What is the most effective laser for melasma?

Can melasma be cured by laser?

Recurrence rates were similar to those in previous studies with an 81% recurrence rate at 3-months posttreatment. However, no severe side effects such as hypo- or hyperpigmentation were reported, leading the authors to conclude that low-fluence Q-switched Nd:YAG laser therapy is safe to treat patients with melasma.

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.

Is PicoSure laser good for melasma?

The PicoSure Laser is the ideal treatment for melasma because unlike other laser treatments, it does not generate any heat or burn the pigments.

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.

What is the Best Laser for Pigmentation and Melasma? | Dr Chiam Chiak Teng

What is the fastest way to remove melasma?

The combination of hydroquinone, tretinoin and a moderate topical steroid has had the best effect on melasma. Other agents that are being studied to improve melasma include: Absorbic acid (vitamin C).

Can PicoSure make melasma worse?

That said, even though the PicoSure laser is specially designed to reduce the risk of melasma returning or worsening after use, there is still a chance that melasma may flare following treatment.

Which is better Pico laser or Co2 laser?

Answer: Co2 vs Pico fractional devices for acne scarring

Bottom line, Co2 works much better, however side effects in ethnic skin types are higher- namely PIH or skin darkening. I do use PICOSURE FOCUS for early scars, or dark scars in ethnic skin types.

Is PicoWay laser good for melasma?

The PicoWay is the latest generation Picosecond laser and the most appropriate treatment for Melasma because of the way the laser is generated with very little heat. The unique picosecond speed of the laser creates photo-acoustic energy to clear the melasma. This means there is no heat to stimulate more melasma.

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.

How do you treat melasma on the face UK?

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.

Do lasers make melasma worse?

The key to clearing melasma, Dr. Kauvar maintains, is avoiding high-energy laser treatment such as non-ablative or ablative fractional lasers, IPL or high-energy, Q-switched laser treatment. “Those can actually exacerbate melasma and cause hypopigmentation in darker phototype skin,” Dr. Kauvar cautions.

Can CO2 laser make melasma worse?

For melasma and under eye wrinkles, I suggest a combination approach of lasers, microneedling/PRP, fillers and skin care/peels which can improve this area. CO2 laser can worsen melasma so its very important you go to an expert for treatment.

What is disadvantage of CO2 laser?

Disadvantages. CO2 lasers are very sensitive machines. The mirrors that focus the laser require realignment if they get knocked out of place. The realignment must be done by a specialist, which can be an expensive ordeal.

How painful is Pico laser?

Pico laser treatments are not painful. You may experience some slight, temporary discomfort, but nothing like surgical or invasive treatments. Pico laser helps patients achieve their desired results in fewer sessions than other laser technologies.

Which Pico laser is best for hyperpigmentation?

PicoWay – a dual wavelength picosecond laser

PicoWay is also effective in treating epidermal pigmentation and dermal pigmentation such as solar lentigines, post-inflammatory hyperpigmentation, melasma and tattoo pigment.

Is Microneedling or laser better for melasma?

Lasers are generally great for eviscerating excess melanin. But the heat they generate can make melasma worse, triggering the formation of even more discoloration in the weeks following treatment. By contrast, mechanical microneedling generates no such heat.

What should you not do with melasma?

What is the difference between Picosure and YAG laser?

The key difference between a nanosecond (Q-Switch ND:YAG) and picosecond (PicoWay) laser is the speed at which each device delivers energy. Nanosecond lasers deliver energy with a slower pulse, measured in nanoseconds – a billionth of a second.

Which hormone causes melasma?

Melasma is often associated with the female hormones estrogen and progesterone. It is common in: Pregnant women. Women taking birth control pills (oral contraceptives)

What are the side effects of melasma laser treatment?

Melasma Laser Treatment Side Effects

The most common side effects that come with laser treatment for melasma are skin irritation, redness, skin peeling, and swelling. Lasers aren't right for everyone, as they can actually make pigmentation worse in some people.

Which Colour corrector is best for melasma?

The best way to conceal melasma is by using a peach-tinted color corrector. And this correction concentrate by pixi is one of the best melasma concealers, as it comes in two intensely pigmented peachy shades that effectively cover brown patches.