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How to choose the best melasma treatment. First off, seeing a derm is the best thing you can do, "because people often misdiagnose themselves," says Dr. Westbay. ... Clear and Brilliant laser ...
The best ways to treat melasma. ... Try an in-office treatment. Laser facials and chemical peels containing alpha hydroxy acids are the two main options for in-office treatments. "Nd:YAG lasers ...
Shop the best melasma treatments and serums for hyperpigmentation. Expert-recommended products include La Roche Posay, Neutrogena, SkinCeuticals and more. 11 dermatologist-approved melasma ...
A fractional laser delivers laser light to the skin. Hundreds or thousands of laser pinpoints may be used per square inch, leaving healthy skin between the ablated areas. Complications observed in a study of 961 treatments included acne and herpes outbreaks. [6] There have been anecdotal negative accounts of bad scarring and hyperpigmentation. [7]
One 2017 review found tentative evidence of benefit of tranexamic acid in melasma. [13] Another 2017 review found that evidence to support its use was insufficient. [14] Azelaic acid may be a second-line option for melasma. [15] A number of types of laser treatments have been used in melasma with some evidence of benefit. [16]
There are a wide range of depigmenting treatments used for hyperpigmentation conditions, and responses to most are variable. [11]Most often treatment of hyperpigmentation caused by melanin overproduction (such as melasma, acne scarring, liver spots) includes the use of topical depigmenting agents, which vary in their efficacy and safety, as well as in prescription rules.
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