I was told I have melasma on my face. Does a ematrix laser treatments help or make it worse?

Question

Raffy Karamanoukian, MD, FACS · Answer

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.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Jason Emer, MD · Answer

I never found ematrix that useful that is why I dont use it in my practice any longer.  Other radiofrequency treatments like venus viva or skinfinity have helped but I find that clear + brilliant with microneedling does best.  I suggest a formal consultation.  Best, Dr. Emer

Michele S. Green, MD · Answer

I have so many patients who had Clear and Brilliant, Fraxel, and Tri-Vantagel Lasers only to have their Melasma made worse.  I really think that the best treatments are peels and Cosmelan.  I have found Cosmelan to be amazing at treating Melasma.  The only patients whose melasma have been stubborn are those who have been treated in the past with Fraxel and eMatrix.  You can see on my web site a woman who I treated with peels after someone treated her melasma with Fraxel.  Please be careful as this is an expert dermatological treatment.  Best, Dr. Green

Hratch Karamanoukian, MD, FACS · Answer

The eMatrix device was not FDA cleared as a treatment for melasma.However, it does help make the skin tighter, treats acne scars, has been shown to even out hyperpigmentation.I recommend that you start a regimen of Melarase products, called the Melasma Duo Pak from KareSkin on the link below. It has an AM and PM cream that helps reduce the pigmenttion of melasma.See the link below to order these products. BestDr Karamanoukian

Davin Lim, MBBS, FACD - Account Suspended · Answer

eMatrix is definitely not indicated for melasma. There are many other method to safely and effectively treat melasma (see web reference for a video). eMatrix is a good energy device to remodel early acne scars, and to help stimulate collagen production- this is what it is designed for. For melasma, lasers such as Q switch, pico lasers and Fraxel in conjunction with medical prescription cream is the treatment of choice. All the best, Dr Davin Lim Laser Dermatologist Brisbane, Australia.

I was told I have melasma on my face. Does a ematrix laser treatments help or make it worse?

Answers (5)

Answer: Melasma Duo Pak from Kare Skin

Answer: Melasma Duo Pak from Kare Skin

Answer: EMatrix and melasma

Answer: EMatrix and melasma

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I was told I have melasma on my face. Does a ematrix laser treatments help or make it worse?

Answers (5)

Answer: Melasma Duo Pak from Kare Skin

Answer: Melasma Duo Pak from Kare Skin

Answer: EMatrix and melasma

Answer: EMatrix and melasma

Browse related questions

Recommended reading

Everything you need to know about eMatrix

Our mission is to create a world where every investment in modern beauty is Worth It.