Melasma Treatment – Chemical Peeling

Melasma treatment, melasma is a chronic skin disorder that causes discoloration on the face. It usually appears as brown, tan, or blue-gray patches along the upper cheeks, upper lip, forehead, and chin.

Getting Rid Of melasma is very important as due to melasma face looks uneven tone, Melasma can occur due to excess of thyroid hormone, estrogen hormones, Allergy, excess exposure to the sun which causes excess melanin secretion and is commonly seen on the face like cheeks, nose, forehead, upper lips, females are mostly affected by melasma.

Adorable Clinic, which is one of the best skin care clinic for melasma, If we talk about Melasma Treatment then usually laser treatment and Chemical Peeling are effective methods.

It takes some sessions of chemical peels or laser treatment, it is required for Melasma Removal.

The Laser Treatment is giving a very good result for melasma over a wide range of skin types and colors is the fractional laser.

The Fraxel system is FDA approved for Treatment of Melasma. The fractional lasers break the laser beam into smaller pixels that can provide a deeper and more effective treatment without the burning and downtime.

What is melasma:

Melasma is a very common skin condition with patchy brown, tan, or blue-gray facial skin discoloration, usually seen in women in the reproductive years.

The primary factors causing melasma are hormonal changes and external sun exposure, sun damaged skin, so the most effective and long-lasting treatments are aimed at reducing or to eliminate these causes.

Many women experience melasma during their pregnancy, and, in these case, the condition will generally improve naturally after the pregnancy is over.

What are symptoms and/or signs of melasma:

It typically appears on the upper cheeks, upper lip, forehead, and chin area of women 20 to 50 years of age.

It is uncommon in males. It is thought to be primarily related to external sun exposure, external hormones like birth control pills, contraceptives, and internal hormonal changes as seen in pregnancy.

Most people with melasma have a history of daily or intermittent sun exposure, although heat is also suspected to be an underlying factor of having melasma.

Melasma is most common among pregnant women. People with the olive or darker skin tone, like Hispanic, Asian, and Middle Eastern individuals, have higher chances of having melasma.

Who gets melasma:

Melasma appears on women’s skin much more often than men’s skin. Just 10% of people who get melasma are men, this skin issue happens in women.

People with darker skin, such as those of Latin/Hispanic, North African, African-American, Asian, Indian, Middle Eastern, or Mediterranean descent are more likely to get this skin disorder.

People who have a blood relative and family history who had melasma also are much more likely to get melasma.

What causes melasma:

What causes melasma is not yet clear but it likely occurs when the color-making cells in the skin (melanocytes) produce too much color or melanin.

People with skin of color are more prone to melasma because they have more active melanocytes than people with light skin color.

Common melasma triggers include:

Sun exposure: Ultraviolet (UV) light from the sun stimulates the melanocytes. In fact, just a small amount of sun exposure can make melasma return after fading or eliminating.

Sun exposure is why melasma often is worse in summer. It also is the main reason why many people with melasma get this again and again.

A change in hormones: Pregnant women often get melasma. When melasma appears in pregnant women, it is called chloasma, or the mask of pregnancy. Birth control pills and hormone replacement therapy and medicine also can trigger melasma.

Skin care products: If a product irritates your skin, melasma can worsen then the treatment is necessary for the melasma.

Melasma with pregnancy.

We most commonly think of melasma occurring in pregnancy. Almost all of us have had friends, whether they got pregnant at age twenty-five or at age forty-one, who have darkening on their faces during the pregnancy.

If melasma starts during a pregnancy, chances are good it will resolve itself after the delivery.

It may recur with subsequent pregnancies, though, particularly if you are pregnant during the summer, when sunlight is more intense. Melasma gets worse with the time with exposure to sunlight.

If you are pregnant, particularly in the summer, be sure to apply a SPF fifteen or greater with zinc, titanium, or mexoryl every single morning and reapply it frequently. Or layer an SPF 15 under an SPF 30. You should also wear a hat to prevent melasma.

How do dermatologists diagnose melasma:

Dermatologists in Delhi can diagnose most patients by looking at their skin. To see how deeply the melasma penetrates the skin, The dermatologist may look at your skin under a device called a Wood’s light.

Sometimes melasma can look like another skin disorder. To rule out another skin condition, your dermatologist may need to remove a small bit of skin.

This process is called a skin biopsy. A dermatologist in Delhi can safely and quickly perform a skin biopsy during an office visit.

Medical Care for Melasma:

Melasma can be difficult to treat. The pigment of melasma develops gradually, and resolution is also gradual for this.

Resistant cases or recurrences of melasma occur often and are certain if strict avoidance of sunlight is not rigidly heeded, so take care when you go out.

All wavelengths of sunlight, including the visible spectrum, are capable of inducing melasma and can be one of the causes having it.

A chemical peel or laser treatment may help in melasma, A third of cases remain the same, and another third show hyperpigmentation.

Chemical peel, dermabrasion, and laser resurfacing are the most commonly used techniques for improving the texture and appearance of the skin tone.

Although these techniques use different methods, they have basically the same effect on the skin they destroy and remove the upper layers of skin to allow for skin regrowth.

Chemical Peeling for Melasma Treatment:

Chemical peels can improve the skin’s appearance and areas of sun damage may improve after chemical peeling treatment in Delhi.

Chemical peels can treat following skin disorder:

Reduce the fine lines under the eyes and around the mouth
Treat wrinkles caused by sun damage and aging.
Improve the appearance of mild scars and acne scars.
Treat certain types of acne
Reduce age spots, freckles, and dark patches, melasma due to pregnancy or taking birth control pills
Improve the look and feel of skin texture.
Treat wrinkles caused by sun damage and aging
In the chemical treatment procedure, the chemical solution applied directly to the skin to burn away dead cells and allow the newer, fresher skin to form.

Before you get a chemical peel for melasma treatment:

Tell your dermatologist if you have any history of scarring, cold sores that keep coming back, or facial X-rays.

Your doctor may ask you to stop taking certain drugs and prepare your skin by using other medications, such as Retin-A, Roacutan, or Glycolic acid.

Work with your aesthetic therapist to determine the depth of your chemical peel. This decision depends upon the condition of your skin and your goals for the treatment.

Your doctor can help you decide what depth of peel and what type of chemical solution is most appropriate, based on your skin type.

Which areas you want peeling, what kind of results you want, how much risk you are willing to take, and other issues.

A small test spot may be peeled to get a better idea of the results, especially for people who have darker skin.

Two to three weeks before the chemical peel, you will need to begin preparing your skin by cleansing it twice a day.

Applying a special moisturizer twice a day, and using sunscreen every day is essential. This skin care regimen will help the skin peel more evenly.

Speed healing after the peel, and may reduce the chance of infection and other complications, especially uneven colour changes in the skin during the summers.

Types of peel for Melasma Treatment:

Superficial peels:

They are the mildest type of chemical peel and can be used on all skin types. Superficial peels usually use liquid containing a mild acid, most often glycolic acid. Dry ice solid carbon dioxide is sometimes used.

Medium peels:

They penetrate the skin more deeply than superficial peels and cause a second-degree burn of the skin.

Trichloroacetic acid is the main peeling agent used for medium peels, though the peel may also be done in several steps using a different chemical solution followed by TCA.

Deep peels:

They penetrate several layers of skin and cause a second-degree burn of the skin. They are used only on the face. A chemical called phenol is usually used for a deep peel.

Deep peels may not be used on darker skin types, because they tend to bleach the skin, causing hypopigmentation.

Even in lighter skinned people, deep resurfacing may bleach the skin. A deep peel can be done only once in most cases.

Salicylic Acid which has been placed in a self-neutralizing base. The beta peel range is designed to create peeling of the skin and is focused on the treatment of pigmentation irregularities which include solar pigmentation, melasma and post inflammatory hyperpigmentation, melasma conditions.

Light peels:

The best known of these are light glycolic chemical peels. These are usually done either in a salon or more expertly.

Usually, in a dermatologist’s office where the aesthetician is trained to use different strengths of glycolic acid.

There are also peels that contain a beta-hydroxy acid like salicylic acid. These chemical peels also take off a few layers of dead skin, help to clean out pores, and are used in a series.

These low-strength gentle acids are stroked onto previously cleansed skin and then left on for several minutes on the skin.

The acid either self-neutralizes or is neutralized by the nurse or aesthetician performing the treatment.

The skin will be slightly pink and feel tight for a few days, and then it will peel, either microscopically or like a mild sunburn.

With light acid peels, However, if the nurse or aesthetician isn’t experienced, sometimes the acid can be absorbed more in one spot than another and leave temporary irritation and a dark mark.

Darker skin is more susceptible to this than lighter skin tone. Glycolic peels can also go deep enough that they can occasionally form a blister, but scarring is rare.

If you do decide to go the peel route for melasma, I recommend that you find a dermatologist-supervised nurse or aesthetician experienced in performing these peels for melasma treatment.

Trichloroacetic acid (TCA) peels:

Dermatologists have been using TCA peels, a close cousin to vinegar, to do chemical peeling for at least twenty years.

Some dermatologists, In fact, still prefer TCA peels to any other modality for treating melasma, usually in combination with prescription creams.

TCA peels are excellent and safe in the hands of an experienced dermatologist in Dermatologist. This is a good option, particularly if you have severe melasma.

The cost generally depending on how deep the peel is, the region you live in, and your doctor.

One advantage of a TCA peel is that it can easily be done in your dermatologist’s office and does not require anesthesiology or any intravenous anesthesia.

Deep TCA chemical peels, because of the risk of uneven absorption, blistering, and possible scarring should only be performed by board-certified dermatologists or plastic surgeons who are experienced in this treatment.

The other disadvantage is that TCA peels can be mild to moderately uncomfortable. However, with some Tylenol or anti-inflammatories, the discomfort is usually minimal and lasts only five to ten minutes.

Advantages of Chemical peel Treatment in Delhi:

Correct sun damage:

Fortunately, chemical peels can help repair and reverse the sun damage on the skin of your face, hands, neck, and chest.

Getting serious about sun protection will help you keep your skin looking fresh and youthful long after your chemical peel treatment is completed.

Diminish the appearance of scars:

Moderate chemical peels treat both surface acne and some light scarring by penetrating more deeply into the skin layer.

For diminishing the appearance of more significant acne scars, a deeper peel is required. According to one clinical study found that a phenol peel reduced acne scars in 100% of participants, with the overall severity of the scars improved by a mean of 75.12%.

Address pigment issue:

Chemical peels are excellent for correcting issues of pigmentation such as melasma, Pigmentation removal in Delhi, and discoloration due to age spots and acne scars. They are effective on the face, hands, neck, and chest.

Enhance skin tone and texture:

In addition to addressing your current skin issues, a chemical peel treatment also stimulates the growth of fresh, new and youthful skin.

This rejuvenates the overall tone and texture of your skin, giving you a healthy, pretty glow and beautiful skin.

Laser For Melasma Treatment in Delhi:

Skin Melasma marks are a build up of melanocytes that cells containing melanin under the skin typically referred to as freckles and age spots on the hands, face and body areas.

Different types of laser can be used depending on the type of pigmentation and melasma. If melasma is in superficial lesions.

Then the Alexandrite 755nm Laser Pigmentation Removal treatment is effective in removing pigmentation in as little as 1 to 3 treatments.

The treatment will also depend on the area being treated, the type of pigmentation and melasma, and level of recovery time.

Laser treatment is one of the most advanced treatments for removing unwanted dark patches on the skin such as age spots, sun spots, and freckles.

Melasma treatment with Alexandrite 755nm is a quick process which is gentle and non-invasive treatment.

This specially designed laser is absorbed only by the cells containing excessive concentrations of melanin.

It does not affect the surrounding tissues or remove the normal skin color. The light pulses produced by the laser can feel similar to the flicking of a rubber elastic band and for most people is not too uncomfortable or it is nor painful.

Immediate darkening is noticed after the treatment. For 7-10 days the area will look like a dark scab which eventually sheds off with the time.

For deep pigmentation such as melasma, ActiveFX Laser Resurfacing is the skin pigmentation treatment of choice which can remove up to 80% of melanin in one treatment or session.

How does Laser Pigmentation Removal work?

The Alexandrite 755nm produces a wavelength of high energy light, which is then converted into the heat energy.

This can target the specific area of pigmentation or melasma because the laser is absorbed only by cells containing an excessive concentration of pigmentation.

This causes efficient destruction while leaving the surrounding tissue undamaged.

Fractional laser Procedure Involves:

Fractional laser skin resurfacing is a procedure that uses a heat beam to treat very small columns of the skin.

The laser safely and painlessly removes several layers of the skin, and the surrounding skin begins to produce new cells that eventually cover the treated areas. The result is a smoother surface with little to no scarring, patches or scabbing.

When areas affected by melasma are treated with fractional resurfacing, the new skin cells tend to be free of the overabundance of melanin, and the clients often show an improvement in skin tone as well as skin texture.

The laser is a wand-like instrument that directs a small beam into the skin. A local anesthetic is often all that is necessary for patient comfort during the procedure.

After the laser resurfacing treatment is complete, patients will have very sensitive facial skin.

In most cases, A special ointment and bandages are used after the laser treatment, and the patient will need to keep these bandages on for one or two days.

Recovery time is about one month, with most of the scabbing having disappeared after a week.

Laser- and light-based treatments:

Laser and light therapy represent an alternative third-line approach to treat melasma the higher pigmentation and may be particularly beneficial for patients with melasma that is refractory to topical therapy or chemical peel regimens, or when a patient wishes for an accelerated pace of improvement.

One key point of patient counseling prior to the laser- and light-based treatment is that these therapies have the potential to speed up the removal of melasma-related hyperpigmentation but they are not cures for melasma.

Furthermore, they present a risk for PIH or a rebound melasma flare. Optimal treatment management of difficult cases should include a combination therapy whereby a topical regimen inhibits melanin production and melanosome transfer and a procedure accelerates to melanin removal.

Laser and light therapy for the treatment of melasma has become an alternative to the more common treatments with topical creams and chemical peels, especially for patients with refractory cases.

A multitude of different lasers therapies have been studied in numerous clinical trials to date and a vast range of efficacies and adverse events have been demonstrated for melasma treatment.

The five broad categories of laser and light therapy include intense pulsed light (IPL), Q-switched lasers, picosecond lasers, nonablative fractionated resurfacing lasers, and ablative fractionated resurfacing lasers treatments.

The main benefit on both the efficacy and safety of the most commonly used laser and light therapies for the treatment of melasma as published in the current literature and present new device-based treatment options that are currently in development for patients with melasma.

Reviewing laser options for melasma:

IPLs: Generally will make it worse, some very light skin types do ok with it, especially in the winter

Fraxels Lasers: Often cause initial improvement followed by recurrence or even worsening

CO2 Lasers: The jury is still out on these but makes be the same as the Fraxel.

Vbeam: Interestingly can be helpful in some cases if there is a vascular (increased blood vessels) component to the melasma. Talk to your doctor.

Clear & Brilliant (a very light Fraxel basically), made by Fraxel company, may be helpful if done in a series of 3 to 4 at the right intervals and careful sun avoidance. Some studies in the past few years on this are hopeful.

Nd: Yags: May have a good but usually temporary effect used often in India and on darker skin types. Only try this if the center is very experienced. There are different Yags lasers and different protocols.

Laser and light therapy for the treatment of melasma is best suited for patients with refractory melasma who failed with topical treatment or a series of chemical peels.

Topical therapy takes at least three months or longer to see Face whitening and those patients who are interested in a more rapid response could consider laser and light therapy.

Benefits of Laser Treatment for Melasma:

Fractional resurfacing is a one-time treatment. Unlike microdermabrasion therapy, which involves the use of a wand tip covered in micro-sized granules of a hard mineral, laser resurfacing does not scrub away the surface skin.

Instead, it causes small wounds that encourage new, healthier skin growth. The results are considered permanent and best, with many patients reporting no need to have a second procedure performed.

Fractional resurfacing not only results in a decreased amount of melanin production in the treated area.

It also helps get rid of wrinkles, age spots, and freckles spots. Acne scars are also often reduced when a laser resurfacing procedure is performed.

Intense pulsed light:

IPL therapy uses a flash lamp light source that emits noncoherent light with wavelengths between 515 nm to 1200 nm.

Filter sets allow for the targeting of selective chromophores and have been used to treat various pigmentary skin disorders.

Its potential benefit over laser therapy is that it uses a spectrum of wavelengths that allow for the penetration of various levels of the skin and target both epidermal and dermal melasma simultaneously.

The pulse duration of IPL is in the millisecond range and provides greater thermal diffusion and a reduced chance of thermal-related postinflammatory pigmentation.

The size of the IPL head is larger than most laser spot sizes, which allows for the rapid treatment of larger areas.

Schedule Your Consultation

If you have melasma, fractional resurfacing could be the perfect solution for you. At an Adorable clinic treating melasma is one of our cosmetic specialties.

We will work with you to determine the most effective treatment for your needs. Contact us on on 097111 50928 to make an appointment.

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