Experienced melasma dermatologists/surgeons - can anyone recommend something for me?
Doctor Answers 3
Clear and Brilliant Laser and Melarase creams
Resistant melasma is common. I would suggest a combination of the Kareskin Brightening Kit with Melarase creams combined with Clear and Brilliant laser.
Melasma- combination treatments suggested.
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
TREATMENT FOR MELASMA
Hi , Before treating melasma, it is more important to check whether it is superficial or dermal melasma. There are chemical peels exclusively available to treat both. These peels should be done under medical supervision. Since this is a long term process, stick to your doctor who treat you. Remember, the triggering factor for melasma is UV rays, hence protect your skin with a sunblock cream to avoid further darkening of skin.
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