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What is best for melasma and broken capillaries on ethnic skin?

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lmocmuaMay 3, 2016
IPL for olive toned skin will make it worse & it did on me.Peels, ok which one? Vi, melange, cosmelan, tca? (obagi creams are harsh/expensive)Maintence?custom hydrquinone/Kojic/azeliac/ retin a/arbutin mix or inhibitors? I use sunscreen daily& tinted my car.Orignially from hormone meds & mostly under eyes/cheeks.The laser also caused capillaries under eyes & nose.What can help that too?I tried a YAG/Ktp laser 3yrs ago & face swelled like a balloon,it hurt & didn't work/plus trauma created more.

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Davin Lim, MBBS, FACD - Account Suspended

Though reported to help in certain cases of melasma, it can worsen other cases, especially if a tyrosinase inhibitor is not used with this treatment. Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even ...

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Davin Lim, MBBS, FACD - Account Suspended

No formal studies on the effects of steam and melasma, so unlike you will get a scientific answer. We know that UV and hormones mediate this condition, but steam will have no effect on melanocyte activity (unless I am proved wrong by recent studies). Melasma is a very common cause of skin ...

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Hardik Soni, MD

Any treatment which causes significant trauma to the skin whether it is heat, cold or light can lead to scarring. Liquid nitrogen would not be my first option to remove sun spots with the availability of IPL and other light based sources such as a q switched laser which can limit collateral...

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