Best treatments to get melasma and sun damage under control? (photos)
Doctor Answers 3
Melasma and Cosmelan
Melasma is best treated with Cosmelan medical grade peels for this condition. I would definitely avoid Fraxel or lasers with this treatment. Strict sun avoidance is necessary going forward. Best, Dr. Green
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
Treatments for melasma
Thank you for your question lilylili. Melasma is a common condition which is challenging to treat. Before any treatments I have my patients start on a skin care regimen containing hydroquinone, kojic acid, retinoic acid, vitamins C and E, ferulic acid, hyaluronic acid, and sunscreen. After approximately two months, the skin improves and a treatment can be done with a reduced risk of side effects such as hyperpigmentation. I have developed the Ultimate Rejuvenation treatment that works well for melasma. It starts with a Forever Young BBL IPL photofacial treatment, followed by a Micro Laser Peel and a Pro Fractional treatment. After that topical liquid hydroquinone is applied on the skin. The channels formed from the Pro Fractional treatment allow the hydroquinone to penetrate deeper into the skin and address the deep pigment. Non-laser treatments such as chemical peels can work well if the pigment is in the surface layers of the skin. But with deeper pigment, deeper treatments are required. Please consult with a doctor for specific recommendations. Good luck!