Best treatment for pigmentation melasma and open pores? (photos)

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 (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer

Hello, please see treatment options below. Melasma is a condition which requires multiple steps and treatments to effectively improve the condition consistently over time.  In our office, here are steps which are effective:
-Pico lasers- The best type of laser for improving the condition.  Please not it takes multiple steps to improve melasma safely
-Nd:YAG Nano lasers with toning- Here a laser is used for deeply resistant melasma to break up particles without generating excessive heat
-Melanage peels- A variety of peels can work and melanage is one of the best for melasma
-Skin topicals- A variety of products including use of lighteners (we prefer natural lighteners such as arubtase found in our product Luminoso) as well as sunscreens can help improve the condition
-Lifestyle choices-Avoiding the sun, hormonal changes (we have a hormone expert in Dr. Chughtai in our office) can all impact melasma.
While melasma is common, patients must understand a multi pronged approach is often the best strategy and controlling this condition.
Best, 
Anil Shah MD

Clear and Brilliant laser coupled with the Kareskin Brightening Kit with Melarase creams can help reduce abnormal texture and pigmentation on the skin. Best, Dr. KaramanoukianLos Angeles

Melasma needs long term commitment with skin care and avoidance of skin factors such as sun exposure (Spectrase Sun Block) which has wide UV spectrum and SPF 30+ protection.
Daily good habits with topicals may well help you chieve your goals with a good skin system ike the Brightening Kit from KareSkin (see link). You may want to start with Melarase and Pigmentation Correction Complex. Scler-X from another vendor is for PIH relief (see link).
Clear + Brilliant laser can be added once you start your pretreatment with topicals. An Erbium type laser is good for large pore relief. 
Best

Hello,

Thanks for your question.  Halo laser resurfacing is safe to use for melisma, even in dark skin and improves pore sizes.

Thanks,



Dr. Kevin Belasco

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. Clear and Brilliant can also improve melasma. The use of erbium laser with HALO can improve melasma, but you will need to be on HQ as rebound can occur (as with all lasers). The non-ablative aspect of HALO can reduce pore sizing, however IMO Picosecond lasers are safer, especially in your skin type. 



In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help.





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