Melasma Enlighten vs Clear and Brilliant: What would be the better choice for Melasma/PIH in asian skin type 4?

A treatment with the Kareskin Brightening Kit with Melarase, followed by Clear and Brilliant laser and Melapeels will improve your melasma. Best, Dr. KaramanoukianLos Angeles

I recommend getting a formal consultation with a cosmetic dermatologist for best treatment options. It requires a combination approach to treat melasma.  We currently use clear + brilliant with bleaching and microneedling/prp and getting amazing results. I suggest you see an expert. You will need lifelong treatment, sun protection, skin care. But these treatments can give you improvement and then help you maintain. Best , Dr. Emer

I agree with the topical use of creams like Melarase and follow up treatment with laser, e.g. Clear + BrilliantBest

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.
I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams.

In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient.

All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia