Darker skin types represent a significant and growing group of patients seeking aesthetic procedures. This is because of the increased awareness of safe, affordable aesthetic procedures. These procedures include amazing new lasers that are colour-blind and less invasive than previous generations of lasers. Yet special concerns have to be addressed when treating skin of colour as the wrong choice of treatment (especially when it comes to Lasers and lights) can have dire consequences and adverse effects.
Melasma, also known as hormonal pigmentation, is a considerable problem for South African women, especially in darker skin types. It is a chronic skin condition that occurs on the face in the form of symmetrical brown patches, and it is a dynamic (active) condition that needs lifelong management. It often shows up when someone is pregnant, taking the pill or using some form of hormonal therapy. That being said, it is not exclusively women who suffer from this condition; it can also affect men.
Melasma is not treated like normal sun-induced pigmentation because it is not just a superficial concern but has internal triggers and hormonal influences. This treatment, therefore, requires treatment (in-clinic), topicals to maintain the treatment results and prevent new pigment from forming, and supplements that suppress the internal and hormonal and inflammatory triggers from within.
What treatments can be done safely on dark skin types to treat and manage Melasma?
Laser Genesis with the Cutera Laser
RF Needling with Secret RF or Endymed Intensif
Laser Painting / Laser Toning with the Candela VBEAM Laser
PDT with TA Solution
Combination peels with Salicylic and Azelaic Acid
Injected Mesotherapy with TA
IV Infusions with Glutathione and Vitamin C
Injected Mesotherapy with Biopuncture Skin Cocktail
Transdermal Mesotherapy with TA
Microdermabrasion with TA application