answer: Brown and white spots on the face like melasma may be helped by the Clear and Brilliant Permea and Fraxel lasers Melasma, or facial hyperpigmentation, comes in different forms and some patients do have white discoloration as well (idiopathic guttate hypomelanosis). It is not reasonable to expect a 100% correction and NO doctor can guarantee success in reducing melasma. There may be considerable improvement, but it's very important to realize that once someone has melasma, the treatment is not considered a cure, but maintenance. If you do obtain a good result, you'll probably have to go back to the doctor for further treatment in the future when the pigment returns. Just a few minutes of unprotected sun exposure can bring it back overnight!Any treatment, chemical peel or laser, has a risk of postinflammatory hyperpigmentation in any patient but some skin types are more prone for this to happen. Often the laser treatment is done in conjunction with the use of topical lightening creams to minimize the rebound darkening that can occur and the laser also helps the creams work best.Permea, which is a mild fractional laser of the Clear and Brilliant type, has helped gently reduce melamsa in many of our NYC patients at the Laser & Skin Surgery Center of New York. But, with all types of lasers, I have seen failures too. It's important to see an experienced doctor when having this treatment done for this condition.
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Answer: Brown and white spots on the face like melasma may be helped by the Clear and Brilliant Permea and Fraxel lasers Melasma, or facial hyperpigmentation, comes in different forms and some patients do have white discoloration as well (idiopathic guttate hypomelanosis). It is not reasonable to expect a 100% correction and NO doctor can guarantee success in reducing melasma. There may be considerable improvement, but it's very important to realize that once someone has melasma, the treatment is not considered a cure, but maintenance. If you do obtain a good result, you'll probably have to go back to the doctor for further treatment in the future when the pigment returns. Just a few minutes of unprotected sun exposure can bring it back overnight!Any treatment, chemical peel or laser, has a risk of postinflammatory hyperpigmentation in any patient but some skin types are more prone for this to happen. Often the laser treatment is done in conjunction with the use of topical lightening creams to minimize the rebound darkening that can occur and the laser also helps the creams work best.Permea, which is a mild fractional laser of the Clear and Brilliant type, has helped gently reduce melamsa in many of our NYC patients at the Laser & Skin Surgery Center of New York. But, with all types of lasers, I have seen failures too. It's important to see an experienced doctor when having this treatment done for this condition.
Helpful
September 9, 2014
Answer: Fraxel Dual laser for melasma Hi mipup-- this looks like melasma, which can be a very difficult condition to treat. Over the last 14 years, the laser that I have seen work the best is the Fraxel Dual laser using the 1927nm wavelength. Melasma can recur or even worsen so you make want to try more conservative measures first. Best, Dr. Groff
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September 9, 2014
Answer: Fraxel Dual laser for melasma Hi mipup-- this looks like melasma, which can be a very difficult condition to treat. Over the last 14 years, the laser that I have seen work the best is the Fraxel Dual laser using the 1927nm wavelength. Melasma can recur or even worsen so you make want to try more conservative measures first. Best, Dr. Groff
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Answer: Fraxel? Fraxel? Yes. But combination therapy is the best
Helpful 1 person found this helpful
Answer: Fraxel? Fraxel? Yes. But combination therapy is the best
Helpful 1 person found this helpful
November 11, 2016
Answer: Pigmentation and treatment options When hyper pigmentation is the result of sun damage the Fraxel is a fabulous option. If the sun damage is Melasma then there are some different treatment options available. Clear and Brilliant which is a mini Fraxel can be effective as well as the Fraxel on the 1550 setting. I have also had a great deal of success with Cosmelan. For the best results please consult a board certified dermatologist with experience with Fraxel and cosmetic skin issues.
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November 11, 2016
Answer: Pigmentation and treatment options When hyper pigmentation is the result of sun damage the Fraxel is a fabulous option. If the sun damage is Melasma then there are some different treatment options available. Clear and Brilliant which is a mini Fraxel can be effective as well as the Fraxel on the 1550 setting. I have also had a great deal of success with Cosmelan. For the best results please consult a board certified dermatologist with experience with Fraxel and cosmetic skin issues.
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September 11, 2014
Answer: Creams and Fraxel 1550 Melasma
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September 11, 2014
Answer: Creams and Fraxel 1550 Melasma
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