Article Medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)
Templestowe Lower and Berwick Clinics
Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
I have facial pigmentation since my pregnancies. My youngest child is two and a half and it is still there. I have used several creams advised to me but it hasn’t got much better. Out of all of your procedures – which do you recommend? I would prefer less visits and more initial downtime – however want to try whichever has greatest success rate.
The treatment of melasma is always difficult. I find there is no cure, only strategies to reduce the problem and to hopefully keep it at bay. The most important aspects of treatment are;
- protection from UV – sunscreen daily is paramount to the reduction of melasma
- reduction in melanin production – through the use of medical grade skin products such as Kligman’s formula
- laser – a few options here. A light one which requires more treatment is the Medlite/Revlite laser. For a more aggressive treatment requiring fewer sessions but more downtime, I would recommend the 1927nm Fraxel laser. We have used this a lot for melasma with some excellent results.
Hope this helps.