What is better for melasma chemical peel or laser?

While laser treatments penetrate into the skin to promote cell renewal, chemical peels are used to resurface the outer layers of your skin to improve the tone and texture of the melasma. As said, laser treatment for melasma is common among patients.
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Is laser or chemical peel better for hyperpigmentation?

Peels are often the best option for patients with darker skin because laser treatments involve the risk of hyperpigmentation. Chemical peels are also less expensive than laser treatments, which is something to consider.
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Can melasma be removed by laser?

Lasers can be used in selected patients with resistant melasma after thorough counseling and preferably after conducting test treatments. Low-fluence Q-switched (LFQS) Nd-YAG laser seems to be the best option for refractory cases of melasma, especially in individuals with darker skin tones.
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Can you remove melasma with chemical peel?

[17] Chemical peels are a well-known modality of treatment for melasma. The basic mechanism of the action of chemical peels in melasma is the removal of unwanted melanin by causing a controlled chemical burn to the skin.
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Which is more effective chemical peel or laser?

Laser treatments are superior to chemical peels in how controllable and precise it is. It's easier to just target an acne scar or a few spots on the skin with a laser. The laser is also better for deep collagen remodeling. If you are trying to address wrinkles or sagging skin, lasers will be a better option.
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Peels



Why not to get a laser peel?

People with more pigment in their skin are more likely to absorb more energy from the lasers, which can complicate matters. Instead of that excess energy simply being absorbed by the other skin cells, it can cause side effects such as skin darkening and blisters.
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What is the fastest way to cure melasma?

Often, the most effective treatment combines sun protection with medications that you apply to your skin — and sometimes a procedure.
...
For patients who have melasma, dermatologists often recommend using a sunscreen that contains:
  1. Zinc oxide.
  2. Titanium dioxide.
  3. Iron oxide.
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What kind of peel is best for melasma?

The glycolic peel for melasma is the most common chemical peel treatment option. Derived from sugar cane and cousin to citric and lactic alpha hydroxy acids, glycolic acid is an organic compound with a proven application for treating melasma.
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What is the most effective peel for melasma?

Best chemical peel for melasma: Mandelic acid peels are a non-irritating yet powerful treatment for melasma. It can be used as a stand-alone treatment but, ideally, it's used within a treatment plan for melasma as this condition often requires a multi-pronged approach.
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What is the safest laser for melasma?

The low-fluence Q-switched laser remains one of the best laser and light options for treating melasma, especially in darker types.
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What procedure gets rid of melasma?

Glycolic acid peels can reduce the appearance of dark pigmentation from melasma by exfoliating the superficial layer of the skin. They involve little downtime or discomfort. A series of glycolic acid peels are most effective when used in combination with a series of microdermabrasion treatments every 2 weeks.
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Does melasma get darker after laser?

Pigment will darken for 1-3 weeks following the treatment, then will begin to fade. Immediately following a laser session, you may experience redness, tenderness, and mild swelling. Many clients say that the sensation is similar to the effect of sunburn.
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Why is laser not good for hyperpigmentation?

When the epidermis of the treated area is inflamed, melanocytes (the skin cells responsible for pigment) are stimulated to increase melanin production. Exposure to UV radiation after laser treatments can also lead to or worsen hyperpigmentation.
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How many chemical peels does it take to get rid of hyperpigmentation?

Most patients require about 4 to 6 light peels, spaced 1 to 2 months apart, to achieve desired results. The time between the peels allows skin cells to renew and turn over, with each subsequent peel exfoliating cells and treating new cells just beneath the skin surface.
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What makes melasma worse?

Sun exposure.

"The sun is the major exacerbating factor, whatever the underlying cause." Melasma can be caused or worsened by not only the sun's rays, but also heat and visible light. This means that even sunscreens that protect against skin cancer aren't enough to ward off melasma, says Dr. Kourosh.
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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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Do and don'ts of melasma?

This condition is called melasma, and it occurs most commonly in women, but men can be affected in 5-10 % of cases.
...
Do's and Don'ts
  • Avoid excessive sun exposure.
  • Wear a hat, sunglasses, and seek shade when outside.
  • Wear sunscreen daily with an SPF greater than 45 and remember to reapply.
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Will hyperpigmentation come back after chemical peel?

Hyperpigmentation. It can occur any time after a peel and can be persistent, if treated inadequately. It is the most common complication of TCA peeling. Complications from superficial peels are limited to transient hyperpigmentation or dyschromia especially in dark-skinned patients.
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Does pigmentation come back after chemical peel?

Hyperpigmentation is more common after superficial peels, while hypopigmentation is more common after a deep peel. These problems are more common in people with brown or black skin and can sometimes be permanent.
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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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What are the disadvantages of laser on face?

Risks
  • Redness, swelling, itching and pain. Treated skin may swell, itch or have a burning sensation. ...
  • Acne. Applying thick creams and bandages to your face after treatment can worsen acne or cause you to temporarily develop tiny white bumps (milia) on treated skin.
  • Infection. ...
  • Changes in skin color. ...
  • Scarring.
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What are the disadvantages of laser treatment?

Laser therapy can result in misdirected or excessively intense burns, bleeding from the choriocapillaris, damage to macular and other ocular structures, and breaks in Bruch's membrane.
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What is the difference between chemical peel and laser?

Deep chemical peels (e.g. phenol acid peels) are the strongest, using powerful acids to not only penetrate the skin, but remove damaged skin cells. Laser resurfacing treatments use beams of light to penetrate the skin, removing one layer at a time.
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