Has anyone tried to use this combination for mixed or dermal melasma? Due to studies showing hypervascularity, TXA and VBeam with Kligman cream prior for PIH seems feasible. Treatment of underlying dermal cause should help with relapse or subsequent treatment. I've seen studies by Dr. Passeron in France and case of 3 year follow up spared of recurrence at treatment site. If not, what are your best treatments for long term remission of these cases? Not every case has ended in relapse.
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