#meladerm

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Melasma management in a nutshell. Medical forms the foundation, laser & peels are adjunctive . . 🔬Skin Science:Melanocytes are stimulated UV, visible through to infrared light, energy devices or chemical aggressors. The aetiology of #melasma involves an interplay of signaling from epidermal cells, fibroblasts, mast cells, & endothelial cells to the pigment producing cell, the melanocyte . . 👉👍🏻Topical Treatment is with pigment correctors & sun protection. HQ, #Kligman’s, Kojic Acid, #retinoids - #retinol #meladerm #melarase #cysteamine. Botanicals like #licorice,bearberries, #arbutin, can be helpful for rotational therapy. Be guided by your #dermatologist . . 👉🩸If there are no contraindications fibrinogen & VEGF modulators can be considered, namely t. acid po. Topical T. acid can be effective in some, same with intradermal . . 👉🔫Lasers can be helpful. Nano or Pico. Subcellular photothermolysis with low fluence . . 👉👀Treatment success is much higher in primarily epidermal compared to dermal melasma, hence it is important to determine the level/ levels of melasma. IMO limited experience, rebound following IPL is easier to treat cf rebound following #microneedling (epidermal vs dermal) . . 😎Dr Davin Lim @drdavinlim Dermatologist, Brisbane @cliniccutis🇦🇺 . . #skinpigmentation #skincaretips #melasmacure #melasmacreams #melasmatreatments #skinbrightening #skinlightening #drdavinlim #davinlim #brisbaneskin #brisbanedermatology (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CIwCnAPDQ4-/?igshid=1qj3mjsn0vjfc

PIH also known as post inflammatory hyperpigmentation is most commonly associated with past - present acne lesions. PIH is also known as ‘acne marks’ or grade 1 #acnescars . . 👉PIH can refer to brown or red acne marks. I prefer to separate red acne marks in the category of macular erythema, or PIE - post inflammatory erythema. These can coexist with other grades of acne scars . . 👀How to treat? Prevention is the key. Treat acne early AND effectively. Predictive factors for #acnescars include a family history, manipulation of lesions (picking), degree of inflammation & time taken to EFFECTIVE control. Pigment can be decreased with sunscreen. Pigment faders such as #hydroquinone #kojicacid #meladerm #arbutin #licorice #AHAs & #ascorbicacid can be effective. Low strength peels such as AHAs or BHA salicylic acid - TCA can fade pigment. Lasers including nano-pico-fractional lasers can be useful as adjunctive treatment, as can vascular modulation. For resistant cases, see a dermatologist . . 😎Davin’s Protip: Obtain CONTROL of acne prior to or concurrent with acne treatment, this reduces-prevents FUTURE scarring . . Dr Davin Lim, Dermatologist Brisbane🇦🇺 . #dermatologistbrisbane #skinbrisbane #brisbaneskin #skincareexpert #dermatologybrisbane #skincaretips #healthyskin #darkacnescars . Disclaimer: I am a procedural dermatologist, namely I operate, laser, inject, & generally do scary stuff, I do not see cases of acne, however I do see cases of complex-severe acne scarring. For medical therapy to control acne, my colleagues, #dermaltherapists & nurses @cliniccutis can assist (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CCppRKxjS2e/?igshid=1giufxw4rflx

PIH also known as post inflammatory hyperpigmentation is most commonly associated with past - present acne lesions. PIH is also known as ‘acne marks’ or grade 1 #acnescars. This patient has active acne,& grade 1,2,3 scars . . 🔬PIH can refer to brown or red acne marks. I prefer to separate red acne marks in the category of macular erythema, or PIE - post inflammatory erythema. These can co-exist with other grades of acne scars . . 👉👌🏻How to treat? Prevention is the key. Treat acne early AND effectively. Predictive factors for #acnescars include a family history, manipulation of lesions (picking), degree of inflammation & time taken to EFFECTIVE control. Pigment can be decreased with sunscreen. Pigment faders such as #hydroquinone #kojicacid #meladerm #arbutin #licorice #AHAs & #ascorbicacid can be effective. Low strength peels such as AHAs or BHA salicylic acid - TCA can fade pigment. Lasers including nano-pico-fractional lasers can be useful as adjunctive treatment, as can vascular modulation. For resistant cases, see a dermatologist . . 👍🏻Davin’s Protip: Obtain CONTROL of acne prior to or concurrent with acne treatment, this reduces-prevents FUTURE scarring . . 😎Dr Davin Lim, Dermatologist Brisbane🇦🇺 . #dermatologistbrisbane #skinbrisbane #brisbaneskin #skincareexpert #dermatologybrisbane #skincaretips #healthyskin #darkacnescars . Disclaimer: I am a procedural dermatologist, namely I operate, laser, inject, & generally do scary stuff, I do not see cases of acne, however I do see cases of complex-severe acne scarring. For medical therapy to control acne, my colleagues @cliniccutis can assist (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CB_qtKZDVZp/?igshid=1cdmlsmt8wsz

PIH also known as post inflammatory hyperpigmentation is most commonly associated with past - present acne lesions. PIH is also known as ‘acne marks’ or grade 1 #acnescars. This patient has active acne,& grade 1,2,3 scars . . 🔬PIH can refer to brown or red acne marks. I prefer to separate red acne marks in the category of macular erythema, or PIE - post inflammatory erythema. These can co-exist with other grades of acne scars . . 👉👌🏻How to treat? Prevention is the key. Treat acne early AND effectively. Predictive factors for #acnescars include a family history, manipulation of lesions (picking), degree of inflammation & time taken to EFFECTIVE control. Pigment can be decreased with sunscreen. Pigment faders such as #hydroquinone #kojicacid #meladerm #arbutin #licorice #AHAs & #ascorbicacid can be effective. Low strength peels such as AHAs or BHA salicylic acid - TCA can fade pigment. Lasers including nano-pico-fractional lasers can be useful as adjunctive treatment, as can vascular modulation. For resistant cases, see a dermatologist . . 👍🏻Davin’s Protip: Obtain CONTROL of acne prior to or concurrent with acne treatment, this reduces-prevents FUTURE scarring . . 😎Dr Davin Lim, Dermatologist Brisbane🇦🇺 . #dermatologistbrisbane #skinbrisbane #brisbaneskin #skincareexpert #dermatologybrisbane #skincaretips #healthyskin #darkacnescars . Disclaimer: I am a procedural dermatologist, namely I operate, laser, inject, & generally do scary stuff, I do not see cases of acne, however I do see cases of complex-severe acne scarring. For medical therapy to control acne, my colleagues @cliniccutis can assist (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CB_qtKZDVZp/?igshid=1cdmlsmt8wsz

PIH also known as post inflammatory hyperpigmentation is most commonly associated with past - present acne lesions. PIH is also known as ‘acne marks’ or grade 1 #acnescars . . 🖐🏽PIH can refer to brown or red acne marks. I prefer to separate red acne marks in the category of macular erythema, or PIE - post inflammatory erythema . . 👉Facts - PIH is more common in darker skinned patients. In 50% of cases PIH can last up to one year. In 25% of cases PIH can last up to 5 years. 80% of PIH cases are seen in MILD to MODERATE acne. PIH is more common in patients who pick, additionally pigment is related to UV exposure🌤 . . 💯How to treat? Prevention is the key. Treat acne early AND effectively. Sunscreen helps. Pigment faders such as #hydroquinone #kojicacid #meladerm #arbutin #licorice #AHAs & #ascorbicacid can be effective. Low strength peels such as AHAs or BHA salicylic acid - TCA can fade pigment. Lasers including nano-pico-fractional lasers can be useful as adjunctive treatment, as can vascular modulation. For resistant cases, see a dermatologist . . 😎Dr Davin Lim, Dermatologist Brisbane🇦🇺 . #dermatologistbrisbane #skinbrisbane #brisbaneskin #skincareexpert #dermatologybrisbane #skincaretips #healthyskin #darkacnescars . Disclaimer: I am a procedural dermatologist, namely I operate, laser, inject, & generally do scary stuff, 💉🍌🔫🔪🩸🩸I do not see cases of acne, however I do see cases of complex-severe acne scarring. For medical therapy to control acne, 💊💊💊🍌my colleagues @cliniccutis can assist👌🏻👌🏻👌🏻 (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CBgt2kcDA3V/?igshid=pllyj13dd5u2