Is dermal melasma on Asian Indian skin treatable?
Doctor Answers 4
Multiple treatment can help
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.
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
Melasma and Indian Darker Skin NYC
I treat many patients who have dermal pigmentation with dark skin. It can take a long time and although I have every laser that is mentioned here I would avoid these lasers and consider only traditional chemical peels and Cosmelan therapy. Please consult an expert. Best, Dr. Green
Melasma on Darker Skin Types
I suggest using ZO (Dr. Zein Obagi's line) Melamin AM-with Sunscreen, and Melamix-mixed with Retin-A 0.05%PM for 4-6 weeks prior to tx. For optimal results, you'll need to do laser 4 times minimum with 4 weeks in between.
#laserandmelasma #hydroquinone #therapy
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