I am 45 yrs old , I have had melasma for about 3 yrs. My skin type is 4 in the fitzpatrick scale. I have been wanting to try the Picosure laser but cant find reviews from people of my complexion. I have a large patch of pigmentation in my forehead and cheks. I would like to know how effective it is. Will my skin get darker? How careful do I need to be with the sun? We are planning to move to the caribean for a couple of years. Is there something that works better for my skin type? Thanks Johanna
July 4, 2019
Answer: Melasma and Best Treatment I treat so many patients with melasma, especially those recently who have had Picosure. The Picosure often makes the melasma worse and more difficult to treat in the future. The best treatment for you would be to have Cosmelan. Cosmelan consists of two medical peels spaced three weeks apart and the use of Cosmelan creams in conjunction with the products. Strict sun avoidance is necessary to avoid a recurrence of your melanoma. Best, Dr. Green
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July 4, 2019
Answer: Melasma and Best Treatment I treat so many patients with melasma, especially those recently who have had Picosure. The Picosure often makes the melasma worse and more difficult to treat in the future. The best treatment for you would be to have Cosmelan. Cosmelan consists of two medical peels spaced three weeks apart and the use of Cosmelan creams in conjunction with the products. Strict sun avoidance is necessary to avoid a recurrence of your melanoma. Best, Dr. Green
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July 1, 2019
Answer: Picosure and melasma Pico lasers can help, however all lasers are ADJUNCTIVE therapy. Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours. I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams. In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient. All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia
Helpful 1 person found this helpful
July 1, 2019
Answer: Picosure and melasma Pico lasers can help, however all lasers are ADJUNCTIVE therapy. Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours. I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams. In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient. All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia
Helpful 1 person found this helpful