Melasma management is medical. It is never monotherapy. Lasers & peels are adjunctive modalities. The majority of melasma can be improved. Dermal > epidermal melasma is much more challenging to treat. This before & after was achieved with novel peels. Remaining pigment to be treated with QSL. Credit: Alison & Bec @clinicutis . . 🔬Skin Science: The action spectrum for melasma is UVB, UVA, Visible light (Blue> others), all the way to IR. Sunscreens protect against UVB, good ones most of UVA. All of the visible light & IR goes through (except iron oxides) . . ☀️Sunscreens;how to use? Apply 3mls twice a day. Face & neck. Form a habit, first in the morning & re-apply at lunch time. If you travel to work in a car, bus, train, helicopter, walk or in a boat- you will have incidental exposure to & from work. Do not get hung up over the brand of sunscreen, just use it properly . . 👩🏽This patient: Had a modified #dermamelan #chemicalpeel. Remaining pigmentation to be treated with QSL, nano settings over #picolaser . . 👉🔫🍌Where to go from there? Sunscreens form the foundation of treating melasma, from there the aim is to reduce pigment output from your pigment cells with tyrosinase inhibitors. My third tier is to modulate vasculature feeding the pigment cycle (if there are no contraindications) . . 👍🏻🔫Lasers include #spectralaser , #revlite #picolasers, #pastelle #C6 #picoplus #picoway etc… On occasion I do use 1927 Diode #fractoinallaser. Peels include #dermamelan, #cosmelan, #TCApeels & #retinoicacid peels . . 😎Dr Davin Lim Dermatologist. Brisbane AU🇦🇺 . #melasmatreatment #melasmacure (is not possible) #dermatologist #brisbanedermatologist #melasmabrisbane #melasmasupport (at Cutis Clinic) https://www.instagram.com/p/CEVLEm6D57X/?igshid=17rtw89kjwen3
