Can someone please tell me what my skin disease is named? Is this melasma? (Photo)

Question

Tried to ask earlier, but only one doctor responded. How to fix this skin “melasma”? I’m not sure what is called. It’s shows a big scar look alike look in different lighting from lamps and almost not visible in some. Thanks!

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Melasma is a common skin problem that causes brown to gray-brown patches on the face. It's typically treated with a combination of topical treatments, procedures, and preventive measures. Here are some common options:
1. Topical Treatments: These are usually the first line of treatment for melasma. This may include hydroquinone, tretinoin, corticosteroids, azelaic acid, or kojic acid.
2. Procedures: If topical treatments are not enough, procedures such as chemical peels, microdermabrasion, or laser therapy may be used. These procedures work by removing the outer layer of skin, which can help to lighten melasma patches.
3. Sun Protection: Protecting your skin from the sun is an important part of treating melasma. This means wearing a broad-spectrum sunscreen every day and reapplying it every two hours, as well as wearing wide-brimmed hats and seeking shade whenever possible.
4. Oral Medications: In some cases, your doctor may recommend oral medications, like tranexamic acid.
It's important to note that melasma can be a chronic skin condition that requires ongoing maintenance. Even after successful treatment, it can come back, particularly if you're not careful about sun protection or if you stop using your treatment.
As always, it's best to consult with a dermatologist to discuss your individual case and the best treatment options for you. They can provide a comprehensive evaluation and develop a personalized treatment plan.

Nuket Eroglu, MD · Answer

Hello; You have acne scars. Melasma is out of the question. Melasma is more common in women's skin and begins in middle age terms. It is a genetically inherited disease; that is frequently encountered in the Mediterranean race with black-white pigmentation; like a map on the face, which is effected by hormones, stress and environmental conditions. Melasma is an idiopathic skin disorder; in which the face, including the middle of the forehead, above the mustache and cheeks. It gradually, turns into black and pigmentations which create a butterfly appearance on the face; darken and spread. It usually occurs in middle-aged women and gradually regresses after menopause. It sometimes may disappear completely. Sometimes, it may not go away and remain with a mottled skin appearance. Fractional CO2 laser is the golden standard for acne scars on your skin. Fractional carbon dioxide laser, goes deeper and vaporizes your skin. It stimulates for the collagens under the skin and provides new skin formation. In addition to these, it also has a non-surgical face lifting effect. The related affect is permanent. It is so safe. It would be so correct decision for you; to have fractional carbon dioxide laser. I'm sure you will be very pleased.

Can someone please tell me what my skin disease is named? Is this melasma? (Photo)

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Can someone please tell me what my skin disease is named? Is this melasma? (Photo)

Answers (3)

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Everything you need to know about Skin Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.