Sun exposure and hormonal changes trigger melasma, which presents itself as pigmented patches of skin. Most patients get melasma on their cheeks, nose, forehead and upper lip, although it can also show up in other sun-exposed areas, such as the neck, chest and forearms. In some cases, melasma will fade on its own, especially if the trigger is removed- such as when a baby is born and the woman is no longer pregnant. For sun-related melasma, we recommend preventing future UV exposure by wearing sunscreen every day and wearing sun protective clothing. If melasma does not fade on its own, a skin-tone-appropriate peel and topical skin lighteners such as Hydroquinone, retinol and Vitamin C is recommended.
The VI Peel is an excellent option for those who would benefit not only from lightening of their melasma but also needing some dull skin removed for a more fresh look. The VI Peel does not have a terrible amount of peeling but you do flake on days 3-5 normally starting around the nose and mouth and ending at the hair line. Multiple sessions may be necessary.
The Cosmelan peel is the “mother of all melasma peels.” A tan-colored mask is applied in-office and the patients are instructed to leave this mask on for 8-10 hours. That night, the patient washes the mask off and uses a light moisturizer before bed. Peeling will begin on day 3 and can last 4-5 days. By day 10, most people will have stopped peeling. At this time, the patient will begin to apply Cosmelan 2 at home on the areas that have some remaining pigment. This will continue the peeling process only on the areas that are still affected. Once the pigment has fully resolved, a custom regimen including Vitamin C, retinol, and SPF will be recommended by our staff.
The Picosure laser is the only laser Dr. Nazarian recommends for more pigmented skin types. The Picofocus tip on this laser is meant for pigment reduction on all skin types and colors. At times, Dr. Nazarian may recommend the use of this laser in conjunction with the peels and medical-grade skin care products mentioned above. No one person is like another and there is no cookie-cutter approach to melasma. But rest assured, it is a passion.
For more information or to schedule a consultation for Melasma/Hyperpigmentation , call Nazarian Plastic Surgery at (310) 659-0500 or Request a Consultation ». Our Beverly Hills location is conveniently located near major roads and freeways, so it’s easy to find our office.
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Dr.Sheila Nazarian is the best plastic surgeon overall. I have never met such a nice, professsional and humble doctor like her.I had breast augmentation 5 days ago and I’m feeling great.Wow what a great experience with Dr . Nazarian. She is wonderful and very caring thru the whole process. Thanks Dr.for changing my appearance and helping me with every question I had. I totally recommend her to anyone who is looking for an excellent Dr. If I would of known about her before, I would of done this procedure years ago.This is my first time writing a review, but I had to share this experience because I know there are people looking for a good Dr they can trust. I am truly very happy with Dr . Nazarian. Again thank you very much for doing such a great job.
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