How to remove freckles and melasma permanently? Any cream? (Photo)
Doctor Answers 5
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
Melasma and best treatment NYC
I personally would avoid all lasers for melasma and consider a dermatologist who performs Cosmelan treatment. I have treated so many patients who suffer from hyperpigmentation from lasers with dark skin and have found that the best treatments are chemical peels, bleaching creams, and Cosmelan peels. Please consult an expert. Best, Dr. Green
Melasma and freckles.
Melasma can no t 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. Fraxel in a low dose setting, together with creams can also help. What ever you do, do NOT use IPL as this treatment, though effective for freckles can make melasma worse.
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
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