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A safe treat,ent although not always 100 per cent effective is the medium vi peel. It is safe for any color of skin and causes redness for one week. It can be combined with aftercare products to minimize the recurrence of melasma. Unfortunately there is no ,ethos of 100 per cent removing melasma permanently in everyone.
I have the Medlite laser but would not recommend this laser to treat Melasma. This laser is best used for patients with sun spots and tattoos. The better treatment for melasma is Cosmelan and chemical peels with the proper retinoids and sun blocks. I have seen so many patients who have been treated with lasers for melasma and it can be problematic with the wrong patient. Please consult an expert in Melasma. Best, Dr. Green
OK- the answer not only lies in the laser but the settings and other treatments. Do I use the Mediate C6? Yes, I use this under a vvv low fluence using no end points and large spot sizes, every 2 weeks, for at least 6 sessions. Other lasers such as PICOSURE work better in most cases. Melasma can not be completely cured, however effective treatmentare possible. This is because your skin is extremely sensitive to UV and eventhe smallest amount can stimulate your pigment cells to produce colour. Themainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4hours. I prefer to use a combination of creams and laser formelasma. Hydroquinone can be used (5-8%), along with vitamin A creams. Iusually start my patients on laser (low dose Q switch or Picosure) a few weeksafter they commence on creams. In some cases I combine glycolic AHA peels, and in othercases I use a tablet called Tranexamic acid to help.More information in the video WEB REFERENCEAll the best, Dr Davin LimLaser, surgical and aesthetic dermatologistBrisbane, Australia