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Which is the best treatment for Melasma between VI Peel and Cosmelan with dark brown skin ?

M
m2Lungk0tMar 7, 2015

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 125 Reviews
Answered on May 19, 2015
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Mar 8, 2015
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Raffy Karamanoukian, MD, FACS

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus...

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I suggest you see a cosmetic dermatologist for treatment.  You will need a combination of a few lasers (Vbeam and Clear+Brilliant with or without microneedling) to fix this as well as lightening creams.  Best, Dr. Emer.

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Raffy Karamanoukian, MD, FACS

Chemical peels sometimes can vary in their depth of penetration. After a chemical peel, we often suggest using the Melarase creams to minimize post-treatment discoloration of the skin. Best, DR. Karamanoukian Los Angeles

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Can I do a peel like vi peel if I'm taking low dose Accutane? I have melasma and I've had vi peel years ago and it worked great.

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Raffy Karamanoukian, MD, FACS

A trained skin specialist can help you make the right decision regarding a chemical peel. Patients on Accutane should avoid deeper chemical peels but our office has designed peels that are amenable to acne breakouts and melasma while on Accutane. Best, Dr. Karamanoukian Los Angeles

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