A study on fractional erbium glass laser therapy versus chemical peeling for the treatment of melasma in female patients

Puri, Neerja

doi:10.4103/0974-2077.118410

Cited by 13 publications

(9 citation statements)

References 16 publications

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“…Another study by Puri 96 assessed the difference between four sessions of 1550-nm erbium glass non-ablative fractional laser at 3-week intervals versus four sessions of 70% glycolic acid peels. Each treatment session involved four passes in one direction and four passes perpendicularly (eight passes in total) with a final density of approximately 2-2500 macroscopic treatment zones/cm 2 .…”

Section: Non-ablative 1550 Nm Fractional Lasermentioning

confidence: 99%

Melasma: clinical diagnosis and management options

2015

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Section: Non-ablative 1550 Nm Fractional Lasermentioning

confidence: 99%

Melasma: clinical diagnosis and management options

2015

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“…Topical agents include hydroquinone, azelaic acid, kojic acid, retinoids, steroids, vitamin C (ascorbic acid), alpha‐tocopherylferulate, flavonoids, niacinamide, liquorice derivatives, and n‐acetyl‐4scysteaminylphenol . Lasers, especially nonablative fractional laser (NAFL) has been used for treatment of melasma . Positive effects of laser treatments may be equivalent to topical interventions.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of microneedling with topical vitamin C in the treatment of melasma

Ismail

Patsatsi

Elmaged

et al. 2019

J of Cosmetic Dermatology

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Summary Background Despite the wide therapeutic options available for the treatment of melasma, including many active topical medications, technologies with lights and peelings, clinical control of this disorder is extremely challenging. Objectives To evaluate the effect of microneedling with topical vitamin C in the treatment of melasma. Methods Thirty female patients with melasma received six sessions of microneedling with addition of topical vitamin C every two weeks. At each session, photos were taken and Melasma Area and Severity Index (MASI) score was calculated to assess the clinical improvement. Results Mean age of the eligible patients was 33.2 ± 5.77 years. About 50% of cases were of Fitzpatrick skin type III. All patients showed improvement at the end of the sessions. Mean MASI score in the first session was 8.61 ± 4.45 and there was a gradual decline in its value till it reached a mean of 5.75 ± 4.16 in the last session (P < 0.0001). Conclusion Microneedling with topical vitamin C is an effective and safe treatment option for epidermal melasma especially in Fitzpatrick skin phototypes I‐III.

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“…Puri reported burning sensation (6.6%), erythema (10%), post inflammatory hyperpigmentation (13.3%) as the common adverse effects of peels. 14 We found that worsening of melasma was higher in the group treated with laser with 41.7% of patients developing post inflammatory hyperpigmentation. Transient erythema was observed in 37.5% of cases.…”

Section: Discussionmentioning

confidence: 64%

Efficacy and safety of 70% glycolic acid versus Q Switched Nd:YAG laser in the treatment of melasma: acomparative study

et al. 2017

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Background: Melasma is an acquired hypermelanosis characterized by light-to-deep brown pigmentation over cheeks, forehead, upper lip, and nose. Treatment of this condition is difficult and associated with high recurrence rates. Among newer therapies, there is interest in the use of glycolic acid peels and Q-switched Nd:YAG laser (QSNYL). The aim of the present study was to compare the therapeutic efficacy and in melasma. Methods: 60 patients of melasma were included. They were randomly divided in two groups (Group A = 30 patients treated with glycolic acid and Group B = 30 patients treated with QSNYL). Out of the 60 patients included, 26 patients in Group A, 24 patients in Group B completed the study. Response to treatment was assessed using MASI scores. Results: The peak incidence of melasma was seen in the age group 31-40 years. Female preponderance was seen in the study (F: M-6.6:1). Sunlight was the common aggravating factor in both the groups (30%). Malar type was the most common (51.7%) observed in both the groups. MASI scores improved from 7.14 to 4.99 with glycolic acid peel and from 6.17 to 4.67 in the laser group at the end of the study. The common adverse effect observed in the study was erythema in both the groups. Postinflammatory hyperpigmentation was frequent in laser treated patients.Conclusion: 70% Glycolic peels were better than Q switched Nd:YAG laser for the treatment of melasma. Among patients treated with laser postinflammatory hyperpigmentation was a significant side effect especially in darker skin types.

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A study on fractional erbium glass laser therapy versus chemical peeling for the treatment of melasma in female patients

Cited by 13 publications

References 16 publications

Melasma: clinical diagnosis and management options

Melasma: clinical diagnosis and management options

Efficacy of microneedling with topical vitamin C in the treatment of melasma

Efficacy and safety of 70% glycolic acid versus Q Switched Nd:YAG laser in the treatment of melasma: acomparative study

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