Is microneedling good for melasma?

Microneedling was found to be well tolerated and no serious adverse events were reported. Findings stated that topical therapy with microneedling “improved melasma severity with a large effect (standardized mean difference >0.8) beyond 8 weeks, with best results seen at 12 weeks.
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What is the most effective treatment for melasma?

Triple combination cream (hydroquinone, tretinoin, and corticosteroid) remains the most effective treatment for melasma, as well as hydroquinone alone. Chemical peels and laser- and light-based devices have mixed results. Oral tranexamic acid is a promising new treatment for moderate and severe recurrent melasma.
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Does microneedling reduce hyperpigmentation?

Microneedling does a tremendous job of lightening and reversing hyperpigmentation and sun damage. This is again due to the power of collagen production and its ability to repair and restore your skin. There's some research that suggests that microneedling is the most effective therapy for sun spots.
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Can microneedling make hyperpigmentation worse?

Can microneedling make the pigmentation worse? Microneedling may worsen dark spots if your skin scars or becomes inflamed easily. If this is the case, microneedling may cause more inflammation. Following this, your body will send white blood cells to fight off bacteria and infection.
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Does RF microneedling make melasma worse?

Answer: Safety of microneedle RF with Melasma

Any treatment that disrupts the skin can trigger the melasma and have an unwanted outcome, so caution is warranted.
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I tried Microneedling for my Hyperpigmentation and Melasma: Microneedling Before and after



How often should you microneedle for melasma?

In the few days after each round of microneedling—derms usually suggest several sessions, spaced four to six weeks apart—you'll use only gentle cleansers, healing ointments, and mineral sunscreens before resuming your normal regimen, including whatever lightening/brightening products you were on pre-procedure.
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What is the latest treatment for melasma 2022?

The authors concluded that TCC cream remains the gold-standard treatment for melasma. TCC is a 'triple combination cream' that contains three medicines: a corticosteroid, tretinoin and hydroquinone. Hydroquinone and tretinoin alone were also effective, but not as effective as TCC.
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How many microneedling sessions are needed for hyperpigmentation?

For hyperpigmentation, 3 to 6 sessions spaced four to six weeks apart will offer optimal results. It is recommended that you repeat the treatments within 6 - 12 months to maintain your results. Read some tips on caring for your skin after microneedling sessions.
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Who should not get microneedling?

Microneedling can cause bleeding so it may not be suitable for people with clotting or bleeding disorders, or who take medicine to thin their blood. You may want to avoid microneedling if you have conditions that affect your skin, such as eczema or diabetes, or if you have a weakened immune system.
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Is microneedling or laser better for hyperpigmentation?

Laser treatments can often provide quicker, more dramatic and long lasting results than microneedling treatments. Because lasers deliver heat to the skin we see more side effects (such as temporary darkening or bruising) and longer downtime due to post-treatment swelling and redness.
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Does hyperpigmentation get darker after microneedling?

Answer: Microneedling does normally cause hyperpigmentation in darker skin, so an aftercare plan is important to reduce and prevent it.
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How long does microneedling take to get rid of hyperpigmentation?

Four to six weeks following treatment: This is the time when our patients tend to notice the effects in full. Again, some patients may take longer, but our team will be available to address any concerns you may have about your results.
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What completely clears hyperpigmentation?

Chemical peels, laser therapy, microdermabrasion, or dermabrasion are all options that work similarly to rid skin of hyperpigmentation. These procedures work to gently remove the top layer of your skin where the dark spots lie.
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How can I permanently cure melasma?

Treatment options for melasma can include:
  1. Hydroquinone. Doctors often use hydroquinone as the first line of treatment for melasma. ...
  2. Corticosteroids and tretinoin. Corticosteroids and tretinoin come in creams, lotions, or gels. ...
  3. Combined creams. ...
  4. Additional topical medications. ...
  5. Medical procedures.
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How I cured my melasma?

Common melasma treatments

The most commonly used treatments for melasma are skin lightening medications that are applied topically. These include medications such as hydroquinone, azelaic acid, kojic acid, niacinamide, cysteamine, rucinol, and tranexamic acid.
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What are the dangers of microneedling?

The main risk associated with microneedling is infection. The tiny wounds created by the microneedles can provide a pathway for bacteria to enter the skin and cause an infection. Another potential complication is scarring. If too much tissue is damaged, it could lead to scarring.
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Is microneedling a waste of money?

If you are looking for a way to improve the overall look and texture of your skin, microneedling is absolutely an option you should consider. It is not a painful treatment or one that is going to take a long time. And, the benefits are pretty amazing!
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What are the negative effects of microneedling?

What are the side effects of microneedling? There are a few temporary side effects to be aware of with microneedling. The procedure causes short-term swelling, redness, and skin flaking, which can last for a few days. Most people can return to wearing regular makeup within a day of treatment.
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Can you see results from microneedling after 1 session?

Microneedling is a highly effective treatment for most skin types and concerns. Best of all, many people see results after just one or two sessions.
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How quickly do you see results after microneedling?

As soon as the deepest layers of your skin are penetrated by the needles, “micro-wounds” are created. This triggers your body's wound healing processes to heal your micro wounds immediately. However, the most dramatic results will not be visible until four to six weeks after treatment.
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How long do the results of microneedling last?

In general, you can expect the results of SkinPen microneedling to last for four to six weeks. The longevity of these results can be attributed to the length of your natural cellular turnover cycle, as well as how long newly produced collagen can last in the skin.
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Why is it so hard to get rid of melasma?

Because the condition is fueled primarily by sunlight and female hormones, there's no true way to cut off the stimulus for melasma. In other words, you may get encouraging results from a gentle chemical peel, but they're likely to be short-lived. Eventually, nature will regain the upper hand.
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Why is my melasma not going away?

Most people with melasma do not need treatment. Melasma may fade away slowly if you stop taking birth control pills or hormone replacement therapy. If melasma appeared while you were pregnant, it may go away a few months after you have the baby. If melasma doesn't fade or it bothers you, it can be treated.
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What is first line treatment for melasma?

Spierings suggests a melasma treatment ladder starting with topical hydroquinone and retinoid-based products as first line for the first three months, at least. If there are no contraindications she recommends also adding oral tranexamic acid 250 mg daily to the first-line treatment.
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