What are the latest treatment options for dermal melsma?
Doctor Answers 6
There is hope.
Melasma is a condition that affects a large number of people. You are not alone. Over the counter creams over promise and under deliver. At Key Laser we are using the PicoSure Focus to treat melasma and are having great results. Treatments are performed in a series of 3 sessions about a month apart. Remember, laser treatments need some help. The additional help will come from using good products. We like SkinMedica TNS Essential Serum to repair and protect and SkinMedica Lytera for brightening, and you must always wear a good sunscreen.
Dermal melasma is hard to treat, however improvement is possible. Read more.
Melasma can not be completely cured, however effective treatment are possible. Dermal melasma is one of the hardest form of melasma to treat. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour, additional the pigment lies deep in the skin- ie. Dermal. 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. Picosure Focus is my laser of choice, followed by the Revlite or C6, then the Clear and Brilliant. For dermal melasma, its Picosure as my first line.
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. Brisbane, Australia
Melasma and Best Treatment and Cosmelan
I have all of the lasers imaginable to treat melasma but I would encourage you to seek out a physician who treats the skin with Cosmelan for melasma. It is extremely effective for melasma, especially for patients who are worse from past laser treatments. Best, Dr. Green
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Melasma care near beverly Hills, CA
Melasma needs long term commitment with skin care and avoidance of skin factors such as sun exposure (Spectrase Sun Block).
Daily good habits with topicals may well help you chieve your goals with a good skin system ike the Brightening Kit from KareSkin (see link). You may want to start with Melarase and Pigmentation Correction Complex
Clear + Brilliant laser can be added once you start your pretreatment with topicals (Dr Raffy at Kare Plastic Surgery in Santa Monica).
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An excellent platform for melasma control includes sun avoidance, sunscreen, the Kareskin Brightening Kit with Melarase, Clear and Brilliant lasers, and light chemical peels.