Is PicoSure good for stubborn upper lip melasma? (Photo)

Melasma is a difficult problem.  Picosure is very safe and is a very promising solution.  It will probably require 4-5 sessions to get some improvement.

Thank you for your question! Melasma is difficult condition to treat. Picsure can help with your scars and dark spots, but I usually advise combination of treatments. Picosure treatment will not prevent further spots from occurring. I would suggest you to make an appointment with an expert when it comes to treating melisma so you can get examined and receive personalized treatment. Good luck!

Melasma or facial pigmentation is a very difficult condition
to treat. In our office, we use a variety of treatments including skin care
products (containing retinoic acid, hydroquinone, glycolic acids), sunscreens,
chemical peels, and lasers (IPL/BBL, Q-switch, PICO, Fraxel). Over the last few
years, we have had great success with the ZO Blue Peel in treating
hyperpigmentation. This is a robust in-office procedure that provides
dermal and epidermal stimulation allowing for maximal tightening, restoration
and rejuvenation of the skin. It also minimizes or eliminates the appearance of
melasma [both epidermal and dermal melasma] and facial pigmentation. All
patients require 6 weeks of skin conditioning prior to the procedure
with the ZO Hydroquinone or Non-Hydroquinone kit.  These are advanced
techniques so be sure to get an experienced dermatologist or plastic surgeon
consultation for recommendations and treatment options. 

Firstly, let me say that the treatment of melasma/chloasma ("mask of pregnancy") has up until very recently been a very difficult condition to treat. It is important to have this problem diagnosed and managed by a specialist dermatologist as many laser/ IPL/peel and other topical treatments can make the problem much worse. in our practice the PicoSure is proving promising, often used in conjunction with newer topical treatments available to (and understood by) experts in the the treatment of pigmentary disorders. One of our specialists has studied extensively overseas to become an expert in this field - she is using the PicoSure in combination with other medications and our previously frustrated patients are thrilled with the results. Choose your practitioner wisely - any laser is only as good as the skill of its operator.

Lately I have been using Picosure for Melasma, however this is not my first line treatment. I still prefer the use of bleaching cream, vitamin A, gentle peels and low dose 1064 laser. Having said that, for resistant cases of melasma, Picosure has helped. Find attached a write up on melasma written by Dr Bekhor, Dr Rodrigues and myself. All the bestDr Davin Lim Laser and aesthetic dermatologist