Can laser make pigmentation worse?

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healthline.com - Melasma Laser Treatments: Effectiveness, Types of ... - Healthline

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Melasma is a skin condition that causes gray or brown spots of discoloration on your skin. It can happen to anyone, and is not dangerous to your health, but it can be an annoying cosmetic issue. Melasma most commonly involves sun-exposed areas of your skin including: cheeks

upper lip

chin

forehead

other sun-exposed skin (occasionally) It is caused by melanocytes in skin creating extra pigmentation, and melasma often affects women with darker complexions because they have more melanocytes. The most important factor in development of melasma is sun exposure. Melasma is also associated with female hormones, and it is more common in people who are pregnant or taking hormonal birth control. Melasma can also be caused by genetics and certain medications. Melasma is more common in women than men. People with light brown skin from regions of the world with intense sun exposure experience it. In the United States, it is estimated to range from 8.8% among people of Latino descent, to 13.4% to 15.5% in Arab-Americans living in Michigan, to 40% of females of southeast Asian populations. It’s important to note that the stress of enduring racism, discrimination, and racist systems may play a part in developing the condition beyond genetics. The condition is not associated with skin cancer or does not carry a risk of developing melanoma. There are certain home remedies for melasma like: applying aloe vera to your skin

ingesting glutathione

using high SPF sunscreen There are also over-the-counter (OTC) lightening creams available. Chemical peels are another treatment option. There is no consensus even among dermatologists that laser treatment is a good option. It can be considered if the condition does not respond to topical treatments as a first line of treatment, and chemical peels as a second line of treatment. The risk of inflammation and hyperpigmentation is high. The trials involving laser treatments are limited by small sample sizes. Types of lasers used A 2012 research review showed that there are several types of lasers that may be used to treat melasma. PicoSure PicoSure is a laser that turns energy into pressure as opposed to heat. It works quickly to treat melasma below your skin at its source. The procedure itself is quick and only slightly uncomfortable. You may experience a stinging sensation similar to a rubber band snapping on skin. One study found that PicoSure reduces melasma without other reported side effects like hyperpigmentation. Fractional Fractional laser resurfacing, sometimes known by the brand name, Fraxel, makes microscopic holes in your skin that stimulate the growth of new and healthy skin cells. There is a prickling sensation involved and usually topical anesthetic is applied before the procedure. Your skin looks red or discolored, and raw immediately after. But after 3 to 5 days of recovery, your skin will look brighter and more even. IPL An Intense Pulsed Light laser (IPL) uses multispectrum lights in different wavelengths to target certain colors in your skin. This treatment may actually make melasma worse in certain skin tones, so it’s important to consult a dermatologist before treatment. Q-Switch The Q-Switch laser, sometimes called The Spectra®, delivers energy into your skin that breaks melanin into smaller pieces, which are then are removed by your body. Q-Switch may also bleach your hair, and the process can cause a stinging sensation. When lasers are considered Lasers are generally considered for people seeking long-term and quick results when other options, like lightening creams, have not been effective.

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What to expect Laser treatments can be an effective treatment for melasma with one 2017 research review showing that the Q-Switch laser is the most effective, especially in people with darker skin tones. Another 2017 research review showed that people who experience melasma during pregnancy, and do not plan to become pregnant again are good candidates for laser treatment. People whose melasma is resistant to other treatments and people looking for quicker results are also good candidates for laser treatment. You should see some improvement after the first session, but three to four sessions spaced about 30 days apart will yield the greatest results. You should see full results in 3 to 6 months. You may need follow-up treatments because sometimes melasma clears days after laser therapy, but returns in about 3 months. Side effects As with many cosmetic procedures, that are potential side effects from laser therapy for melasma. These side effects include: redness or discoloration

burning

stinging

potential for infection

allergies to topical anesthesia Some lasers, including vascular lasers, do not appear to treat melasma. Others have the potential to make melasma worse by causing hyperpigmentation, particularly on Black and brown skin, so consult a professional before deciding which laser is right for you. Recovery After laser procedures, you may feel the following sensations in the area for several days: itching

burning

stinging Your skin may also be: red or discolored

slightly swollen

blistered (in some cases) Protect your skin from the sun in the recovery process. It’s very important that you avoid sun exposure. Otherwise, any treatment will be unsuccessful. A health professional should go over all aftercare procedures and advise on the best products to use post-treatment. To prevent melasma from worsening or returning post-treatment, always wear high SPF sunscreens, even on cloudy days. Your doctor may also recommend that you continue to use a skin-lightening treatment post-laser. Other treatment options In addition to lasers, other treatment options are available for melasma. These include: Skin-lightening agents Skin-lightening agents usually include a moisturizer or lotion. The active ingredient is typically hydroquinone, which bleaches your skin by reducing the amount of melanocytes present. Hydroquinone is only available as a prescription through your doctor. Previously it had been available over the counter but the status was changed in 2021 following a ruling by the FDA. Chemical peels A 2012 research review showed that chemical peels come in varying strengths, and they use acids and other ingredients like tretinoin to gently remove your outer layer of skin. Side effects look and feel similar to a sunburn, but once your skin recovers, melasma may be less prominent. Microdermabrasion Microdermabrasion is a minimally invasive procedure performed by a licensed esthetician, who uses a tool with an abrasive tip or vacuum suction to slough off your outer layer of skin. When to talk with a professional Talk with a medical professional about melasma if it’s still present several months after pregnancy or hormonal changes, or if you experience any pain or itching. If your skin does not heal from a laser within a week, speak with a health professional. It’s also important to get advice on how long to apply skin-lightening agents, and how long to take a break from these agents, to prevent hyperpigmentation.

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healthline.com - Melasma Laser Treatments: Effectiveness, Types of ... - Healthline

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