Which therapy works for melasma in pigmented skin: Lasers, peels, or triple combination creams?

Sardana, Kabir; Chugh, Shikha; Garg, Vijay Kumar

doi:10.4103/0378-6323.110771

Cited by 7 publications

(5 citation statements)

References 9 publications

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“…Combining topical therapy with procedures such as chemical peels, IPL, fractional non‐ablative lasers or radiofrequency, pigment lasers (microsecond, picosecond, Q‐switched) and microneedling, may be required to treat melasma and PIH 9 . A combination treatment of YAG laser and hydroquinone cream, whilst showing good efficacy and skin rejuvenation effects for telangiectatic melasma, should be used cautiously in individuals with FPT IV‐V to avoid laser‐induced pigment alteration, PIH and rebound hyperpigmentation 22,23 . It is recommended to perform a test before doing the complete procedure.…”

Section: Part 1: Non‐surgical Proceduresmentioning

confidence: 99%

“…9 A combination treatment of YAG laser and hydroquinone cream, whilst showing good efficacy and skin rejuvenation effects for telangiectatic melasma, should be used cautiously in individuals with FPT IV-V to avoid laser-induced pigment alteration, PIH and rebound hyperpigmentation. 22,23 It is recommended to perform a test before doing the complete procedure. A long pulse duration coagulates the target without bursting the vessels and the vessels often disappear after the first laser pass leaving erythema and oedema.…”

Section: Ablative Fractional Resurfacing Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Expert recommendations on supportive skin care for non‐surgical and surgical procedures

Amici

Cogrel

Jourdan³

et al. 2023

Acad Dermatol Venereol

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A thorough knowledge of non‐surgical procedures (laser, peelings, injections, threads) and surgical procedures (combined surgeries and skin grafts), including contraindications and potential risks and side effects, (e.g. infection, hypopigmentation, hyperpigmentation, and scarring) is essential to be able to reduce their incidence and ensure the patient receives the most benefit from the procedure. Individuals with darker skin and of high Fitzpatrick phototype are at higher risk of dyschromias, notably melasma and post‐inflammatory hyperpigmentation, which may be treated using aesthetic procedures but may also arise as a complication of some procedures. A group of experts in cosmetic surgery and dermatology reviewed the published literature and discussed recommendations for optimizing outcomes with practical advice on supportive skincare before, during and after non‐surgical or surgical procedures. A broad‐spectrum sunscreen with a high sun protection factor against UVB and high protection against UVA, especially long UVA, is essential for all treatment modalities for the prevention and potential improvement of pigmentation disorders. Supportive skin care management to prepare, cleanse and protect the skin and post‐procedure skin care with healing and anti‐inflammatory ingredients are recommended to speed up regeneration and wound healing whilst minimizing scarring and downtime. Additionally, adjunctive skin care to procedures with antioxidant, anti‐ageing and lightening properties may enhance skin benefits.

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Section: Part 1: Non‐surgical Proceduresmentioning

confidence: 99%

Section: Ablative Fractional Resurfacing Techniquesmentioning

confidence: 99%

Expert recommendations on supportive skin care for non‐surgical and surgical procedures

Amici

Cogrel

Jourdan³

et al. 2023

Acad Dermatol Venereol

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“…Peelings should be performed each 2-4 weeks. Concentration: 30-70 % (Godse and Sakhia 2011;Hurley et al 2002;Ilknur et al 2010;Lim and Tham 1997;Sardana et al 2013;Sarkar et al 2002Sarkar et al , 2012a.…”

Section: Peelingsmentioning

confidence: 99%

Cosmiatric Approach for Melasma

Handel¹,

Miot²,

Miot³

2016

Daily Routine in Cosmetic Dermatology

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Melasma is a chronic acquired focal hypermelanosis localized on sun-exposed areas that commonly affects females during their fertile years. Despite many known risk factors as cumulative sun exposure, oral contraceptive pills, pregnancy, stress, cosmetics, and some drugs, the physiopathology of melasma is not yet fully understood, which limits the development of definitive treatments and prevention strategies. Family occurrence (40-60%) is an evidence of genetic predisposition. Here, we discuss the role of sun protection, topical bleachers, light technologies, peelings, and oral strategies on therapeutic approach of melasma. Moreover, prognostic factors are pointed out.

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“…[234] This is relevant as recent expert reviews[45] have cast a doubt on the use of lasers in melasma.…”

mentioning

confidence: 99%

“…[1] Also the pigment in the epidermis alters the laser physics dynamics specially in pigmented skin accounting for the variable results. [2] The pigment in melasma is not homogeneous either in distribution or depth[3] and it is difficult to understand how the authors ensured that the two groups had a similar type of melasma (epidermal/dermal or mixed). It would also have been informative to know at which sitting the improvement in melasma was noted.…”

mentioning

confidence: 99%