I start using yasmin a year ago and i noticed melasma in my both cheeks. I stopped using it and start treating i was using nuderm aystem by obagi for 6 months didnt work my melasma is dermal and i have olive skin,i checked 2 different doctor for laser and they said they can't garantee results it might get worst, im thinking to go for a peeling, which one will be better for me... Vi peel, perfect peel, cosmelan ?? Anything better?
June 1, 2017
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp 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, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
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June 1, 2017
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp 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, and sometimes erbium laser (coollaser) to get the best results. Melasma will need life-long maintenance. Best, Dr. Emer
Helpful 1 person found this helpful
May 30, 2017
Answer: Melasma Best Treated By A Combination Of In-Office Superficial Peels & At-Home Use Of Prescription Topicals Melasma is unfortunately a chronic and often recurring hyperpigmentation problem. Moreover, it can be an especially difficult-to-treat and resistant problem in people of color. Avoidance of unprotected sun exposure and strict use of sunscreens is essential for preventing further dyspigmentation and to maintaining improvement once treatments have worked. In my experience, topical therapies, especially OTC products, alone are often of limited value. IPLs and lasers, particularly in skin of color, pose the risk of causing further hyperpigmentation or worse, permanent loss of pigmentation, and should be avoided or reserved as measures of last resort. I have had considerable success through the years with a series of in-office application of various chemical peeling agents, combined with regular use of certain at-home, prescription strength topicals. TCA in 10%-35% concentrations, Jessner's Solution, and full strength glycolic acid are among the peels that have a proven track record in this condition when used in a series of about six peels spaced at monthly intervals. Topical hydroquinone, arbutin, kojic acid, glyccyrrhizic acid, alpha hydroxyacids and retinoids have all been used successfully for at-home supplemental skin lightening along with diligent use of sunscreens to retard or prevent repigmentation. I have also successfully employed fractional microneedle resurfacing coupled with the application of certain topical prescription skin lightening medications immediately following treatment. Both types of approaches are quick, relatively inexpensive, and engender little to no downtime and you can learn more about them by checking out the archives of RealSelf.com. You would do well to seek consultation and treatment by a board certified aesthetic dermatologist. Make sure to ask to see his/her before and after photos. Best of luck
Helpful 2 people found this helpful
May 30, 2017
Answer: Melasma Best Treated By A Combination Of In-Office Superficial Peels & At-Home Use Of Prescription Topicals Melasma is unfortunately a chronic and often recurring hyperpigmentation problem. Moreover, it can be an especially difficult-to-treat and resistant problem in people of color. Avoidance of unprotected sun exposure and strict use of sunscreens is essential for preventing further dyspigmentation and to maintaining improvement once treatments have worked. In my experience, topical therapies, especially OTC products, alone are often of limited value. IPLs and lasers, particularly in skin of color, pose the risk of causing further hyperpigmentation or worse, permanent loss of pigmentation, and should be avoided or reserved as measures of last resort. I have had considerable success through the years with a series of in-office application of various chemical peeling agents, combined with regular use of certain at-home, prescription strength topicals. TCA in 10%-35% concentrations, Jessner's Solution, and full strength glycolic acid are among the peels that have a proven track record in this condition when used in a series of about six peels spaced at monthly intervals. Topical hydroquinone, arbutin, kojic acid, glyccyrrhizic acid, alpha hydroxyacids and retinoids have all been used successfully for at-home supplemental skin lightening along with diligent use of sunscreens to retard or prevent repigmentation. I have also successfully employed fractional microneedle resurfacing coupled with the application of certain topical prescription skin lightening medications immediately following treatment. Both types of approaches are quick, relatively inexpensive, and engender little to no downtime and you can learn more about them by checking out the archives of RealSelf.com. You would do well to seek consultation and treatment by a board certified aesthetic dermatologist. Make sure to ask to see his/her before and after photos. Best of luck
Helpful 2 people found this helpful