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Peels, lasers, lights and skin care can all help melasma, but sometimes can make it worse. Melasma has no cure, only improvements through combination treatments. I suggest seeing a cosmetic dermatologist with experience. Best, Dr. Emer.
The vitalize peel has be reported to improve melasma. However, like all treatments for melasma, it is not a one time treatment or a permanent solution. Melasma is multifactorial - ultraviolet light, heat, inflammation, and estrogen all play a role. That also means it is very likely to recur whatever the treatment. So before you commit to a series of peels, be sure you are also committed to vigilant sun protection all year round with physical sunscreen ingredients and sun avoidance plus a protective hat with a wide brim when you know you will be exposed. Other helpful additions are oral antioxidants like that found in Heliocare which has been shown to reduce the inflammatory and oxidative effects of UVA and regular use of a retinoid and anti-pigment ingredients (vinoferine, vit C, arbutin, soy, licorice among others) and as needed use of a prescription hydroquinone.I hope this answer was helpful.Wishing you the best of luck.
Patients with melasma usually respond well to superficial chemical peels and bleaching creams. I prefer triple bleaching creams or equivalent. Proper application of sunscreens and hats are essential
Melasma can be effectively treated through chemical peels and topical bleaching creams. Cosmelan peels also work extremely well. Maintenance is important with chemical peels as well as strict sun avoidance. Best, Dr. Green