40 year old- Can I get recommendations for anti-aging for someone with melasma? (photos)

With Melasma we have to be very careful when it comes to lasers. The Clear+Brilliant touch laser can be used to treat and improve melasma, large pore size, hyperpigmentation, fine lines + wrinkles, collagen loss, and skin tone+texture. However, the provider treating the patient needs to take a conservative approach and take precautionary measures such as icing the skin to keep the skin cool. This being said, when researching for a provider to receive treatment for melasma, look for a provider who is licensed, has ample amount of experience, and specializes in melasma and other skin conditions. This treatment is not suitable for all and we recommend scheduling a consultation before any treatment to determine which treatments are best suited for you. We also recommend getting on a medical grade skincare regimen customized to your skin's needs and conditions.

​Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, pico, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer​

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon