Threating pigmentation, especially melasma, is tricky when using energy based approached such as the laser. Using energy directly on pigment or melasma lesion might result in a rebound pigmentation that is darker than the original lesion.
It is important for the clients to understand that treating pigmentation is not easy. We are not discussing small lesion such as freckles, but we are talking about a large area of pigmentation such as melasma that covers a large part of the face in form of patches. It is mainly seen in form of patches over cheeks, nose, and forehead. Using IPL is contraindicated in this cases, as we need to use high energy low pulse laser beam such as Q-switch nano-second laser.
Is laser enough for pigmentation and melasma treatment
We do not recommend using energy directly on the lesion, the treatment has to follow a strict protocol that includes anti-tyrosinase or tyrosinase inhibitor, chemical peeling, mechanical peeling then laser treatment.
usually, melanocytes get extra active before they go through apoptosis after energy treatment. The overproduction of pigment melanin before the apoptosis phase. in order to prevent this phase, we need to make sure the cut the melanin production circuit by other methods before starting the laser treatment
At Albany cosmetic center, we use a specially formulated cream that provides both anti-tyrosinase, chemical peel, fruit acid peel and skin lightening components. We usually advise the client to use this cream for the first two weeks of the protocol. in the third weeks, we utilize microdermabrasion by silk peel using Lamyxal solution. This procedure provides both mechanical peeling and anti-tyrosinase activity. The fourth week of the protocol we apply a special poly-peptide solution with gentle micro needling to provide further inhibition of the pigmentation that gives melasma patches its dark color. After the 1-2 weeks break the laser will be started. The cycle should be repeated as required and treatment should be spaced away as per skin condition
About the author; after gaining Ph.D. in pharmacy and pharmaceutical sciences, Dr. Kamal Alhallak developed a special passion towards cosmetic and aesthetic treatment. Challenging, yet rewarding, Dr. Alhallak did special training in skin care and cosmetic injections and developed distinguished skills in Botox and fillers injection. Albany cosmetic center has shown great results in all cosmetic fields such as wrinkle treatment, skin pigmentation, facelift with threads, Fraxel laser, skin tightening, fat reduction, tattoo removal, body shaping, acne treatment, acne scars, scar removal, under eyes circle correction, hair loss treatment, and laser hair removal.