Does Fraxel Work on Dark Skin with Melasma?

Doctor Answers 4

Consider Sublative Radiofrequency Treatment for Melasma in Dark Skinned Patients

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Hi yaz,

Thought that you were in Boston, not NYC.

The best results that I have seen in treating melasma  and pigmented lesions in dark skinned patients is with sublative radiofrequency devices, e-matrix being one.  There is an increased risk of PIH in darker skinned patients with melasma treated with Fraxel Dual and repair.

Good luck and be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Fraxel for dark skin with melasma

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Fraxel usually will work on darker skin. However, a diligent skin program will need to be completed on a daily basis in order to obtain maximum improvement. In short the laser is an excellent tool but not a magic wand that erases your skin's tendency to form pigment. A good skincare regimen with Fraxel will give the best improvement.

Deason Dunagan, MD
Huntsville Plastic Surgeon

Fraxel Restore, Fraxel Dual and Fraxel Repair can improve melasma

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Patients with melasma have darker skin in the cheeks and often the forehead as well. It is a stubborn condition and may not respond to lightening creams, chemical peels or lasers. In fact, it may worsen with an increase in hyperpigmentaion after these treatments. Fraxel Restore, Fraxel Dual and Fraxel Repair may improve the melasma, but it may recur and could look much darker after the treatments. Lightening creams and sunblocks are important to use in addition to having the laser treatments and using sun-protection and avoidance techniques. You must accept the risk of developing worse melasma when you agree to undergo these procedures.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Fraxel Dual and Fraxel repair can lighten melasma

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Fraxel Dual and Fraxel repair can lighten melasma.  The darker your skin is, the more risk you will have for possibly darkening your skin as a potential side effect.  Pre-treating your skin with hydroquinone and other lightening skin care products before and after your procedure will help reduce this risk.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
4.9 out of 5 stars 217 reviews

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.