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IPL and BBL are appropriate in a small subset of cases, especially when combined with light chemical peels and Melarase creams in darker skin types. Best, Dr. Karamanoukian Los Angeles
There are some patients who will worsen with BBL treatment. If it is done you must pretreat with hydroquinone for 2 weeks to lessen the chance of hyperpigmentation. Plus, the energy used will need to be lower to be on the safe side. The other things people usually try first are topical creams with hydroquinone and tretinoin (sometimes TriLuma is a brand name people use or compounded at the pharmacy). If this is not effective we usually do a series of chemical peels or the Melanage peel. I have seen great results with Melanage or Melanage mini. Finally, Fraxel laser or micro needling are other options. Usually I would recommend these prior to BBL.
Be careful with IPL, though reported, and successful in the minority of cases, there are many more treatments that are safer and more effective. Melasma is a complicated condition to treat, and you should be on bleaching creams before any laser- IPL treatments. Discuss with your Dermatologist treatment options for melasma. RegardsDr Davin LimLaser Dermatologist
Post inflammatory hyperpigmentation can be improved with a topical combination of a chemical peel + melarase creams to reduce pigmentation. Best, Dr. Karamanoukian Los Angeles
There are two types of BBL. BBL for coloration of discoloration like browns and rosacea. It is recommended to do the treat every 3-4 months until you are satisfied with your skin. Then a maintenance treatment for every 6 months(Forever Young BBL). BBL has anti-aging properties i where you will...
Hi gepouliot,Thanks for your question. BBL typically requires multiple treatments to address freckles or sun spots as it is not an aggressive treatment and is therefore a gradual improvement over time. Our patients generally do a series of treatments every 3-4 weeks and then go on a "Forever Y...
