Which therapy works for melasma in pigmented skin: Lasers, peels, or triple combination creams?

Lasers for hyperpigmentation and meLasma

Melasma: an Up-to-Date Comprehensive Review

Melasma is a common acquired condition of symmetric hyperpigmentation, typically occurring on the face, with higher prevalence in females and darker skin types. Multiple etiologies, including light exposure, hormonal influences, and family history, have been implicated in the pathogenesis of this disorder. Overall prevalence ranges widely at 1-50%, since values are typically calculated within a...

Barrier creams for skin breakdown

Debbie Flynn and Sally Williams examine how moisture and pressure can cause skin to break down, how barrier creams can help the skin to heal and a new barrier system. Nurses have a major role to play in assessing and preventing skin breakdown. It is essential to risk assess all patients to identify those most likely to be vulnerable. Incontinence poses particular risk factors as both urine and ...

Melasma--updated treatments.

Melasma is a common, acquired facial skin disorder, mostly involving sun-exposed areas like cheeks, forehead and upper lip. Melasma occurs in both sexes, although almost 90 percent of the affected are women. It is more common in darker skin types (Fitzpatrick skin types IV to VI) especially Hispanics/Latinos, Asians and African-Americans. The onset of the melasma is at puberty or later, with ex...

Melasma, Novel Treatment Modalities

Treatment of melasma remains challenging due to frequent relapses and the occurrence of post-inflammatory hyperpigmentation (PIH) following many interventions. Treatment goals are inhibition of melanin synthesis and transfer by sunscreens, sun avoidance and the use of bleaching agents on one hand and removal of already present pigment by peeling, lasers and light on the other hand. Triple combi...