Thank you for asking that, in my opinion, I prefer a multi-modality approach. We typically like to pre-treat with Hydroquinone products (we prefer ZO) 2-4 weeks before any laser procedure. In our office, we find that the Clear & Brilliant's Permea works most effectively at clearing up Melasma when done in a series of 3-4 spaced 4 weeks apart. Typically, you will use numbing cream 30 minutes prior to treatment, and the procedure itself only takes about 15 minutes. Afterwards, it is common to be very red, this will subside in 12-24 hours. The next day and day after your skin will feel like "sand paper" as it begins to slough off. Sun damage and Melasma may appear darker during the next week, which is also very normal, and will continuously flake off and fade over the next 3 weeks. Good luck to you!#melasma #clearandbrilliant #permea
Melasma is a difficult skin condition to treat. Constant sun avoidance is necessary to prevent recurrence. There are many lasers that have been used and I have used the Fraxel, Clear and Brilliant, among others with success. I also love Cosmelan which is a topical peel originally from Brazil. There is a medical grade Cosmelan treatment which is combined with hydroquinones with great results. Please find an experienced dermatologist for the best cosmetic results.
