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lxl from Singapore asked a question

Why have laser treatments for my sun spots been ineffective? (photo)

I’m 27, female, and have been diagnosed with solar lentigos and nascent melasma on my cheeks. I have had poor experiences with lasers so far. I tried IPL, and got burnt with no effects on the pigmentation. I tried LASEMD laser twice, but broke out in small bumps. Several sessions of dual yellow had no effect either, until the doctor tried a different setting. The spots faded, however my lentigo became eczematised (photo). I am now very wary of lasers, would you agree that I should lay off these? If so, what else can I do?

DOCTOR’S ANSWER (3)
Dr David Ng C H
Aesthetic
Singapore
(2 Ratings)
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Dr David Ng C H
Aesthetic
Singapore
(2 Ratings)
Answered on Mon Jul 16 2018 06:40:59 GMT+0000 (UTC)

Hi Lxl, 

I can understand that it can be quite tedious to undergo so many IPL and laser treatments for your pigmentations.

Quite often, depending on your type and severity of pigmentations, just by using topical lightening cream and sun protection measures alone, can already help to improve the pigmentations. So you may not even need to do laser treatments.

For now, I would recommend you to take a rest from laser treatments first, let your doctor reassess your treatment options for you. 

For more information on...

0 275 views 0 Doctors agree Mon Jul 16 2018 06:40:59 GMT+0000 (UTC)
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Dr Justin Boey
Aesthetic
Singapore
(16 Ratings)
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Dr Justin Boey
Aesthetic
Singapore
(16 Ratings)
Answered on Mon Jul 16 2018 07:04:46 GMT+0000 (UTC)

Hi lxl,

There are a few reasons why the laser treatments might have been less effective for you. But I believe that the best way forward is to have a comprehensive talk with your doctor to re-evaluate the condition. 

Let me share some common reasons. 

1. Post Laser Skin Care

Sun protection and lightening creams are essential before and after laser treatment. 

This is to prevent post-inflammatory hyperpigmentation (darkening of skin).

To get best results with lasers, a pply sunscreen at least 1-2 times daily.

0 267 views 0 Doctors agree Mon Jul 16 2018 07:04:46 GMT+0000 (UTC)
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Dr Chua Cheng Yu
Aesthetic
Singapore
(9 Ratings)
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Dr Chua Cheng Yu
Aesthetic
Singapore
(9 Ratings)
Answered on Mon Jul 16 2018 18:18:03 GMT+0000 (UTC)

Dear lxl,

I fully agree with Dr David's advice to take a break from laser treatments for the time being. I also agree with his approach of emphasizing on the diagnosis and holistic approach to skin treatments. 

IPL is a valuable light treatment and the LASEMD and Dual Yellow are both wonderful lasers for treating solar lentigo and melasma. I highly doubt that adding a picosecond laser would have made a large difference in treating your pigmentation. In fact, there are some studies to show that the long pulse visible light lasers treat lentigenes and melasma better than the pico or nanosecond lasers. 

A few truths about Picosecond lasers that get drowned out in the ongoing hype:

1. People like to refer to Qswitch lasers as old nanosecond lasers. They are not! Q-switching is just a technique to obtain...

0 228 views 0 Doctors agree Mon Jul 16 2018 18:18:03 GMT+0000 (UTC)
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