In the last couple of years my skin significantly aged and gotten worse. would like to improve my texture, minimalize large pores, prevent minor wrinkles, get rid of redness, however I have melasma and from my research, laser or light can worsen it or cause that it will appear in another places. What treatment would be good for me to reduce my concerns without making my discoloration worse? I am 45 years old, use sunscreen daily, do not tan, drink a lot of water, and care for my face.
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp Thank you for your question, 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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Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp Thank you for your question, 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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October 12, 2018
Answer: Treating Melasma 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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October 12, 2018
Answer: Treating Melasma 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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May 3, 2018
Answer: Treating melasma Thank you for your question. I would start applying hydroquinone morning and night and retinol in the evening. Start those two ointments two weeks prior to a laser treatment. I would recommend treating melasma with a fractional laser. The fractional laser will help to make the discoloration dissipate, shrink your pores and improve texture of your skin. Stay out of the sun after the treatment and always wear spf 50.
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May 3, 2018
Answer: Treating melasma Thank you for your question. I would start applying hydroquinone morning and night and retinol in the evening. Start those two ointments two weeks prior to a laser treatment. I would recommend treating melasma with a fractional laser. The fractional laser will help to make the discoloration dissipate, shrink your pores and improve texture of your skin. Stay out of the sun after the treatment and always wear spf 50.
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May 7, 2018
Answer: Picosure hands down Absolutely agree, pico laser with medical management can improve both melasma and rejuvenate your skin. 2-4 sessions for optimal outcome. You must be on a tyrosinase inhibitor before laser. Melasma can not be completely cured, however effective treatment are possible. 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.
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May 7, 2018
Answer: Picosure hands down Absolutely agree, pico laser with medical management can improve both melasma and rejuvenate your skin. 2-4 sessions for optimal outcome. You must be on a tyrosinase inhibitor before laser. Melasma can not be completely cured, however effective treatment are possible. 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.
Helpful
May 6, 2018
Answer: Picosure laser is the best for melasma The picosure laser fires 1,000 times faster than any other laser and it is the gold standard for melasma treatment. It is very popular in Asia since it is the safest laser for ethnic skin. If someone has ethnic skin and uses other lasers such IPL or CO2 laser etc, they can make their melasma worse. I would suggest you also use Lytera and/or HQ with your Picosure treatments. you will need a good sunblock which you said you are already using. You should plan at least 3 Picosure laser treatments, each spaced a month apart. The Picosure laser stimulates collagen and elastic fibers, so it will help with your fine lines and pore size. It will not help with any redness that you have in your skin. (No effective treatment can treat all problems)david berman MD
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May 6, 2018
Answer: Picosure laser is the best for melasma The picosure laser fires 1,000 times faster than any other laser and it is the gold standard for melasma treatment. It is very popular in Asia since it is the safest laser for ethnic skin. If someone has ethnic skin and uses other lasers such IPL or CO2 laser etc, they can make their melasma worse. I would suggest you also use Lytera and/or HQ with your Picosure treatments. you will need a good sunblock which you said you are already using. You should plan at least 3 Picosure laser treatments, each spaced a month apart. The Picosure laser stimulates collagen and elastic fibers, so it will help with your fine lines and pore size. It will not help with any redness that you have in your skin. (No effective treatment can treat all problems)david berman MD
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