Is Levulan Kerastick with Blue Light Photodynamic Therapy Illuminator effective on melasma, freckles and acne? (Photo)
Doctor Answers 5
PDT not effective for Melasma and Freckles - Only acne and Actinic Keratosis
Melasma or facial hyperpigmentation is a very difficult condition to treat. In our office, we use a variety of treatments including skin care products (containing retinoic acid, hydroquinone, glycolic acids), sunscreens, chemical peels (light, medium, deep including the blue peel), and lasers (IPL/BBL, Q-switch, PICO, Fraxel).
Over the last few years, we have had great success with the ZO® Blue Peel in treating hyperpigmentation. This is a robust in-office procedure that provides dermal and epidermal stimulation allowing for maximal tightening, restoration and rejuvenation of the skin. It also minimizes or eliminates the appearance of melasma [both epidermal and dermal melasma] and facial pigmentation. All patients require 6 weeks of skin conditioning prior to the procedure with the ZO Hydroquinone or Non-Hydroquinone kit.
These are advanced techniques so be sure to get an experienced dermatologist or plastic surgeon consultation for recommendations and treatment options.
PDT and melasma, acne and freckles
PDT not used for melasma. Other treatments much more effective.
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PDT for Melasma Treatment
There are other available treatments available that have shown to improve melasma such as Q-Switch laser that does not use heat since heat worsens Melasma. This can be used in combination of chemical peels and a course of Hydroquinone and Retinol prescribed by your doctor.
It is important to consult with an experience doctor to differentiate Melasma from superficial sun and age spots as the course of treatment will vary.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.