Is it normal for my melasma to appear significantly darker immediately after a Clear and Brilliant laser treatment? (photos)

Pigmentation may be highlighted after Clear and Brilliant laser. I would recommend starting Melarase Brightening products to avoid PIH and to maintain results. Best, Dr. Karamanoukian#Realself100 Surgeon

Hi Lovelygrace thank you for the great question.

Melasma is a very tricky skin condition that tends to hyper-react to laser and light. Although the Clear and Brilliant laser (particularly the 1927 nm Permea Handpiece) can be recommended for Epidermal Melasma, the risk of worsening is still there.



Thus it is highly recommended to precondition the skin, by calming the pigment-producing cells (melanocyte suppression) with a hydroquinone or kojic acid based bleaching cream for 4 to 6 weeks, prior to starting the Clear and Brilliant laser series.



In the meanwhile please contact your physician and let him or her know of your rebound Melasma. In the interim, it is imperative you avoid the sun and to always use a high SPF (>45) broadband sunscreen, as UV rays can also contribute to the worsening of this skin disease.



Best of luck, 



DR. K

Clear and Brilliant is a great laser but it is definitely not the treatment for melasma and hyperpigmentation can be a consequence.  Please consult a board certified dermatologist who is an expert in cosmetic procedures.  Cosmelan is an excellent treatment for melasma.  Best, Dr. Green

Yes, melasma can temporarily worsen following C and B 1927. I usually place patients on a topical such as HQ to reduce the chances of rebound. The addition of Vitamin C serum after the C and B treatment is also beneficial. Oh, and never forget the sunscreen. C and B should be performed monthly, with base line photos as comparison. All the best, Dr Davin Lim . Brisbane. Australia.