My melasma has occurred due to external factors, does this mean that I can maintain clearance of melasma using strong SPF?
Doctor Answers 7
Melasma and Lasers
I treat so many patients with melasma who unfortunately had laser therapy which made them worse. I definitely do not like laser treatment for most cases of Melasma. Cosmelan therapy is fantastic for clearing the melasma along with bleaching creams and chemical peels. Please consult an expert for the best treatment. Best, Dr. Green
Melasma and treatment.
It is likely not caused by laser. What you are experiencing is most likely hyperpigmentation. If you had recent sun exposure prior to having laser hair removal, your melanocytes where active, and having laser on top of already active melanin can cause hyperpigmentation. This is usually transient, which means it will subside on its own with good SPF and avoiding the sun. You can use a prescription cream called hydroquinone, for about 3 months and see if that makes a difference.
We have a great laser option for your Indian skin type called the Permea/Clear+Brilliant by Solta. By doing this 3-4 weeks apart; I recommend having a series of 3, you can greatly reduce the appearance of fine lines, wrinkles, pore size, and any brown pigmentation as well as true Melasma.
#laser #pigmentation #melasma
Sunscreen use and melasma
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Melasma treatment and management
Melasma can be managed by combination of topical and office treatments. Combining treatments of Q-Switch laser that doesn't use heat to further aggrevate the melasma in combination with glycolic peels and topicals of hydroquinone and Retinol prove to be effective in treating and managing Melasma.
Post procedure hyperpigmentation caused by such as laser hair removal can also be treated with hydroquinone and Obagi makes a product called Nuderm with hydoquinone that can be applied to the effected areas for a course of time. If you continue receiving laser hair removal you may want to talk to your doctor about the setting that is being may be too much for your skin type thus causing hyperpigmentation.
Melasma treatment and maintenance plan is essential
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 Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
Treatment & Prevention of Melasma
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.