Not sure if I should get microneedling or IPL for some spots and melasma? Not sure if what I have (circled in picture) is melasma?
Answer: Melasma and Age Spot Treatment Melasma and age spots can be due to hormones, aging, sun exposure, thyroid dysfunction, and genetics. Treatments range from IPL to laser therapy; but pigmentation may recur if not complemented with topical creams to stabilize the pigment cells.
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Answer: Melasma and Age Spot Treatment Melasma and age spots can be due to hormones, aging, sun exposure, thyroid dysfunction, and genetics. Treatments range from IPL to laser therapy; but pigmentation may recur if not complemented with topical creams to stabilize the pigment cells.
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September 19, 2018
Answer: Melasma Melasma is one of the most difficult skin conditions to treat as it is triggered by hormones and exacerbated by heat. What this means is that while most pigmentation issues respond well to lasers such as IPL, Melasma has a tendency to get worse after heat is exposed to the area. Here are my recommendations for treating Melasma, good luck.
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September 19, 2018
Answer: Melasma Melasma is one of the most difficult skin conditions to treat as it is triggered by hormones and exacerbated by heat. What this means is that while most pigmentation issues respond well to lasers such as IPL, Melasma has a tendency to get worse after heat is exposed to the area. Here are my recommendations for treating Melasma, good luck.
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August 21, 2018
Answer: Melasma Thank you for your question. Always keep your skin protected from UV rays because even the slightest bit of exposure will make the pigment darker. Fractional treatments, chemical peels, microneedling are all beneficial treatments for treating melasma.
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August 21, 2018
Answer: Melasma Thank you for your question. Always keep your skin protected from UV rays because even the slightest bit of exposure will make the pigment darker. Fractional treatments, chemical peels, microneedling are all beneficial treatments for treating melasma.
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August 2, 2018
Answer: Freckles (Ephelides) Best Treated By Strict Sun Protection, Superficial Chemical Peels, & At-Home, Rx Bleaching Creams There is no substitute for an in-person, i.e. an up front and personal examination to pin down the diagnosis. However, from the photos, it is not clear that you actually have any significant melasma. It looks more like freckles (ephelides). If this is indeed so, then sun protection to prevent their darkening and prominence would be the first order of business, followed by the at-home use of a prescription strength bleaching cream, containing one or a combination of the following ingredients hydroquinone, kojic acid, arbutin or licorice extract, and a series of superficial in-office peels employing glycolic acid, Jessner's solution, or low concentrations of TCA. I am not a fan of bells and whistles devices like IPL, especially in skin of color, since such skin is particularly prone to dyspigmentation problems when exposed to light therapies, like IPLs and fraxels. Microneedling is "color blind," however, and may play a role, especially if combined with the topical application of tranexamic acid--should the other first line treatments mentioned not give rise to sufficient progress. Bottom line, you would be wise to seek consultation and treatment by a board certified aesthetic dermatologist who will both be able to accurately diagnose your problem and initiate appropriate treatment. Good luck to you.
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August 2, 2018
Answer: Freckles (Ephelides) Best Treated By Strict Sun Protection, Superficial Chemical Peels, & At-Home, Rx Bleaching Creams There is no substitute for an in-person, i.e. an up front and personal examination to pin down the diagnosis. However, from the photos, it is not clear that you actually have any significant melasma. It looks more like freckles (ephelides). If this is indeed so, then sun protection to prevent their darkening and prominence would be the first order of business, followed by the at-home use of a prescription strength bleaching cream, containing one or a combination of the following ingredients hydroquinone, kojic acid, arbutin or licorice extract, and a series of superficial in-office peels employing glycolic acid, Jessner's solution, or low concentrations of TCA. I am not a fan of bells and whistles devices like IPL, especially in skin of color, since such skin is particularly prone to dyspigmentation problems when exposed to light therapies, like IPLs and fraxels. Microneedling is "color blind," however, and may play a role, especially if combined with the topical application of tranexamic acid--should the other first line treatments mentioned not give rise to sufficient progress. Bottom line, you would be wise to seek consultation and treatment by a board certified aesthetic dermatologist who will both be able to accurately diagnose your problem and initiate appropriate treatment. Good luck to you.
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August 1, 2018
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp, Cosmelan 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, and sometimes erbium laser (coollaser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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August 1, 2018
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp, Cosmelan 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, and sometimes erbium laser (coollaser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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