Which is better for dermal melasma: dermamelan peel or PicoSure laser? I have had the derm e clat peel which helped a bit, is this peel the same as dermamelan? not sure which way to go
Answer: Melasma can be treated with a Cosmelan peel 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
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Answer: Melasma can be treated with a Cosmelan peel 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
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August 6, 2019
Answer: Melasma Treatment -- Best Treatment Is Clear + Brilliant, Aerolase, Erbium, Microneedling/PRP, Peels, Cosmelan Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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August 6, 2019
Answer: Melasma Treatment -- Best Treatment Is Clear + Brilliant, Aerolase, Erbium, Microneedling/PRP, Peels, Cosmelan Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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July 31, 2019
Answer: Melasma Melasma is one of the most difficult skin conditions to treat as it is triggered by hormones and exacerbated by heat. What this means is that while most pigmentation issues respond well to lasers such as IPL, Melasma has a tendency to get worse after heat is exposed to the area. Here are my recommendations for treating Melasma, good luck. ------Chemical Peels- Peels such as the Melanage Peel or the Reve Peel offer safe results for patients with Melasma. A combination of acids and non-acids penetrate the skin to lift micropigmentation. You will also be sent home with an at-home care regimen to maintain your results. -------Lasers- The safest way to treat melasma via laser is with a laser that fires in Picoseconds. This is to insure a careful heating of the skin not to further exacerbate the melasma. Here in my office we use the Piqo4 Laser by Lumenis. It is the only laser proven to treat melasma safely and effectively.Using a skin brightening topical like our Luminoso cream is great to help lighten pigmentation and promote an even skin tone. It is important to know that melasma is a moving target and requires patience and diligence to treat. Best, Anil Shah
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July 31, 2019
Answer: Melasma Melasma is one of the most difficult skin conditions to treat as it is triggered by hormones and exacerbated by heat. What this means is that while most pigmentation issues respond well to lasers such as IPL, Melasma has a tendency to get worse after heat is exposed to the area. Here are my recommendations for treating Melasma, good luck. ------Chemical Peels- Peels such as the Melanage Peel or the Reve Peel offer safe results for patients with Melasma. A combination of acids and non-acids penetrate the skin to lift micropigmentation. You will also be sent home with an at-home care regimen to maintain your results. -------Lasers- The safest way to treat melasma via laser is with a laser that fires in Picoseconds. This is to insure a careful heating of the skin not to further exacerbate the melasma. Here in my office we use the Piqo4 Laser by Lumenis. It is the only laser proven to treat melasma safely and effectively.Using a skin brightening topical like our Luminoso cream is great to help lighten pigmentation and promote an even skin tone. It is important to know that melasma is a moving target and requires patience and diligence to treat. Best, Anil Shah
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June 4, 2019
Answer: Treatment for Melasma It is difficult to provide a formal assessment without seeing you as a patient in my clinic. Melasma is extremely unique, and your treatment will depend on your individual case. Melasma typically requires a combination approach of laser treatments with microneedling and topical medications/cosmeceuticals. I recommend scheduling a consultation with a board-certified dermatologist who is an expert in melasma and hyperpigmentation treatments for a formal assessment. In my practice, we have over 45 lasers that we use in combination with IPL and microneedling to customize treatment plans for each of our melasma patients. Be sure you are using a vitamin C-based antioxidant and broad-spectrum sunscreen SPF 30 or higher every day.
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June 4, 2019
Answer: Treatment for Melasma It is difficult to provide a formal assessment without seeing you as a patient in my clinic. Melasma is extremely unique, and your treatment will depend on your individual case. Melasma typically requires a combination approach of laser treatments with microneedling and topical medications/cosmeceuticals. I recommend scheduling a consultation with a board-certified dermatologist who is an expert in melasma and hyperpigmentation treatments for a formal assessment. In my practice, we have over 45 lasers that we use in combination with IPL and microneedling to customize treatment plans for each of our melasma patients. Be sure you are using a vitamin C-based antioxidant and broad-spectrum sunscreen SPF 30 or higher every day.
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May 29, 2019
Answer: Melasma Treatment Options Thank you for your question. It can be very difficult to treat and heat often makes it worse. We would not recommend fractional Co2 or IPL PhotoFacial. Start by looking for prescription strength 4% Hydroquinone (HQ). Do not buy it over the counter or off the internet. Laws vary by state. In Texas, physicians can prescribe and dispense in office. We have been very successful using the PicoSure laser with the FOCUS and / or Flat Lenses eliminating hyperpigmentation with a series of treatments. Our Melasma protocol is a series of very low pulse count combined with using our chiller unit blowing cold air. FOCUS lens treatments have the extra benefit of reducing fine lines, wrinkles and scars. This is one of our go to treatments for patients older than 40 and worried about the signs of aging. The PicoSure laser is SAFE for ALL SKIN TYPES. Start with sunscreen every day! Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck
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May 29, 2019
Answer: Melasma Treatment Options Thank you for your question. It can be very difficult to treat and heat often makes it worse. We would not recommend fractional Co2 or IPL PhotoFacial. Start by looking for prescription strength 4% Hydroquinone (HQ). Do not buy it over the counter or off the internet. Laws vary by state. In Texas, physicians can prescribe and dispense in office. We have been very successful using the PicoSure laser with the FOCUS and / or Flat Lenses eliminating hyperpigmentation with a series of treatments. Our Melasma protocol is a series of very low pulse count combined with using our chiller unit blowing cold air. FOCUS lens treatments have the extra benefit of reducing fine lines, wrinkles and scars. This is one of our go to treatments for patients older than 40 and worried about the signs of aging. The PicoSure laser is SAFE for ALL SKIN TYPES. Start with sunscreen every day! Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck
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